Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Knowledge, Perception and Attitude Towards Human Papillomavirus among Pre-university Students in Malaysia

  • Published : 2014.11.28
Download PDF
⟨ Previous Next ⟩

Abstract

Background: To evaluate the knowledge, perception and attitudes towards human papilloma virus (HPV) among pre-university students in Malaysia. Study design : In this cross sectional study, between November 2013 to March 2014, in a public university, a convenient sampling method was used. A total of 716 respondents were recruited and interviewed with a set of standard questionnaires for assessment of knowledge, perception and attitudes towards HPV and predictor variables associated with level of knowledge. Results: Almost half (48.9%) of the respondents scored less than 5 and were categorised as having poor knowledge. Three hundred and twelve (43.6%) respondents had moderate knowledge and only 54 (7.5%) respondents exhibited good knowledge with the score of 11 and above. Only 142 (20%) students perceived themselves to be vulnerable to HPV infection though 560 (78.2%) students thought that HPV infection is a serious disease. Perceived benefits and desire to be vaccinated were significantly associated with gender (p=0.000) and knowledge of HPV vaccine and cervical cancer (p=0.000). Conclusions: The level of knowledge regarding HPV among the pre-university students was low. However, student intention for vaccination increased with increasing level of knowledge. Thus, efforts to improve knowledge and awareness should be prioritised to increase uptake of the HPV vaccination programme and hence reduce morbidity and mortality from consequences of HPV infection, including cervical carcinoma.

Keywords

References

  1. Al-Dubai SA, Alshagga MA, Al-Naggar RA, et al (2010). Knowledge, attitudes and barriers for human papilloma virus (HPV) vaccines among Malaysian women. Asian Pac J Cancer Prev, 11, 887-92.
  2. Al-Naggar RA, Bobryshev YV, Al-Jashamy K, AL-Musli M (2012). Practice of HPV vaccine and associated factors before among school girls in Melaka, Malaysia. Asian Pac J Cancer Prev, 13, 3835-40. https://doi.org/10.7314/APJCP.2012.13.8.3835
  3. Annemans L, Remy V, Oyee J, Largeron N (2009). Cost-effectiveness evaluation of a quadrivalent human papillomavirus vaccine in Belgium. Pharmacoeconomics, 27, 231-45. https://doi.org/10.2165/00019053-200927030-00006
  4. Arrossi S, Maceira V, Paolino M, Sankaranarayanan R (2012). Acceptability and uptake of HPV vaccine in Argentina before its inclusion in the immunization program: a populationbased survey. Vaccine, 30, 2467-74. https://doi.org/10.1016/j.vaccine.2012.01.032
  5. Awodele O, Adeyomoye AA, Awodele DF, et al (2011). A study on cervical cancer screening amongst nurses in Lagos university teaching hospital, lagos, Nigeria. J Cancer Educ, 26, 497-504. https://doi.org/10.1007/s13187-010-0187-6
  6. Baer H, Allen S, Braun L (2000). Knowledge of human papillomavirus infection among young adult men and women: implication for health education and research. J Community Health, 25, 67-78. https://doi.org/10.1023/A:1005192902137
  7. Baseman JG, Koutsky LA (2005). The epidemiology of human papillomavirus infections. J Clin Virol, 32, 16-24. https://doi.org/10.1016/j.jcv.2004.12.008
  8. Domingo EJ, Noviani R, Noor MR, et al (2008). Epidemiology and prevention of cervical cancer in Indonesia, Malaysia, the Philippines, Thailand and Vietnam. Vaccine, 26 , 71-9. https://doi.org/10.1016/j.vaccine.2008.05.039
  9. Dursun P, Altuntas B, Kuscu E, Ayhan A (2009). Women's knowledge about human papillomavirus and their acceptance of HPV vaccine. Aust NZJ Obstet Gynaecol, 49, 202-6. https://doi.org/10.1111/j.1479-828X.2009.00947.x
  10. Ezat SW, Hod R, Mustafa J, et al (2013). National HPV immunization programme: knowledge and acceptance of mothers attending an obstetrics clinic at a teaching hospital, Kuala Lumpur. Asian Pac J Cancer Prev, 14, 2991-9. https://doi.org/10.7314/APJCP.2013.14.5.2991
  11. Gerend MA, Magloire ZF (2008). Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults. J Adolesc Health, 42, 237-42. https://doi.org/10.1016/j.jadohealth.2007.08.022
  12. Hanisch R, Gustat J, Hagensee ME, et al (2008). Knowledge of Pap screening and human papillomavirus among women attending clinics in Medelin, Colombia. Int J Gynecol Cancer, 18, 1020-6. https://doi.org/10.1111/j.1525-1438.2007.01131.x
  13. Jaspers L, Budiningsih S, Wolterbeek R, Henderson FC, Peters AA (2011). Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: a cross-sectional study. Vaccine, 29, 7785-93. https://doi.org/10.1016/j.vaccine.2011.07.107
  14. Khoo CL, Teoh S, Rashid AK, et al (2011). Awareness of cervical cancer and HPV vaccination and its affordability among rural folks in Penang Malaysia. Asian Pac J Cancer Prev, 12, 1429-33.
  15. Lenselink CH, Schmeink CE, Melchers WJ, et al (2008). Young adults and acceptance of the human papillomavirus vaccine. Public Health, 122, 1295-301. https://doi.org/10.1016/j.puhe.2008.02.010
  16. Low JJ, Ko Y, IIancheran A, et al (2012). Health and economic burden of HPV-related diseases in Singapore. Asian Pac J Cancer Prev, 13, 305-8. https://doi.org/10.7314/APJCP.2012.13.1.305
  17. Malaysia Cancer Statistics-Data and Figure (2007). The third report of national cancer registry. ministry of health Malaysia. [ONLINE] Available at: http://ghdx.healthdata.org/organizations/national-cancer-registry-ministry-health-malaysia.
  18. Moraros J, Bird Y, Barney DD, et al (2006). A pilot study: HPV infection knowledge & HPV vaccine acceptance among women residing in Ciudad Juarez, Mexico. California J Health Promotion, 4, 177-86.
  19. National Health Morbidity Survey III (2008). The third national health and morbidity survey. ministry of health, Kuala Lumpur. [ONLINE] Available at: http://www.psasir.upm.edu.my/6543.
  20. Perkins RB, Clark JA (2012). What affects human papillomavirus vaccination rates? A qualitative analysis of providers' perception. Women Health Issues, 22, 379-86. https://doi.org/10.1016/j.whi.2012.04.001
  21. Ragin CC, Edwards RP, Jones J, et al (2009). Knowledge about human papillomavirus and the HPV vaccine-a survey of the general population. Infect Agent Cancer, 4, 10. https://doi.org/10.1186/1750-9378-4-10
  22. Rashwan H, Lubis SH, Ni KA (2011). Knowledge of cervical cancer and acceptance of HPV vaccination among secondary school students in Sarawak, Malaysia. Asian Pac J Cancer Prev, 12, 1837-41.
  23. Shafiee MN, Chew KT, Kampan N, et al (2013). Perception, knowledge and attitude towards Human Papilloma Virus infection and vaccination for cervical cancer prevention among university students. Brunei Int Med J, 9, 315-24.
  24. Tan YY, Hesham R, Qodriyah HM (2010). Knowledge and attitude of university students in health sciences on the prevention of cervical cancer. Med J Malaysia, 65, 53-7.
  25. Walsh CD, Gera A, Shah M, et al (2008). Public knowledge and attitudes towards human papilloma virus (HPV) vaccination. BMC Public Health, 8, 368. https://doi.org/10.1186/1471-2458-8-368
  26. Wang HH, Wu SY (2013). HPV vaccine knowledge and perceived risk of cervical cancer among female college students in Taiwan. Asian Pac J Cancer Prev, 14, 7371-4. https://doi.org/10.7314/APJCP.2013.14.12.7371
  27. Weaver BA (2006). Epidemiology and natural history of genital human papillomavirus infection. J Am Osteopath Assoc, 106, 2-8.
  28. Wong LP, Sam IC (2010). Ethnically diverse female university student's knowledge and attitudes toward human papillomavirus (HPV), HPV vaccination and cervical cancer. Eur J Obstet Gynecol Reprod Biol, 148, 90-5. https://doi.org/10.1016/j.ejogrb.2009.10.002
  29. Wong LP, Wong YL, Low WY, Khoo EM, Shuib R (2009). Knowledge and awareness of cervical cancer and screening among Malaysian women who have never had a Pap smear: a qualitative study. Singapore Med J, 50, 49-53.
  30. Yacobi E, Tennant C, Ferrante J, Pal N, Roetzheim R (1999). University students' knowledge and awareness of HPV. Prev Med, 28, 535-41. https://doi.org/10.1006/pmed.1999.0486
  31. Yilmazel G, Duman NB (2014). Knowledge, attitudes and beliefs about cervical cancer and human papilloma virus vaccination with related factors iin Turkish university students. Asian Pac J Cancer Prev, 15, 3699-704. https://doi.org/10.7314/APJCP.2014.15.8.3699
  32. World Health Organization (2007). Cervical cancer, human papillomavirus (HPV), and HPV vaccines-Key points for policy-makers and health professionals.

Cited by

  1. 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, https://doi.org/10.7314/APJCP.2015.16.14.5733
  2. Investigation of Transition Types of HPV DNA Test Results over Time in Korean Women vol.16, pp.8, 2015, https://doi.org/10.7314/APJCP.2015.16.8.3167
  3. Effect of an Educational Intervention on Knowledge of Human Papillomavirus Vaccination among Pre-University Students in Malaysia vol.17, pp.1, 2016, https://doi.org/10.7314/APJCP.2016.17.1.267
  4. Impact of human papilloma virus vaccination on adolescent knowledge, perception of sexual risk and need for safer sexual behaviors in Bali, Indonesia vol.42, pp.12, 2016, https://doi.org/10.1111/jog.13123