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Information, Attitudes and Behaviors of Midwives, Nurses Concerning Cervical Cancer, Human Papilloma Virus Infection and Vaccination-A Sample of Diyarbakır
... Avoiding risky sexual intercourse, monogamy, condom use, screening programs and raising awareness about HPV vaccination are essential in preventing HPV infection [6]. Having risky/unprotected sexual intercourse at an early age, presence of multiple sexual partners, having a partner who has multiple sexual partners, having an uncircumcised partner, presence of sexually transmitted infection, history of HIV/AIDS, use of oral contraceptives, smoking and improper hygiene conditions increase HPV risk [7]. Unlike other cancer types, ...
Background
A number of interventions are needed to remove barriers to early screening for cervical cancer. A step-by-step strategy is required for these interventions to be successful. The first stage will be building consensus among trained health care providers, policy makers and educators. This study aimed to determine nursing students’ opinions about HPV infection and HPV vaccine.
Methods
A qualitative focus group discussion study. A state university in western Turkey Undergraduate nursing students recruited through purposive sampling. The research data were collected on an online platform with the focus group interview method by using the Participant Information Form and Semi-Structured Interview Form.
Results
Three main themes (HPV infection/vaccine perception, severity perception, suggestions and requests/facilitators) and eight sub-themes were developed based on the thematic analysis of the research findings.
Conclusions
According to the findings, it was concluded that nursing students’ opinions on HPV infection and HPV vaccine were affected by factors related to cultural, religious and sexual behaviors. Based on study results, it is suggested to organize national cervical screening programs to increase public’s knowledge and awareness on the subject in accordance with the socio-cultural norms of the society with the agreement and cooperation of educated health service providers, policy makers and educators.
... 36 B u çalışmada kadınların erkeklere göre HPV aşısıyla ilgili daha yüksek bilgi ve farkındalık seviyelerinde olması literatürle uyumludur. 37,38 Amerika'da yapılan bir çalışmada ise erkek katılımcıların HPV aşısıyla ilgili bilgi düzeyinin kadınlardan yüksek olduğu bulunmuştur. 19 Çalışma sonuçları, erkeklerin de HPV eğitim müdahalelerine ihtiyacı olduğunu göstermektedir. ...
... 36 B u çalışmada kadınların erkeklere göre HPV aşısıyla ilgili daha yüksek bilgi ve farkındalık seviyelerinde olması literatürle uyumludur. 37,38 Amerika'da yapılan bir çalışmada ise erkek katılımcıların HPV aşısıyla ilgili bilgi düzeyinin kadınlardan yüksek olduğu bulunmuştur. 19 Çalışma sonuçları, erkeklerin de HPV eğitim müdahalelerine ihtiyacı olduğunu göstermektedir. ...
Amaç: Bu çalışmanın amacı genç erişkinlerin Human Papilloma Virüs (HPV) enfeksiyonu ve HPV aşısına ilişkin bilgi ve görüşlerini belirlemektir.
Yöntem: Analitik kesitsel tipteki bu çalışma, 2020 yılının Ocak ve Nisan ayları arasında, İstanbul’da yaşayan 18-45 yaş aralığındaki 600 bireyle çevrim içi platformda kartopu yöntemi kullanılarak yapıldı. Çalışma verileri, araştırmacılar tarafından literatür doğrultusunda ve uzman görüşleri alınarak geliştirilen 55 soruluk veri toplama formu ile elde edildi. Araştırmada tanımlayıcı istatistikler; ortalama, standart sapma, sayı ve yüzde olarak hesaplandı. Kategorik değişkenlerin analizinde Pearson ki-kare testi yapıldı. Sonuçlar %95 güven aralığında anlamlılık p
In this study, it was aimed to examine the characteristics of the articles on human papilloma virus published in the field of nursing between 2011-2020 in Turkey.The research was conducted as a descriptive retrospective based on the literature. It was searched using the key words ‘public health, nursing, HPV, HPV vaccine’ in turkish and english from Google Academic, PubMed and Turkish Medline databases. According to the inclusion criteria 38 articles published between 2011-2020 were examined. It was determined that 89.5% of the articles research articles and 42.1% were descriptive. It was determined that 39.5% of the articles had four or more authors and 52.6% of the authors were from the field of obstetrics and gynecology nursing 68.4% of the articles were published in international journals and 55.3% were published in English; it was determined that 32.4% of the research articles(n=34) were on “Information and Attitude Toward Cervical Cancer and HPV Vaccine”.It was determined that 50% of the research was conducted at schools/universities, 35.3% of them were sampled by the students in the field of health and 35.3% were carried out with 450 or more participants. It has been observed that most of the articles on Human Papilloma Virus, published in the nursing field in Turkey over the last 10 years were descriptive and were made on students in the field of health. It is recommended to increase experimental and qualitative research on individuals/groups at risk, especially including men.
Keywords: Public Health, Nursing, HPV, HPV vaccine
Cervical cancer is the second most common women cancer worldwide, accounting for 13% of female cancers. It ranks as the second most frequent cancer among women after breast cancer in Sudan as well as other developing countries. This study seeks to assess the knowledge, and the attitude of female staff and students of undergraduate nursing students of Khartoum universities, Sudan, towards cervical cancer prevention. A structured interview questionnaire was used for data collection, the questions were made to capture the objectives of the study. Most of the students (84.0%) were not aware of other screening methods than Pap smear test and the burden of cervical cancer and its prevention (p = 0.000). Approximately half of the respondents (49.9%) have no complete information about the HPV vaccine. However, the other half showed positive attitudes towards HPV vaccination and were eager to recommend HPV vaccine to their family and other members of the community. More than two thirds of respondents exhibited positive attitude and were willing to undergo Pap smear in the future. The study shows that the majority of the participants have poor information about cervical cancer prevention. Education would motivate nurses to participate actively in awareness raising, screening, and management.
Background
Workers at tertiary health facilities may be expected to have good knowledge of cervical cancer and also good screening practices so that they could be good sources of health information and motivation to promote screening in the general public. An assessment of their perceptions and practice of cervical screening could reveal gaps that would inspire efforts to improve key indicators among them and in turn, the general population.
Methods
This cross-sectional analytic study was conducted among 316 workers of a tertiary health facility selected by stratified random sampling with proportionate allocation. Data was collected using pretested semi-structured questionnaires and analysed with SPSS 20 and PEPI programs.
Results
The majority of respondents were aware of cervical cancer but it was significantly higher among females, p=.001. Most respondents, 266 (84.2%) were less than 40 years of age but knowledge of cervical cancer screening diminished with increase in age, p=.039. Only 92 (29%) had good knowledge of cervical screening; a better knowledge of cervical screening was significantly associated with working in a clinical department, employment duration of less than 2 years, and being female. All females who had ever screened for Ca cervix, 18 (11%) had a Pap smear, and majority 15 (83%) had screened only once. Factors associated with screening were level of education, years of work experience, and being in a clinical department. Reasons given for not screening included pain from the procedure, its cost, and the delay with getting results.
Conclusion
Knowledge of cervical screening was not good among staff of DELSUTH and practice of screening was also very poor. They may benefit from health education and promotion programmes directed towards better screening practices. Introduction of easier-to-perform and less costly screening modalities like VIA/VILI may also improve uptake.
Background: Cervical cancer is the second most common cancer among women and infection with high risk human papilloma virus (HPV) is a pre-requisite for cervical cancer. The present study was undertaken to assess the knowledge regarding cervical cancer screening and HPV vaccination among medical and nursing staff.Methods: Four hundred participants; 200 MBBS students, 120 BSc nursing students and 80 staff nurses answered a standardized questionnaire which was analysed.Results: Majority of the MBBS students correctly believed that cervical cancer was not the most common cancer in females and 77.5% believed that HPV is identified in more than 50% cases. Around 80% of the respondents knew that HPV is transmitted sexually and could be transmitted during pregnancy and can affect both males and females. More than 80% of the staff nurses answered correctly that HPV could be transmitted by needle sharing and 76% believed that the infection could be symptomless. More than 80% of the participants were aware that a vaccine is available against HPV but only 5.5% were vaccinated. Though the knowledge was there but several gaps were noticed regarding HPV vaccination, the major concerns being safety, efficacy and availability of the vaccine.Conclusions: HPV is a vaccine preventable cancer and for accepting the vaccination the health professionals can play a pivotal role in raising awareness and controlling the disease.
Implementing a HPV vaccination program is currently under evaluation by the Turkish health ministry. For screening and vaccination programs to be successful, the cooperation of nurses is essential. We aimed to evaluate (1) basic knowledge of nurses and nursing interns regarding HPV infection and cervical cancer, (2) their attitudes towards smear testing and HPV vaccination, and (3) their viewpoint on vaccination of school age children. This cross-sectional study was undertaken at Bezmialem Vakif University. The survey was designed to assess knowledge about HPV infection, Pap smear testing, cervical cancer, HPV vaccine, attitudes towards HPV vaccination, and school-based vaccination programs. Validity content was determined by expert gynecologists, and a pilot study was performed on 10 nurses. A total of 550 questionnaires were handed out; 499 were completed. Our response rate was 90.7%. Fifty-nine participants answered all the knowledge questions correctly. The calculated knowledge score of the female participants was 6.99 ± 2.22, the male participants was 5.89 ± 2.92. Female participants were more knowledgeable (p < 0.0001). Out of the 353 female participants, 18.6% (n = 66) had undergone smear testing. There were 20 (5.6%) female and 6 (4%) male participants who were vaccinated against HPV. The leading answer for not having a HPV vaccine was "I'm not at risk for a HPV infection" (n = 106, 34.9%). There was a statistical relationship between "HPV knowledge score" and answering "Yes" to "Do you want your children/future children to be vaccinated? (p = 0.001) and "Do you think including the vaccine in the Turkish immunization program is necessary?" (p = 0.001). Nurses in our cohort seem to have satisfactory basic knowledge regarding HPV infection; however, their viewpoints on vaccination were not favorable. Strategies and intervention materials for HPV vaccination will be necessary if a national immunization program will be initiated.
Background
Cervical cancer remains a major cause of morbidity and mortality among the women in the world. Early screening for cervical cancer is a key intervention in reduction of maternal deaths. Health care workers have a significant contribution to improve cervical cancer screening practice among women. Hence, this study aimed to assess the knowledge and practice of cervical cancer screening among female health care workers in southern Ethiopia.
Methods
Institution-based cross-sectional study was conducted during March and April, 2015. All hospitals in Hawassa city administration and Sidama zone were purposively selected. A simple random sampling technique was used to draw the health centers. After proportional allocations to their respective health facilities, a total of 367 female health workers were selected by simple random sampling technique. A structured and pretested questionnaire was used to collect the data. Data were entered to SPSS version 20.0 for further analysis. Logistic regression analyses were used to see the association of different variables.
Results
Out of the total respondents, 319 (86.9%) had a good level of knowledge on cervical cancer. Similarly, a majority of them, 329 (89.6%), 321 (87.5%), and 295 (80.4%), knew about the risk factors, symptoms, and outcomes of cervical cancer, respectively. More than two thirds of the respondents, 283 (77.1%), knew that there is a procedure used to detect premalignant cervical lesions and 138 (37.6%) of them mentioned visual inspection with acetic acid as a screening method. In this study, only 42 (11.4%) of the respondents were screened for cervical cancer (confidence interval [CI]: 8.7, 13.9). Being a physician (adjusted odds ratio [AOR] =0.12, 95% CI: 0.02, 0.79) and working in a cervical cancer screening center (AOR =0.14, 95% CI: 0.03, 0.68) had a lower odds of cervical cancer screening practices.
Conclusions
Significant numbers of health care workers were knowledgeable on cervical cancer. Cervical cancer screening among health care workers in southern Ethiopia was found to be low. Being a physician and working in a screening center had lower odds of cervical cancer screening practice. In spite of having adequate knowledge on cervical cancer the reasons for low practice of cervical cancer screening among health care workers needs to be investigated.
Background & objectives: Cervical cancer is a major health problem and a leading cause of death among women in India. Of all the associated risk factors, high-risk human papillomavirus (HPV) infections being the principal aetiologic agent, two HPV vaccines are in use for the control of cervical cancer. The present study was undertaken to explore the knowledge, attitude and practice (KAP) on HPV vaccination among the healthcare providers in India.
Methods: A cross-sectional study was conducted among 590 healthcare professionals from 232 hospitals and 80 PHCs of nine districts of Delhi-NCR (National Capital Region). A total of 590 (526 female, 64 male) healthcare providers were surveyed.
Results: Only 47 per cent of respondents recommended young women to get vaccinated against HPV. Majority of respondents (81%) were found to be aware about the existence of vaccines for cervical cancer prevention. District-wise, highest (88.3%) awareness about the existence of vaccines against HPV was reported from Gautam Budh Nagar and lowest (64%) in Faridabad. Although 86 per cent of gynaecologists were aware about the names of HPV vaccines available in the market, only 27 per cent of paramedical staff had this knowledge. There was a significant difference between the respondents from government and private sectors regarding their awareness about HPV vaccines. Lack of awareness about the principal cause, risk factors and symptoms for cervical cancer and HPV vaccination was significantly (P< 0.05) reported in the respondents from paramedical staff category.
Interpretation & conclusions: The findings reinforce continued medical education of healthcare providers, particularly those from the government sector on HPV vaccination for cervical cancer prevention. Public education is also pertinent for a successful HPV vaccination programme in the country.
Objective:
To determine knowledge and practices of nurses on cervical cancer, human papillomavirus and its vaccine.
Methods:
This descriptive study was conducted at Cankiri Karatekin University, Cankiri, Turkey, from December 2015 to January 2016, and included nurses. . A survey was used to collect data about socio-demographic features and knowledge and practices on cervical cancer and screening, signs and symptoms of cervical cancer and human papillomavirus vaccine. SPSS 16 was used for data analysis.
Results:
Of the 110(61.1%) participants, 83(75.5%), 78(70.9%) and 45(40.9%) did not know risk factors of cervical cancer, signs of cervical cancer and how to protect oneself against cervical cancer, respectively. Moreover, 56(50.9%), 85(77.3%) and 60(54.5%) knew the route of transmission of human papillomavirus, risk factors of human papillomavirus and its vaccine, respectively. Besides, 2(1.8%) nurses received human papillomavirus vaccine. Also, 11(10%) nurses received a regular Pap smear test and 19(17.3%) received a regular gynaecological examination. The reasons given for not having the examinations were being sexually inactive in 28(25.5%) cases, not feeling the need for an examination 26(23.6%), shying away from gynaecological examinations 13(11.8%), and having inadequate knowledge 6(5.5%). Significantly higher rates of the nurses aged >40 years, having given birth, and having regular gynaecological examinations had a Pap smear test (p<0.05).
Conclusions:
Knowledge of nurses about risk factors, signs and prevention of cervical cancer were found to be below the desired level.
Background
The purpose of the study is to investigate knowledge, attitudes and behaviours concerning cervical cancer, HPV and HPV vaccine of female students studying at a university in a health related department and explore variables affecting taking the vaccine.
Methods
The research group consists of female students attending a health related department in Balıkesir University. The data of this cross-sectional research was collected via surveys.
Results
The average total knowledge score of the students concerning risks, symptoms and screening methods of cervical cancer and HPV vaccines was 14.15 ± 6.7. The HPV knowledge score of the students attending the faculty of medicine was higher compared to the students attending other departments and their HPV vaccine knowledge score was higher compared to the students attending nursing and paramedics students. The HPV vaccine knowledge score of the students attending the department of midwifery was significantly higher compared to other students. Only 0.9 % of the students took the vaccine. One third of the students who did not take the vaccine did not know that the vaccine was available in our country. In terms of the department that they attended, the students with a higher total knowledge score compared to the average (OR:1.5) and students with history of cancer in their families (OR:1.6) were more likely to consider taking the vaccine.
Conclusions
Research group’s knowledge on risk factors of cervical cancer, Pap smear test, symptoms and prevention ways of cancer, HPV and HPV vaccine was low.
Though cervical cancer incidence has dramatically decreased in resource rich regions due to the implementation of universal screening programs, it remains one of the most common cancers affecting women worldwide and has one of the highest mortality rates. The vast majority of cervical cancer-related deaths are among women that have never been screened. Prior to implementation of a screening program in Addis Ababa University-affiliated hospitals in Ethiopia, a survey was conducted to assess knowledge of cervical cancer etiology, risk factors, and screening, as well as attitudes and practices regarding cervical cancer screening among women's health care providers.
Between February and March 2012 an anonymous, self-administered survey to assess knowledge, attitudes, and practices related to cervical cancer and its prevention was distributed to 334 health care providers at three government hospitals in Addis Ababa, Ethiopia and three Family Guidance Association clinics in Awassa, Adama, and Bahir Dar. Data were analyzed using SPSS software and chi-square test was used to test differences in knowledge, attitudes, and practices across provider type.
Overall knowledge surrounding cervical cancer was high, although awareness of etiology and risk factors was low among nurses and midwives. Providers had no experience performing cervical cancer screening on a routine basis with <40% having performed any type of cervical cancer screening. Reported barriers to performing screening were lack of training (52%) and resources (53%); however the majority (97%) of providers indicated cervical cancer screening is an essential part of women's health care.
There is a clear need among women's health care providers for education regarding cervical cancer etiology, risk factors and for training in low-tech, low-cost screening methods. Meeting these needs and improving the infrastructure necessary to implement appropriate screening programs is essential to reduce the burden of cervical cancer in Ethiopia.
To assess baseline knowledge of cancer cervix, screening and practice of Pap smear screening among Sikkimese staff nurses in India.
Between April 2012 and February 2013, a predesigned, pretested, self -administered multiple responses questionnaire survey was conducted among staff nurses' working in various hospitals of Sikkim. Questionnaire contained information about their demographics, knowledge of cervical cancer, its risk factors, screening methods, attitudes toward cervical cancer screening and practice of Pap smear amongst themselves.
Overall, 90.4% nurses responded that they were aware of cancer cervix. Three quarter of the staff nurses were not aware of commonest site being cancer cervix in women. Of the 320 participants, who had heard of cancer cervix, 253 (79.1%) were aware of cancer cervix screening. Pap smear screening should start at 21 years or 3 years after sexual debut was known to only one-third of the nursing staff. Age was found to be a significant predictor of awareness of Pap smear screening among nursing staff. Awareness was significantly more prevalent among older staff (P < 0.007). Married nursing staffs were significantly more likely to be aware of screening methods, and nursing staff of Christian and Buddhist religion were 1.25 times and 2.03 times more likely to aware of screening methods than Hindu religion respectively. Only 16.6% nurses, who were aware of a Pap smear (11.9% of the total sample), had ever undergone a Pap smear test. Most common reason offered for not undergoing Pap smear test were, they felt they were not at risk (41%), uncomfortable pelvic examination (25%) and fear of a bad result (16.6%).
Knowledge of cancer cervix, screening and practice of Pap smear was low among Sikkimese nursing staff in India. There is an urgent need for re-orientation course for working nurses and integration of cervical cancer prevention issues in the nurses' existing curriculum in India and other developing countries.
Human Papilomavirus (HPV) is one of the most widespread sexually transmitted diseases is highly related to cervical cancer in women. Cervical cancer's crude incidence rate in Iran is 6-8 per 100,000. The HPV vaccine provides a chance to considerably decrease the transmission of most types of HPV. The aim of this study was to evaluate awareness and knowledge of HPV infection and vaccines and to assess the attitude and approach toward these vaccines among female nurses at Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
This cross-sectional, descriptive study was performed among 380 female nurses. Data were collected using a questionnaire was consisted in demographic variables and questions on knowledge of participants about HPV infection, HPV vaccine and cervical cancer and also questions on attitude of ourses towards HPV vaccination. The validity and internal consistency of questionnaire was confirmed during experts consents and pilot testing (alpha = 0.79). Data analysis was performed using SPSS15 using chi2-test or Fisher's exact test.
Three hundred and eighty questionnaires were distributed and 357 female nurses completed and returned their questionnaires: Only one hundred and thirty-one of the nurses (36.7%) knew about HPV infection and how it can cause abnormal pap Smear results. about 147 (41.2%) of the nurses stated they would want to be vaccinated. About 146 (40.9%) of respondents supported vaccination of preadolescent girls.
The results of this study confirm the lack of knowledge about HPV vaccine and its relation to cervical cancer and also the ways of this cancer prevention. Our study shows an urgent need to design similar studies in other regions of Iran and draw a broad estimation on knowledge of different target groups to make a national program to increase the knowledge of women on this matter and help to decrease the rate of cervical cancer in Iranian population.
The purpose of this cross-sectional study was to determine factors contributing to recommending vaccination to patients, using a self-administered anonymous questionnaire given to 345 nurses working at a tertiary hospital in South Africa. The average age of the participants was 37.2 years. About three-quarters (73.3%) of the nurses were aware of HPV and among them, 38.3% knew that HPV is the most common sexually transmitted virus. Nurses had poor knowledge regarding HPV infection and the HPV vaccine. The majority (90.9%) of the nurses intended to recommend the vaccine to their patients. The nurses who mentioned that adolescents and young adults would accept HPV vaccination were more likely to recommend HPV vaccination to their patients (OR = 57.78, p = 0.031). Nurses had a low level of knowledge regarding HPV infection and vaccines but they were willing to recommend the vaccines to their patients. Nurses need to be educated before implementing HPV vaccinations nationwide.
As preventing cancer with the help of a vaccine is a comparatively new concept, awareness and education about it will have important implication in the implementation of this strategy.
Present explorative questionnaire based survey included 618 MBBS students for final analysis.
Majority of participants (89.6%) were well aware of the preventable nature of cervical cancer. Most of them (89.2%) knew that necessary factor responsible for cervical cancer is infection with high risk HPV. Awareness regarding the availability of vaccine against cervical cancer was 75.6%. Females had a better awareness regarding availability of vaccine, target population for vaccination and about the catch up program. Overall acceptance of HPV vaccine among the population studied was 67.8%. Medical teaching had a definitive impact on the understanding of this important public health issue. Females seemed to be more ready to accept the vaccine and recommend it to others. For our study population the most common source of information was medical school teaching. Majority of participants agreed that the most important obstacle in implementation of HPV vaccination program in our country is inadequate information and 86.2% wanted to be educated by experts in this regard.
HPV vaccine for primary prevention of cervical cancer is a relatively new concept. Health professional will be able to play a pivotal role in popularizing this strategy.
Cervical cancer, although largely preventable, remains the most common cause of cancer mortality among women in low-resource countries.The objective of this study was to assess knowledge and awareness of cervical cancer prevention among Cameroonian healthcare workers.
A cross-sectional self-administered questionnaire in 5 parts with 46 items regarding cervical cancer etiology and prevention was addressed to healthcare workers in six hospitals of Yaoundé, Cameroon. The investigators enlisted heads of nursing and midwifery to distribute questionnaires to their staff, recruited doctors individually, in hospitals and during conferences and distributed questionnaires to students in Yaoundé University Hospital and Medical School. Eight hundred and fifty questionnaires were distributed, 401 collected. Data were analyzed with SPSS version 16.0. Chi-square tests were used and P-values < 0.05 were considered significant.
Mean age of respondents was 38 years (range 20-71 years). Most participants were aware that cervical cancer is a major public health concern (86%), were able to identify the most important etiological factors (58%) and believed that screening may prevent cervical cancer (90%) and may be performed by Pap test (84%). However, less than half considered VIA or HPV tests screening tests (38 and 47%, respectively). Knowledge about cancer etiology and screening was lowest among nurse/midwives.
Knowledge of cervical cancer and prevention by screening showed several gaps and important misconceptions regarding screening methods.Creating awareness among healthcare workers on risk factors and current methods for cervical cancer screening is a necessary step towards implementing effective prevention programs.
Midwives play an important role in the implementation of cervical cancer screening. We assessed the knowledge of human papillomavirus (HPV) infection and of its relationship with cervical cancer in 107 midwives and 29 graduating midwifery students. The majority of midwives (78.5%) were aware that a viral infection causes cervical cancer, whereas only 48.3% of the students knew this (p = 0.003). Only one midwife (0.9%) was not aware of HPV infection compared with 10.3% of the students (p = 0.029). Midwives were also more knowledgeable of the relationship between HPV infection and cervical cancer and of the availability of a vaccine against HPV infection (p = 0.005 and p < 0.0001, respectively). In conclusion, Greek midwives have a satisfactory level of knowledge about cervical cancer and HPV infection, in contrast to midwifery students. It is important to better educate midwifery students in order to facilitate the incorporation of HPV testing and vaccination in clinical practice.
Objective:
To assess the knowledge about human papilloma virus infection and vaccine, to ascertain the attitude and practices about the vaccine, and to ascertain the determinants preventing people from getting themselves vaccinated.
Methods:
The cross-sectional descriptive study was conducted from June to August 2015 in Henan Provincial People's Hospital, Henan, China, and comprised all the nursing staff including nursing students. A piloted semi-structured questionnaire was used for collecting data. Statistical analysis was done using SPSS 18.
Results:
Of the 308 subjects, 190(61.6%) were professional nurses and 118(38.3%) were nursing students. The mean age of the nurses was 36.7±6.2 years and that of the students was 20.4±2.1 years. Overall, 254(82.5%) subjects were aware about the existence of human papilloma virus vaccine; 241(94.9%) thought that the vaccine could effectively prevent the development of cervical cancer; and 108(61.4%) were reluctant to get vaccinated because the vaccine was expensive.
Conclusions:
There is a need to address the myths and misconceptions associated with vaccines in order to improve the acceptance of human papilloma virus vaccine among them.
Background
The incorporation of Human papillomavirus (HPV) testing into the English cervical screening programme has been met with fear and anxiety. Healthcare professionals need to be adequately informed about HPV to help alleviate patient concerns. The aim of this study was to evaluate the HPV training provided to practice nurses (PNs) and determine their level of HPV knowledge.
Method
A web-based survey was distributed to 147 General Practice surgeries in the Leicester, Leicestershire and Rutland regions, between May and July 2015. The survey explored four broad areas; demographics/level of experience, HPV knowledge, attitudes towards the HPV vaccine and self-perceived adequacy of HPV knowledge.
Results
A total of 128 surveys were completed, with 94 complete responses. Overall awareness of basic HPV facts was adequate; however, detailed, and in some cases basic, knowledge was lacking. 9.6% failed to identify that HPV can cause cervical cancer and 62.8% believed that HPV requires treatment. Not all PNs felt adequately informed about HPV and a need to improve the provision of training was identified.
Conclusion
PNs play a key role in increasing public awareness of HPV and implementing cervical cancer screening. The provision of education to PNs needs to be a priority and current methods of training need to be re-evaluated.
Objective: In this study, it is aimed to determine the knowledge and attitudes of allied health personnel at a university hospital on Human Papilloma Virus (HPV) infection, transmission and prevention ways, its relation with cancer and HPV vaccine. Methods: A cross-sectional study entitled as "Evaluation questionnaire for the knowledge and attitudes about HPV" was performed on 192 allied health personnel at Hitit University Hospital. The questionnaire contained 32 questions prepared by taking the studies previously performed as model. The questionnaire form was composed of 3 main Parts 1-basic data of the health personnel, 2-knowledge on HPV infection and HPV cervical cancer relation, 3-attitude against HPV vaccination. Results: The basic properties of 192 allied health personnel who participated the survey was evaluated. It was detected that 87.5% of participants correctly knew the cancer virus relationship, 56.2% HPV transmission ways, 86.5% reasons of cervical cancer. 90.3% of participants had a knowledge about HPV vaccine (p <0.001). But only 1% of participants was vaccinated. Conclusion: In conclusion, it was shown that knowledge and attitudes of allied health personnel on HPV and its vaccine were not sufficient as desired. The level of knowledge was more satisfactory in nurses and midwifes than others. The vaccination ratio in all groups was too small. Therefore, all allied health personnel must be educated about HPV and the vaccine as a part of national health projects. This process must also be focused on issues that will change the attitudes and inspire confidence about HPV vaccine.
The aim of this study was to determine the knowledge and attitudes of nursing students about human papilloma virus infection and its vaccines. This descriptive study was carried out at the School of Nursing of Gulhane Military Medical Academy between February 01, and March 10, 2010. The universe of the study consisted of 314 volunteered nursing students. A questionnaire form and HPV knowledge evaluation form developed by the researchers were used for data collection. Only 55.7% and 54.8% of the participants stated that they had heard about HPV and its vaccines previously, respectively. Mean knowledge scores in the first, second, third and fourth class nursing students were 2.80±1.08, 3.66±1.22, 5.20±0.87, 6.42±1.37, respectively. There were statistically significant differences between the classes of the students in terms of mean knowledge scores. Twenty eight percent and 61.1% of the nursing students stated that they wished to be vaccinated, and were hesitant about HPV vaccination, respectively. Eighty six point seven percent of the students who did not want to be vaccinated stated that they did not want as they did not have enough information about HPV vaccines. Including more data about HPV, cervical cancer, prevention ways and associated strategies into the curriculums of both pregraduate and postgraduate education would contribute to both the nurses and nursing students to have more current information about this issue.
A recent report that 93 per cent of invasive cervical cancers worldwide contain human papillomavirus (HPV) may be an underestimate, due to sample inadequacy or integration events affecting the HPV L1 gene, which is the target of the polymerase chain reaction (PCR)-based test which was used. The formerly HPV-negative cases from this study have therefore been reanalysed for HPV serum antibodies and HPV DNA. Serology for HPV 16 VLPs, E6, and E7 antibodies was performed on 49 of the 66 cases which were HPV-negative and a sample of 48 of the 866 cases which were HPV-positive in the original study. Moreover, 55 of the 66 formerly HPV-negative biopsies were also reanalysed by a sandwich procedure in which the outer sections in a series of sections are used for histological review, while the inner sections are assayed by three different HPV PCR assays targeting different open reading frames (ORFs). No significant difference was found in serology for HPV 16 proteins between the cases that were originally HPV PCR-negative and -positive. Type-specific E7 PCR for 14 high-risk HPV types detected HPV DNA in 38 (69 per cent) of the 55 originally HPV-negative and amplifiable specimens. The HPV types detected were 16, 18, 31, 33, 39, 45, 52, and 58. Two (4 per cent) additional cases were only HPV DNA-positive by E1 and/or L1 consensus PCR. Histological analysis of the 55 specimens revealed that 21 were qualitatively inadequate. Only two of the 34 adequate samples were HPV-negative on all PCR tests, as against 13 of the 21 that were inadequate ( p< 0·001). Combining the data from this and the previous study and excluding inadequate specimens, the worldwide HPV prevalence in cervical carcinomas is 99·7 per cent. The presence of HPV in virtually all cervical cancers implies the highest worldwide attributable fraction so far reported for a specific cause of any major human cancer. The extreme rarity of HPV-negative cancers reinforces the rationale for HPV testing in addition to, or even instead of, cervical cytology in routine cervical screening. Copyright
In Canada, generally provincial human papillomavirus (HPV) vaccination programs exist for only the female population. What should I recommend when parents and teenage boys ask about male HPV vaccination?
The quadrivalent HPV vaccine is effective and will reduce the incidence of disease in boys and girls. The quadrivalent HPV vaccination is approved and recommended for both boys and girls in Canada. Public funding for male vaccination is available in Prince Edward Island and Alberta. The remaining provinces and territories will need to consider cost-effectiveness analyses before expanding their female-only vaccination programs to include the male population.
Amac: Saglik calisanlarinin halki bilgilendirmedeki etkin rolu goz onune alindiginda hemsirelik ogrencileri, tip ogrencileri ve hemsirelerin serviks kanseri, HPV ve HPV asilari hakkindaki bilinc duzeyinin tespit edilmesini ve bilinclendirme ihtiyacinin arastirilmasini amacladik ve Istanbul Bilim Universitesi ogrencileri ve afiliye hastanelerdeki saglik calisanlarinin HPV ve serviks kanseri hakkindaki bilgilerini degerlendirdik. Gerec ve yontem: Saglik personeli, toplumu bilgilendirme ve yonlendirme yaptigi icin, anket, tip fakultesi ilk 3 yil ogrencilerine, hemsirelik ogrencilerine ve hemsirelere yapildi. Dorduncu siniftan itibaren jinekoloji derslerinin baslamasiyla birlikte bilinc yerini bilgiye biraktigi icin sadece ilk uc yildaki tip ogrencileri secilmistir. Anket sorularini cevaplandirmasi istenen 743 katilimcinin 603 tanesi (% 81,2) anketimizi cevaplamayi kabul etti. Daha sonra kimlik bilgisi istenmeyen anketler degerlendirmeye alindi. Bulgular: Hemsireler ve hemsirelik ogrencileri, tip fakultesi ogrencileri (ilk 3 yil) ve diger saglik calisanlariyla kiyaslandiginda smear test konusunda daha bilgiliydiler. Katilimcilarin sadece %52\'si kizlarinin asilanmasina itiraz etmeyecegini beyan etti. Asiyi kabul etmeyenlerin kabul etmeme gerekceleri asinin guvenirliligi hakkindaki endiseler (% 41), asinin maliyeti (%10) ve asilanmadan sonra cinsel iliski serbestisinin onaylanmasi fikri (%5) idi. Dini konular engel olarak degerlendirilmedi. Sonuc: HPV, serviks kanseri ve HPV asilari hakkindaki farkindaligin artirilmasi gerekmektedir.
Objectives:
The current descriptive study aimed to determine university students' knowledge and attitudes regarding cervical cancer, human papillomavirus (HPV), and HPV vaccines in Turkey.
Participants:
A total of 800 students participated.
Methods:
This study was carried out between September 1, 2012, and October 30, 2012, in 8 female dormitories.
Results:
In response to the question "What are cervical cancer risk factors?" 10.0% of students said HPV; 90.9% were unaware of how to protect themselves from HPV. Of the students, 99.7% had not had an HPV vaccination, only 32.6% wanted to get an HPV vaccination, and 20.7% did not want to be vaccinated, as they believe it "might have adverse effects."
Conclusions:
The results of the present study show that female university students have low levels of awareness and knowledge toward cervical cancer risk factors, HPV, and HPV vaccination.
Estimates of the worldwide incidence and mortality from 27 major cancers and for all cancers combined for 2012 are now available in the GLOBOCAN series of the International Agency for Research on Cancer. We review the sources and methods used in compiling the national cancer incidence and mortality estimates, and briefly describe the key results by cancer site and in 20 large “areas” of the world. Overall, there were 14.1 million new cases and 8.2 million deaths in 2012. The most commonly diagnosed cancers were lung (1.82 million), breast (1.67 million), and colorectal (1.36 million); the most common causes of cancer death were lung cancer (1.6 million deaths), liver cancer (745,000 deaths), and stomach cancer (723,000 deaths). © 2014 Wiley Periodicals, Inc.
Human papillomavirus (HPV)-related cancers are a major worldwide public health concern. Virtually all cervical cancer is HPV related, with 70% caused by HPV16 and -18. Variable proportions of certain noncervical cancers (e.g., anal, vulvar, and oropharyngeal) are HPV related; more than 90% of the HPV-related ones are caused by HPV16, -18. The HPV-related cancers are dominated by cervical cancer in the developing world, where cervical cancer screening is limited. In this setting, widespread uptake of current HPV vaccines by adolescent girls could reduce this cancer's incidence and mortality by approximately two-thirds, with cost-effective screening programs of adult women having the potential to reduce mortality more rapidly. In the industrialized world, some noncervical HPV-related cancers, especially oropharyngeal, are rapidly increasing, and now rival the incidence of cervical cancer, whose rates continue to decline thanks to established cervical screening programs. Therefore, reducing HPV-associated noncervical cancers with HPV vaccination has greater importance in the industrialized world, especially because there are no approved screening programs for these cancers. Preventing the substantial number of noncervical HPV cancers in men will require either "herd" immunity through high-vaccination rates in females or male vaccination. Current HPV vaccination can complement cervical screening in protecting against cervical cancer and may permit the safe reduction of screening intensity in industrialized countries. Second-generation HPV vaccines (active against a broader array of cervical cancer-related HPV types) could prevent an even higher proportion of cervical precancer and cancer and might permit further reductions in screening intensity.
Cervical cancer, the most common cancer among women in Tanzania is strongly linked to Human Papilloma Virus. Precancerous lesions can be detected by Papanicolau smear screening. Nurses, being the largest group of health workers, have an important role in promotion of cervical cancer screening.
To determine nurses' awareness of cervical cancer and their own screening practices at a hospital in Tanzania.
A descriptive cross sectional study using questionnaires on 137 nurses. Data analysis was made by descriptive statistics and chi square tests.
Less than half of the nurses had adequate knowledge regarding cervical cancer. There was a significant association between knowledge levels of causes of cervical cancer and transmission of HPV and age. Knowledge was more adequate among the young nurses (p = 0.027) and knowledge differed significantly between cadres. Registered nurses had more adequate knowledge than enrolled nurses (p = 0.006). The majority did not know screening intervals and a few were aware of HPV vaccine. Most nurses (84.6%) had never had a Pap smear examination.
These results reflect a need for continuing medical education, creation of cervical cancer prevention policies and strategies at all levels of the health sector.
This study aims to investigate the knowledge, the attitudes and practices on HPV vaccination of health professionals of Mother and Child Service of Puglia Region (Italy). The study was conducted through a standardized questionnaire. Of 455 respondents, 74.2% judged HPV vaccine very important for immunization calendar. 88.9% did not believe that the administration of HPV vaccine implies consent to the initiation of sexual activity but 34.2% sustained that vaccine can give a false sense of protection against sexually transmitted diseases. 62.2% believed that boys should also be vaccinated. Skills necessary in the implementation of strategies in the promotion of health are partially inadequate and appropriate ongoing education should be carried out for health care workers.
National Advisory Committee on Immunization
National Advisory Committee on Immunization.
Update on human papillomavirus vaccines.
Can Commun Dis Rep. 2012;38(1):1-62.
Halk Sağlığı Genel Müdürlüğü Kanser Dairesi Başkanlığı. Kanser Taramaları. Erişim tarihi: 15.11
- T C Sağlık
- Bakanlığı
T.C. Sağlık Bakanlığı. Halk Sağlığı Genel
Müdürlüğü Kanser Dairesi Başkanlığı. Kanser
Taramaları. Erişim tarihi: 15.11.2018. [Link]
What does human papilloma virus vaccine mean to university hospital nurses?
- N Erbaydar
- N Çilingiroğlu
- C Keskin
- M Altunbaş
- E Arslanoğlu
- O Aydın
Erbaydar N, Çilingiroğlu N, Keskin C, Altunbaş M, Arslanoğlu E, Aydın O, et al. [What
does human papilloma virus vaccine mean to
university hospital nurses?]. Journal of
Hacettepe University Faculty of Nursing.
2016;3(3):16-27.
Cervical Cancer Prevention (PDQ®)-Health Professional Version. Erişim tarihi: 12.12
National Cancer Institute 2018. Cervical Cancer Prevention (PDQ®)-Health Professional
Version. Erişim tarihi: 12.12.2018 [Link]
Human Papillomavirus (HPV) Vaccines. Erişim tarihi: 12.12
14. National Cancer Institute 2018. Human Papillomavirus (HPV) Vaccines. Erişim tarihi:
12.12.2018 [Link]