Knowledge, Attitudes and Beliefs about Cervical Cancer and Human Papilloma Virus Vaccination with Related Factors in Turkish University Students

  • 발행 : 2014.04.30


Background: This study aimed to determine knowledge, attitudes and believes about cervical cancer and human papilloma virus (HPV) vaccination with related factors in Turkish university students. Materials and Methods: This descriptive and cross sectional study was conducted between June-July 2013 in Hitit University located in Corum, a rural area to the East of Ankara. The population consisted of 550 university students who were training in first and last year from Faculties of Economics, Theology and Health. We reached 463 volunteer students without selection. The study of data was collected with a 44 item questionaire covering socio-demographic features, knowledge, attitudes and beliefs about cervical cancer, HPV and vaccination. Also for this study ethic committee report was taken from Bozok University. Data were evaluated with the SPSS 17.0 programme using the Ki kare test with P<0.05 accepted as statistically significant. Results: It was seen that there was a statistically significant variation between classrooms and departments of students with knowledge about cervical cancer and human papilloma virus and vaccine (p<0.001; p<0.01; p<0.05). Also we found low attitudes to thinking about taking HPV vaccination of girls and their children in the future. Conclusions: In light of the study findings; it was concluded that knowledge levels, beliefs and attitudes of the university students about cervical cancer, HPV infection and HPV vaccination were low.


  1. Ozsaran Z, Demirci S, Aras AB (2011). A survey evaluating HPV vaccination knowledge levels among the medicine faculty students. Turkish J Gynecol Oncol, 2, 40-4.
  2. Ozsurekci Y, Karadag Oncel E, Bayhan C, et al (2013). Knowledge and attitudes about human papillomaviruses and immunization among Turkish pediatricians. Asian Pac J Cancer Prev, 14, 7325-9.
  3. Ozyer S, Uzunlar O, Ozler S, et al (2013). Awareness of Turkish female adolescents and young women about HPV and their attitudes towards HPV vaccination. Asian Pac J Cancer Prev, 14, 4877-81.
  4. Pinar G, Topuz S, Dogan N, Algier L (2009). Knowledge levels and protective practices against cervical cancer among the first grade female university students of Baskent University. Turkish J Gynecol Oncol, 3, 66-73.
  5. Tuncer M, Ozgul N, Olcayto E, Gultekin M, Erdin B (2009). National Cancer Program of Directorate of Fighting against Cancer, Turkish Ministry of Health, 2009-2015. Turkish Ministry of Health Publication Number, 760, 11-14.
  6. Turkish Population and Health Research 2008. Hacettepe University, Population Studies Institute Ankara, October 2009. http://
  7. WHO (2013).WHO guidance notes: comprehensive cervical cancer prevention and control: a healthier future for girls and women. p:1-16.
  8. WHO (1999) WHO Recommended Surveillance Standards,.
  9. Wong LP, Sam C (2010). Ethnically diverse female university students' knowledge and attitudes toward human papilloma virus (HPV), HPV vaccination and cervical cancer. Eur J Obstet Gynecol Reprod Biol, 148, 90-95.
  10. Zimet GDI, Rosberger Z, Fisher WA, Perez S, Stupiansky NW (2013). Beliefs, behaviors and HPV vaccine: Correcting the myths and the misinformation. Prev Med, 57, 414-418.
  11. Medeirosa R, Ramadab D (2011). Knowledge differences between male and female university students about human papilloma virus (HPV) and cervical cancer: Implications for health strategies and vaccination. Vaccine, 29, 153-60.
  12. Li J, Li LK, Mad JF, et al (2009). Knowledge and attitudes about human papilloma virus (HPV) and HPV vaccines among women living in metropolitan and rural regions of China. Vaccine, 27, 1210-1215.
  13. Madhivanan P, Srinivas V, Marlow L, et al (2014). Indian parents prefer vaccinating their daughters against HPV at older ages. Asian Pac J Cancer Prev, 15, 107-10.
  14. Marlow L, Waller J, Wardle J (2007). Public awareness that HPV is a risk factor for cervical cancer. Br J Cancer, 97, 691-4.
  15. Mgomella G, Chikamata D, Lucas E, et al (2012). Prevention of cervical cancer through screening using visual inspection with acetic acid (VIA) and treatment with cryotherapy. A demonstration project in six African countries: Malawi, Madagascar, Nigeria, Uganda, the United Republic of Tanzania, and Zambia. World Health Organization 2012. p:1-40.
  16. Oh JK, Lim MK, Yun EH, Lee EH, Shin HR (2010). Awareness of and attitude towards human papilloma virus infection and vaccination for cervical cancer prevention among adult males and females in Korea: A nationwide interview survey. Vaccine, 28, 1854-60.
  17. Onsuz MF, Topuzoglu A, Bilgi Z, et al (2011). Evaluation of HPV vaccination knowledge levels and attitudes of the students who completed training course at a department of obstetrics and gynecology of medicine faculty TAF. Prev Med Bull, 10, 557-64.
  18. Ortashi O, Raheel H, Shalal M, Osman N (2013). Awareness and knowledge about human papillomavirus infection and vaccination among women in UAE. Asian Pac J Cancer Prev, 14, 6077-80.
  19. Kaya M, Akin A (2009). Cervical cancer and Public Health Approaches. HUKSAM Publication Ankara. p.1-60.
  20. Kahn JA, Bernstein DI (2003). Human papilloma virus vaccines. Pediatr Infect Dis J, 22, 443.
  21. Kamzol W, Jaglarz K, Tomaszewski KA, Puskulluoglu M, Krzemieniecki K (2013). Assessment of knowledge about cervical cancer and its prevention among female students aged 17-26 years. Eur J Obstet Gynecol Reprod Biol, 166, 196-203.
  22. Kang HS, Moneyham L (2010). Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students. Vaccine, 28, 811-6.
  23. Kilic A, Seven M, Guvenc G, Akyuz A, Ciftci S (2012). Acceptance of human papillomavirus vaccine by adolescent girls and their parents in Turkey. Asian Pac J Cancer Prev, 13, 4267-72.
  24. Kim HW (2012). Knowledge about human papilloma virus (HPV), and health beliefs and intention to recommend HPV vaccination for girls and boys among Korean health teachers. Vaccine, 30, 5327- 34.
  25. Klug SJ, Hukelmann M, Blettner M (2008). Knowledge about infection with human papilloma virus: A systematic review. Prev Med, 46, 87-98.
  26. Kose MR (2010). Sexual health and reproductive health:National strategic action plan 2005-2015.T.C. Turkish Ministry of Health. p.13-21.
  27. Lee PW, Kwan TTC, Tam KF, et al (2007). Beliefs about cervical cancer and human papilloma virus (HPV) and acceptability of HPV vaccination among Chinese women in Hong Kong. Prev Med, 45, 130-4.
  28. Lenselink CH, Schmeink CE, Melchers WJG, et al (2008). Young adults and acceptance of the human papilloma virus vaccine. Public Health, 122, 1295-301.
  29. Guner H and Taskiran C (2007). Cervical cancer epidemiology and human papilloma virus. Turkish J Gynecol Oncol, 4, 11-19.
  30. Fidaner C (2007). Early Detection of Cancer: Early Diagnosis and Screenings, Editor: Tuncer AM, Cancer Control in Turkey, Turkish Ministry of Health, 319-332.
  31. Genc RE, Sarican ES, Turgay AS, et al (2013). Determination of knowledge of Turkish midwifery students about human papilloma virus infection and its vaccines. Asian Pac J Cancer Prev, 14, 6775-8.
  32. Gerend MA, Magloire ZF (2008). Awareness, knowledge, and beliefs about human papilloma virus in a racially diverse sample of young adults. J Adolesc Health, 42, 237-42.
  33. Guvenc G, Akyuz A, Seven M (2012). Determination of knowledge levels and attitudes of students of nursing school about human papilloma virus infection and vaccination. Gulhane Med J, 54, 104-110.
  34. Hanley SJ, Yoshioka E, Ito Y, et al (2014). An exploratory study of Japanese fathers' knowledge of and attitudes towards HPV and HPV vaccination: Does marital status matter? Asian Pac J Cancer Prev, 15, 1837-43.
  35. Hoque ME, Ghuman S, Hal GV (2013). Human papillomavirus vaccination acceptability among female university students in South Africa. Asian Pac J Cancer Prev, 14, 4865-9.
  36. International Agency for Research on Cancer. Cervical Cancer Incidence and Mortality Worldwide in 2008. 2013;
  37. Jain N, Euler GL, Shefer A, et al (2009). Human papilloma virus (HPV) awareness and vaccination initiation among women in the United States, National Immunization Survey-Adult 2007. Prev Med, 48, 426-31.
  38. Juntasopeepun P, Davidson PM, Suwan N, Phianmongkhol Y, Srisomboon J (2011). Human papillomavirus vaccination intention among young women in Thailand. Asian Pac J Cancer Prev, 12, 3213-9.
  39. Caskey R, Lindau ST, Alexander GC (2009). Knowledge and early adoption of the HPV vaccine among girls and young women: Results of a National Survey. J Adolesc Health, 45, 453-62.
  40. Allen JD, Fantasia HC, Fontenot H, Flaherty S, Santana J (2009a). College men’s knowledge, attitudes, and beliefs about the Human Papilloma virus infection and vaccine. J Adolesc Health, 45, 535-7.
  41. Allen JD, Mohllajee AP, Shelton RC, et al (2009b). Stage of adoption of the human papilloma virus vaccine among college women. Prev Med, 48, 420-5.
  42. Basara B, Guler C, Yentur G, et al (2013). Statistical Annual of Turkish Ministry of Health 2012, Ankara.
  43. Christensen ND (2005). Emerging human papilloma virus vaccines. Expert Opin Emerg Drugs, 10, 5-19.
  44. Donders GG, Bellen G, Declerq A, et al (2009).Change in knowledge of women about cervix cancer, human papilloma virus (HPV) and HPV vaccination due to introduction of HPV vaccines. Eur J Obstet Gynecol Reprod Biol, 145, 93-5.

피인용 문헌

  1. Preliminary Evaluation of the in vitro Efficacy of 1, 2-di (Quinazolin-4-yl) Diselane against SiHa Cervical Cancer Cells vol.15, pp.15, 2014,
  2. Mothers' Knowledge and Attitudes about HPV Vaccination to Prevent Cervical Cancers vol.15, pp.17, 2014,
  3. Innovations in HPV Vaccination and Roles of Nurses in Cervical Cancer Prevention vol.15, pp.23, 2015,
  4. Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study vol.15, pp.23, 2015,
  5. Knowledge of Human Papillomavirus Infection, Cervical Cancer and Willingness to pay for Cervical Cancer Vaccination among Ethnically Diverse Medical Students in Malaysia vol.16, pp.14, 2015,
  6. Determination of knowledge levels, attitude and behaviors of female university students concerning cervical cancer, human papiloma virus and its vaccine vol.16, pp.1, 2016,
  7. Knowledge and Attitudes of Medical and Non-Medical Turkish University Students about Cervical Cancer and HPV Vaccination vol.17, pp.1, 2016,