EBookClubs

Read Books & Download eBooks Full Online

EBookClubs

Read Books & Download eBooks Full Online

Book The Perceptions of University and Immigrant Women Aged 18 to 25 About the Human Papillomavirus Vaccines  A Cross sectional Study

Download or read book The Perceptions of University and Immigrant Women Aged 18 to 25 About the Human Papillomavirus Vaccines A Cross sectional Study written by Rachel Fernandes and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Persistent infection with certain subtypes of Human papillomavirus (HPV) is a necessary cause of cervical cancer, the second most common cancer among women worldwide. Uptake of HPV vaccines in the targeted Canadian female population has been lower than anticipated. This study's primary objective was to determine undergraduate women's perceptions about HPV vaccination. A total of 401 female University of Ottawa undergraduate students completed a newly developed cross-sectional web survey. The prevalence of HPV vaccination was 49%. While the overall attitude towards receiving the vaccine was positive, vaccinated respondents had more favorable attitudes toward the vaccine. Lack of vaccine knowledge and cost were the primary barriers that have prevented HPV vaccination among non-vaccinated respondents. Offering HPV vaccination for women aged 18 to 25 presents a strategy for addressing suboptimal vaccination coverage in the targeted female population and may reduce health inequities demonstrated by variations in cervical cancer incidence within jurisdictions.

Book HPV Vaccine Awareness and Acceptance

Download or read book HPV Vaccine Awareness and Acceptance written by Jamie Phillipich and published by . This book was released on 2014 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Many studies have assessed the public’s perceptions and acceptability of the Human Papillomavirus (HPV) vaccine, while others have analyzed the media’s coverage of the vaccine, however few have specifically assessed the media influence on the perception HPV and vaccine compliance. College freshman in fall 2013 were the first group of adolescent females targeted by the proposed Gardasil vaccine guidelines in 2006 for 11-12 year old girls, and the first group of adolescent males targeted in 2009 for 15-16 year old boys. Thus, there is limited data evaluating how this population was educated about HPV and if the media has influenced their perception and acceptance of the vaccine. The aim of this study was to evaluate this population’s education about HPV/Gardasil and determine if the media had in increased role in their reception of HPV knowledge and if the media influenced their reception of the HPV vaccine, Gardasil. Methods: One thousand randomly selected 18-19 year old freshman students at Grand Valley State University were invited to participate in this cross-sectional quantitative pilot study using an on-line, anonymous questionnaire. The 48 question survey evaluated participant demographics, basic STD knowledge and perceptions, HPV knowledge, personal sexual behaviors, acquisition of sexual health information, knowledge about Gardasil, vaccination barriers, and vaccination status. Pearson Chi-Square tests, score developments, Mann-Whitney, and Spearman’s rank correlation were used to analyze data. Results: One hundred forty six students completed the survey. The majority of participants were female (69.2%) and white, non-Hispanics (87.7%). The study revealed 68% of respondents reported obtaining HPV and Gardasil related information from the media, and 37% of respondents felt that the information presented in the media was not believable. Respondents reported receiving the most believable HPV –related information from health education classes and healthcare providers. An HPV knowledge score was developed and Mann-Whitney analysis revealed that neither gender (p-value=0.619), vaccination status (p-value=0.417), nor parent’s having a college degree (p-value=0.210) had a significant impact on HPV knowledge. Additionally, a health score analyzed the amount of interaction between healthcare providers and media exposure students received. A Mann-Whitney test revealed gender had a significant impact (p-value=0.001) on the health score, with females outscoring (M=3.27. SD=1.054) males (M=2.36, SD=1.125). Individuals who received the vaccine scored significantly higher (M=3.64, SD=0.586, p-value,0.001) than those who did not receive the vaccine ((M=2.45, SD=1.234). Additionally, 41% of the respondents had a health score of 100% with 25% of this subset reporting receiving the vaccine. Thus, despite receiving all the health information about Gardasil, 75% had not been vaccinated. Conclusion: The result of this study suggests that regardless of the amount of interaction students had with healthcare providers and /or the media, it did not affect their overall knowledge of HPV or Gardasil. It is imperative as providers, to impact accurate, honest information with patients and their families so they have information necessary to make informed decisions about their health, particularly in regards to HPV information and Gardasil vaccine.

Book The Relationship Between Parental Perceived Racial Discrimination and HPV Vaccination Initiation in Female Children Aged 8 to 17

Download or read book The Relationship Between Parental Perceived Racial Discrimination and HPV Vaccination Initiation in Female Children Aged 8 to 17 written by Allison Elizabeth Infinger and published by . This book was released on 2013 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Millions of Americans are infected each year with Human Papillomavirus (HPV), which causes genital warts and cervical cancer in women. Vaccinations are available for the prevention of HPV infection. However, studies have shown that minorities and individuals with low socioeconomic status or no insurance are less likely to be vaccinated for HPV. No studies assessing the relationship between parental perceived racial discrimination and HPV vaccination initiation in children have been published. This cross-sectional study used 2010 Behavioral Risk Factor Surveillance System (BRFSS) data from Kentucky to assess this possible association. Analysis focused on respondents' self-reports of experiencing racial discrimination in a healthcare setting, and of their child having received the HPV vaccination. Logistic regression was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs). Respondents reporting being treated better than other races had increased odds of vaccination initiation in children (OR=2.95; 95% CI: 0.60-14.49), and those reporting worse treatment had decreased odds of vaccination initiation (OR=0.95; 95% CI: 0.29-3.13). When adjusted for child's age, income, and insurance, the odds of vaccination initiation increased for those reporting better treatment (OR=4.71; 95% CI: 0.77-28.69), and decreased for those reporting worse treatment (OR=0.59; 95% CI: 0.18-1.92). Future results confirming the association may help to inform health policy to reduce the occurrence of perceived discrimination in the healthcare setting.

Book What College Women Know  Think  and Do about Human Papillomavirus  HPV  and HPV Vaccine

Download or read book What College Women Know Think and Do about Human Papillomavirus HPV and HPV Vaccine written by Nop Thodsama Ratanasiripong and published by . This book was released on 2012 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The development of cervical cancer nearly always begins with a sexuallytransmitted Human Papillomavirus (HPV) infection. Approximately 20 million Americans between the ages of 15 and 49 are currently infected with HPV and another 6 million people become newly infected each year. Among these HPV infections, 74% occur in the 15 to 24 year old age group. In 2006, HPV vaccine (Gardasil®) was approved for girls and women aged 9 to 26. However, the national vaccine uptake rate among young women has been low. HPV vaccine mandatory proposals have also been met with controversy. Some advocacy groups have voiced concerns about whether receipt of HPV vaccine might encourage unsafe sexual behaviors. Little is known about how public controversies have influenced the uptake of HPV vaccine or whether HPV vaccinees indeed engage in more unsafe sexual behaviors, compared to their non-HPV vaccinee counterparts. Purposes: This cross-sectional study aimed to: (1) identify factors that influence HPV vaccine uptake among college women and (2) examine the post-vaccine sexual behaviors of college-aged women. Methods: Participants were a convenience sample of college women (n=384) ages 18 to 26 attending a large, public university in Southern California. An electronic self-administered survey was utilized to collect data. The theory of planned behavior provided a framework for understanding the factors associated with vaccine uptake and with post-vaccine sexual behaviors. Results: College women had good HPV/HPV vaccine knowledge. Over 90% of vaccinees and non-vaccinees knew that Pap test is still needed after the vaccination and an HPV vaccine does not protect against all STIs. Both groups also had positive attitudes toward mandatory vaccination. However, knowledge and attitudes toward the vaccine were not directly linked to the outcome predictor--intention to obtain the vaccine and vaccine uptake. While attitude toward getting vaccinated, subjective norms, and perceived behavioral control were correlated with the outcome predictors, subjective norms consistently predicted intention to obtain HPV vaccine and vaccine uptake. There were no significant differences in sexual behaviors (numbers of sexual partners in a life time, numbers of sexual partners in the past 12 months, condom use, condom use frequency) between non-vaccinees and vaccinees. The numbers of sexual partners before and after vaccination among vaccinees were also not significantly different. Conclusions: Strategies to ensure that those who are eligible for catch-up vaccination are vaccinated should include attention to college women's subjective norms. Vaccine mandatory proposal would not be unacceptable to this population and concerns that the HPV vaccine encourages unsafe sexual behaviors and practices among college aged women may be disregarded.

Book Determining the Knowledge   Attitudes of 18 to 26  Year Old Women Regarding Cervical Cancer  Human Papillomavirus  and The Human Papillomavirus Vaccine

Download or read book Determining the Knowledge Attitudes of 18 to 26 Year Old Women Regarding Cervical Cancer Human Papillomavirus and The Human Papillomavirus Vaccine written by Ashlee Cooper Holguin and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This study applied the constructs of the health belief model (HBM) to assess women's knowledge and attitudes (i.e., perceived susceptibility, perceived severity, perceived benefits and perceived barriers) regarding cervical cancer, HPV, and the HPV vaccine and determine whether they predict women's intentions to receive the HPV vaccine. Women aged 18 to 26 years were surveyed from a convenience sample, and were primarily well-educated White women. Using Polytomous Universal Model (PLUM) ordinal regression, it was determined that the constructs of this model could not predict women's intentions of receiving the HPV vaccine.

Book Health  United States 2017

    Book Details:
  • Author : Government Publishing Office
  • Publisher : Health, United States
  • Release : 2019-09-23
  • ISBN : 9780160950155
  • Pages : 488 pages

Download or read book Health United States 2017 written by Government Publishing Office and published by Health, United States. This book was released on 2019-09-23 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: This annual overview is a report of national trends in health statistics

Book Development of a Survey to Examine the Association Between Relationship Status and Human Papillomavirus Vaccination Behavior

Download or read book Development of a Survey to Examine the Association Between Relationship Status and Human Papillomavirus Vaccination Behavior written by and published by . This book was released on 2018 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Literature: HPV is the most prevalent STI in the United States. Although a vaccine to prevent HPV infection exists, only 49.5% of females were up-to-date on the recommended vaccination HPV vaccination series in 2016. Though recommended for younger individuals, there is a catch-up period for females ages 18-26, which shows consistent under-participation. One potential risk factor for non-vaccination may be relationship status. Unlike other sexual health issues where monogamous, long-term relationships serve as a protective factor, such relationships may negatively impact HPV infection risk perception. Building from previous qualitative research, this study examined the quantitative association between relationship status and HPV vaccination behavior. Methodology: This exploratory cross-sectional study included an electronic survey among females 18-26 years old (N=629) who attend a large public university in the mid-Atlantic region. Bivariate and descriptive statistics were estimated using SPSS 24 to explore likelihood of vaccination during the catch-up age-range by relationship status. Results: Of participants, most were Caucasian (82.5%), undergraduate students (92.8%), who had received the HPV vaccine (79.0%), of which 7.9% received the vaccine during the catch-up period. Being Single and Dating was associated with vaccination during the catch-up period compared to all other relationship groups (X2 (1) = 4.87, p

Book Determinant of HPV Vaccine uptake among children aged 9 14 years

Download or read book Determinant of HPV Vaccine uptake among children aged 9 14 years written by Ndayisaba Corneille and published by GRIN Verlag. This book was released on 2022-11-09 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctoral Thesis / Dissertation from the year 2020 in the subject Health - Children and adolescents, Clark University, language: English, abstract: This study seekts to determine the factors associate with uptake of human papilloma virus vaccine in Bukomansimbi Sub-County, Bukomansimbi district. The ministry of health Uganda adopted WHO guideline on routine immunization which was included in UNEPI and ensures that all girls at the age 11-15 to receive full dose in order to have full protection how ever since the introduction of the HPV vaccine in November 2015. There has been low uptake of the vaccine in Uganda with 33,6% prevalence among women combined with low screening uptake , this lead country being one of the highest cervical cancer with incidence rate of 47,5 per 100,000 per year. At Bukomansimbi Sub County the target population of girl to be vaccinated according to the Bukomansimbi medical center records was 200 girls in the age bracket, many girls do not complete their doses as shown by the vaccination records book, girls normally hide a way during the time of vaccination and parents discourage their girls from receiving the HPV vaccine due to ignorance. Since infection by HPV is the leading predisposing factor and cause of cancers of the cervix, vagina, and vulva in women this leads to the high expenditures for the family to spend on medical expenses, government on the other hand loses too much to treat.

Book Using the Health Belief Model to Enhance Understanding of Female College Students  Intention to Receive the Human Papillomavirus Vaccination

Download or read book Using the Health Belief Model to Enhance Understanding of Female College Students Intention to Receive the Human Papillomavirus Vaccination written by Kristi Ridgeway and published by . This book was released on 2009 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Use of the Health Belief Model to Understand HPV Vaccine Behavior in Female Undergraduates

Download or read book Use of the Health Belief Model to Understand HPV Vaccine Behavior in Female Undergraduates written by Chu He and published by . This book was released on 2015 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the US and causes several cancers. HPV vaccines can protect individuals against multiple HPV strains that can cause certain cancers. Despite the benefits, 51% of college women have received the HPV vaccine. The purpose of this study was to better understand why women choose to get the HPV vaccine and others do not. An emailed link was sent to 8,889 EMU female undergraduate students. Chi-Square Tests for Independence were used to determine relationships between variables. Data from 1,126 female undergraduates ranging in age from 18 to 26 were analyzed. Participants’ intention to receive HPV vaccination was significantly related to participants’ perceived susceptibility, severity, benefits and barriers. Participants with intention to get the HPV vaccine were in stable relationships, use condoms consistently, and have a friend, parent, or doctor who advocates for the HPV vaccine.

Book Human Papillomavirus

Download or read book Human Papillomavirus written by Timmerie Fay Cohen and published by . This book was released on 2013 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation examines vaccination rates for Human Papillomavirus (HPV) among college women 18-26 years of age who participated in the American College Health Association's National College Assessment (ACHA-NCHA). Utilizing secondary data, this research sought to report HPV vaccination rates among a racially diverse population and to identify potential barriers to vaccination. The ACHA-NCHA survey provided a large sample size (N=68,193) in which to perform a binary logistic regression analysis. Demographic characteristics were analyzed as potential barriers to HPV vaccination. Additionally, lack of certain health behaviors were explored as potential barriers to HPV vaccination. In this study, White/non-Hispanic women had a higher HPV vaccination rate when compared to minority women. The binary regression analysis demonstrated that minority women were less likely to receive the HPV vaccine. Furthermore, it was determined that as the age of the respondents increased, the likelihood of receiving the vaccine decreased. Health behaviors that were predictive of receiving the HPV vaccine included receiving the Hepatitis B and Influenza vaccine, number of sexual partners and receiving sexually transmitted disease information. Women who received a gynecological exam were almost twice as likely to receive the vaccine, as were women who had parental health insurance coverage. One aim of The Affordable Care Act (2010) is to decrease disparities in health care. Drawing attention to potential barriers to HPV vaccination allows policy makers to make informed decisions regarding future activities to reduce disparities. Health promotion activities should be targeted to specific populations in an effort to increase HPV vaccination rates.

Book Factors Associated with Acceptance of Human Papillomavirus Vaccine  a Study of Spanish Information Seekers

Download or read book Factors Associated with Acceptance of Human Papillomavirus Vaccine a Study of Spanish Information Seekers written by Julie Kornfeld and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical cancer is the second most common malignancy worldwide. Infection with HPV is a necessary cause of cervical. Hispanic women in the U.S. experience significantly higher rates of invasive disease than non-Hispanic Whites. In this population, HPV vaccines hold significant potential to eliminate further disparities in cervical cancer morbidity and mortality. The purpose of this study was to examine factors associated with Human Papillomavirus (HPV) vaccine acceptability among a national sample of Spanish speaking callers to the National Cancer Institute2s (NCI) Cancer Information Service (CIS). Specifically this research aimed to identify the sociodemographic, sociocultural and attitudinal determinants of HPV vaccine acceptability. This research involved a cross-sectional study with phone-based interviews conducted in Spanish (n = 836). All female Spanish callers to the CIS were asked to respond to a three-part questionnaire that included items relating to ethnic identity and acculturation, knowledge of cervical cancer and related risk factors, and HPV vaccine acceptability. Descriptive, univariate and multivariate logistic regression were used to characterize the study population and to determine the effect of each of the demographic/sociocultural variables on vaccine acceptance. Independent predictors of HPV vaccine acceptability were determined using multivariate linear regression models. Results showed that HPV vaccine acceptance was high among this group of Hispanic women (78%) and that attitudes about vaccines in general and the HPV vaccine specifically were positive. Factors associated with vaccine acceptance included physician recommendation, awareness and accurate knowledge about HPV, and speaking only or mostly Spanish. Other important predictors included influence of peers, positive attitudes about vaccines in general, higher education and being a mother of a female adolescent. The primary reason cited by those who did not favor vaccination was concern over vaccine safety. This research was the first study looking at vaccine acceptability in a large, national sample of Hispanic women. HPV vaccination can lead to important public health benefits for Hispanic women. Targeted educational interventions must take into account the important sociocultural and attitudinal influences on the decision to vaccinate, such as those identified in the present study. Future educational efforts must involve the physician and take into the account the cultural context of attitudes and beliefs regarding vaccine safety and disease susceptibility. Further studies elucidating the interplay between culture specific beliefs and practices regarding vaccination and the decision to participate in HPV vaccination are needed.

Book College Women s Attitudes  Behaviors  and Beliefs Regarding the HPV Vaccine

Download or read book College Women s Attitudes Behaviors and Beliefs Regarding the HPV Vaccine written by Rosemary M. Caron and published by . This book was released on 2008 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Cervical cancer is primarily caused by the human papillomavirus (HPV) and is the second most common cause of cancer-related mortality among women. Purpose: College women may be at risk for contracting HPV based on their sexual behavior. An exploratory analysis was conducted, following the release of the HPV vaccine, Gardasil[R], to (1) determine awareness of HPV and Gardasil[R], (2) assess attitudes, behaviors, and beliefs about the HPV vaccine, and (3) identify information sources that college women are accessing. Methods: A cross-sectional study of college women (n=293) enrolled in a Northeastern university voluntarily completed a self-administered questionnaire regarding knowledge, attitudes, behaviors, and beliefs about HPV and the HPV vaccine. Statistical analyses include descriptive statistics, Pearson's correlations, and paired sample t-tests. Results: Sexually active respondents would recommend the HPV vaccine to others and disagree that HPV vaccination would encourage risky sexual behavior. Yet, "need more information" is the predominant reason respondents would not get the HPV vaccine if it were offered for free. Discussion: Correlations are identified on how self-reported knowledge influenced attitudes, behaviors, and beliefs regarding the HPV vaccine. Translation to Health Education Practice: These findings should assist health educators in developing integrated public health education efforts for HPV vaccination that are targeted towards this at-risk population. (Contains 2 tables and 1 note.).

Book Knowledge and Attitudes Regarding the Human Papillomavirus and HPV Vaccine Among College Students

Download or read book Knowledge and Attitudes Regarding the Human Papillomavirus and HPV Vaccine Among College Students written by Kristen L. O'Flarity and published by . This book was released on 2012 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: Both young men and women should obtain the human papillomavirus (HPV) vaccine in order to reach its intended public health benefits. Because men are behind in this vaccination campaign, this study compared knowledge and attitudes regarding HPV and the vaccine among college-aged men and women in order to improve vaccination strategies among this at-risk population. Methods: A convenience sample of 95 university students, 40 men and 55 women, ages 18 to 26 (mean age of 20.2) completed self-administered pencil-and-paper questionnaires with approximately 40 questions that assessed the desired variables. Knowledge was measured through multiple choice and true/false questions. Attitudes were measured by Likert scale responses following theoretical framework. Data were analyzed and summarized through descriptive statistics using SPSS software. Results: Awareness of the HPV vaccine's availability for men was significantly low for both genders, particularly for men. Health practitioners' and parents' approval both play a pivotal role in considering the vaccine. For men, peers' approval was also important in this decision-making process. Overall, females showed higher rates of awareness in HPV and the vaccine and indicated more positive social norms associated with obtaining the vaccine. Conclusions: According to the results of this study, the HPV vaccine is still prevalently associated with female health and therefore detracting from the male consumer. In order to increase uptake of the HPV vaccine in both genders, a gender neutral vaccine campaign that does not focus on one specific health issue is suggested.--P. vii.

Book Correlates of HPV Vaccination and Association with HPV 16 and HPV 18 DNA Detection in Young Women

Download or read book Correlates of HPV Vaccination and Association with HPV 16 and HPV 18 DNA Detection in Young Women written by Molly A. Feder and published by . This book was released on 2017 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Human Papillomavirus (HPV) infection, primarily with high-risk (HR) types 16 and 18, is responsible for causing 17,600 cancers in women and 9,300 cancers in men in the US each year. However, the availability of the HPV vaccination series has substantially reduced the prevalence of vaccine-type HPV. Methods: We employed a cross-sectional study design to assess factors associated with HPV vaccine uptake, the effectiveness of HPV vaccination outside of a vaccine efficacy trial, and patterns of HPV vaccination in 21-29 year old women who were eligible to receive catch-up vaccination. Data came from the HOPE (Home HPV or Pap Exam) study, a randomized controlled trial based at the University of Washington, and included self-reported demographic and HPV vaccination information and researcher-reported typing for 14 high-risk HPV types. We used multivariable logistic regression to obtain crude and adjusted prevalence odds ratios and 95% confidence intervals for our associations of interest. Results: Of 375 subjects, 228 (60.8%) reported receipt of at least one dose of HPV vaccine at study entry, and 16 subjects (4.3%) were infected with HPV 16 and/or 18. Individuals with higher levels of education were more than four times as likely to be vaccinated than those reporting high school education or less. Among vaccinated study participants, 56.5% received their first dose of the HPV vaccination after age 18 and 68.4% after first vaginal intercourse. Unvaccinated women were somewhat more likely to have detectable HPV 16 and/or 18 (OR=2.05, 95% CI: 0.75 - 5.64). Women aged 19-26 at first HPV vaccination dose were more likely to have HPV types 16 and/or 18 compared to women who were vaccinated earlier (OR=3.2, 95% CI: 0.35 - 29.2). Similarly, women who received their first vaccination dose after first vaginal intercourse were more likely to be HPV infected (OR=1.89, 95% CI: 0.22 - 16.2). Conclusion: Our study suggests that increased education, perhaps through targeted campaigns in less educated populations, may reduce disparities in HPV vaccination uptake and that the HPV vaccine is effective at preventing HR-HPV types 16 and 18 among women from 20 to 29 years old outside of vaccine efficacy trials. Generalizable research on patterns of HPV vaccination and vaccine efficacy among larger sample sizes of women in their twenties is needed.

Book Knowledge  Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao

Download or read book Knowledge Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao written by Choi-Wan Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Knowledge, Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao" by Choi-wan, Chan, 陳彩環, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Human papillomavirus (HPV), a family of viruses with more than 40 genotypes is known to infect genital tract of males and females. High-risk HPV including genotypes 16, 18 can cause cervical cancer while low-risk HPV including genotypes 6, 11 can cause benign or low grade cervical lesions and genital warts. Considering HPV infection is the most common sexually transmitted infection worldwide, as well as in Macao, with prevalence up to 8.1%, and given that cervical cancer is the top ten most frequent female cancer which causes high burden in our health care system, it is important to have a comprehensive intervention for control HPV and cervical cancer. Since the HPV vaccine for preventing cervical cancer has been available in Macao, it is worth to know the willingness to be vaccinated among target population. Base on findings from previous studies, the parental attitudes and acceptance is the key factor of vaccination for young girls. Other potential factors, such as the HPV knowledge, vaccine safety and efficacy, cost, the age of daughter and the physician's attitudes, may also affect parental acceptance. Given that no previous study on this topic has been conducted, this study is aimed to understand the knowledge, attitudes and acceptability of HPV vaccination, and to explore and identify the affecting factors for acceptance among school girls and their parents. A school-based simple cluster random sampling method was used. Data was collected by anonymous self-administrated questionnaires among 574 school girls aged at 12-22 and 702 parents aged at 30-65. About 47% of the school girls had heard of HPV and 88.3% had heard of HPV vaccine, while 57.1% of parents had heard of HPV and 83.2% had heard of HPV vaccine. Although the HPV-related knowledge was poor among young girls and their parents, 92% of girls indicated a positive intention to be vaccinated for herself and 88% parents would willing to consent daughter to be vaccinated if the HPV vaccine became in routine immunization. However, the parental vaccination acceptability for daughters decreased to 40% and only 30% of mothers would willing to accept for themselves, if they had to pay a full course for three doses of HPV vaccine. About 97% of school girls and 95% of parents supported that HPV vaccine should be included in government immunization programme. We also found that young girls and parents are more favor in later HPV vaccination rather than vaccination at recommended age. Cost is the dominant affecting factor in determining parental acceptability of HPV vaccination. In addition, daughter's age, vaccine safety concern, Pap smear attendance and HPV knowledge are significantly associated with HPV vaccine acceptance. It may be worthwhile to further investigate the reasons for the delay vaccination among the young adolescent girls and among their parents, to examine if any underlying factors were unexpressed. DOI: 10.5353/th_b5022251 Subjects: Papillomavirus vaccines - China - Macau(Special Administrative Region)

Book Assessment of College Women s Knowledge  Perceptions and Preventive Behaviors Regarding Human Papillomavirus and Cervical Cancer

Download or read book Assessment of College Women s Knowledge Perceptions and Preventive Behaviors Regarding Human Papillomavirus and Cervical Cancer written by Kimberly Ingledue and published by . This book was released on 2000 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to an increase in Human Papillomavirus (HPV) and cervical cancer, health educators were challenged with the task of increasing knowledge, perceived threat and preventive behaviors among college women. It had been implied that cervical cancer was causally related to infection with HPV. During the 1990's HPV infection had become an epidemic due in part to an increase in the number of sexual partners and a decrease in age at initiation of sexual activity. This trend indicated a rising wave of cancer of the cervix, and hence the critical importance of mass cancer screening. Misconceptions about susceptibility, severity and a lack of knowledge increased risk of cervical cancer. The purpose of this study was to assess the relationship among college women's knowledge, perceptions and behaviors regarding human papillomavirus (HPV) and cervical cancer. This study surveyed 430 college women ages 18 through 30 from the University of Cincinnati. Significant findings were determined from this study. The first was that as knowledge increased, perceived severity decreased. This indicated that women who were more informed about cervical cancer believed that cervical cancer was easily cured if found in the early stages. The second was that as the number of sexual partners increased, perceived susceptibility increased; therefore, engaging in risky behavior made women believe they were more susceptible to HPV/cervical cancer. Another significant finding was that as knowledge, perceived susceptibility and perceived severity increased, the percentage of women obtaining a yearly Pap test increased. The results of this study contributed to greater awareness and prevention of HPV /cervical cancer, and established targeted areas for future health promotion and education efforts. Health education professionals have the opportunity to impact HPV/cervical cancer rates by increasing the amount and quality of education and by continuing to participate in research on this important issue.