Asian Pacific Journal of Cancer Prevention

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

DOI QR Code

HPV, Cervical Cancer and Pap Test Related Knowledge Among a Sample of Female Dental Students in India

  • Doshi, Dolar (Public Health Dentistry, Panineeya Institute of Dental Sciences & Hospital) ;
  • Reddy, B Srikanth (Public Health Dentistry, Panineeya Institute of Dental Sciences & Hospital) ;
  • Karunakar, P (Conservative Dentistry and Endodontics, Panineeya Institute of Dental Sciences & Hospital) ;
  • Deshpande, Kopparesh (Biochemistry, Sri Sai College of Dental Sciences)
  • Published : 2015.08.03
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The present study was designed to ascertain knowledge about HPV, cervical cancer (CC) and the Pap test among female dental students of Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India. Materials and Methods: A self-administered questionnaire covering demographic details, knowledge relating to human papilloma virus (HPV) (8 items), cervical cancer (4 items) and the Pap smear (6 items) was employed. Responses were coded as "True, False and Don't Know". Mean and standard deviation (SD) for correct answers and levels of knowledge were determined. Results: Based on the year of study, significant differences in knowledge of HPV werenoted for questions on symptoms (p=0.01); transmission from asymptomatic partners (p=0.002); treatment with antibiotics (p=0.002); start of sexual activity (p=0.004); and recommended age for HPV vaccination (p=0.01). For knowledge regarding CC, significance was observed for the age group being affected (p=0.008) and symptoms of the disease in early stages (p=0.001). Indications for Pap smear tests like symptoms' of vaginal discharge (p=0.002), marital status (p=0.01) and women with children (p=0.02) had significant difference based on the year of study. Based on religion, transmission of HPV via pregnancy, HPV related diseases except CC and preventive measures except condom use and oral contraceptives showed significant differences. However, significant variation with religion was observed only for two preventive measures of CC (Pap test; p=0.004) and HPV vaccination (p=0.003). Likewise, only the frequency of Pap test showed a significant difference for religion (p=0.001). Conclusions: This study emphasizes the lack of awareness with regard to HPV, CC and screening with pap smear even among health professionals. Hence, regular health campaigns are essential to reduce the disease burden.

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. Blodt S, Holmberg C, Muller-Nordhorn J, Rieckmann N (2012). Human Papillomavirus awareness, knowledge and vaccine acceptance: a survey among 18-25 year old male and female vocational school students in Berlin, Germany. Eur J Public Health, 22, 808-13. https://doi.org/10.1093/eurpub/ckr188
  3. Bray F, Loos AH, McCarron P, et al (2005). Trends in cervical squamous cell carcinoma incidence in 13 European countries: changing risk and the effects of screening. Cancer Epidemiol Biomarkers Prev, 14, 677-86. https://doi.org/10.1158/1055-9965.EPI-04-0569
  4. Dany M, Chidiac A, Nassar AH (2015). Human papillomavirus vaccination: Assessing knowledge, attitudes, and intentions of college female students in Lebanon, a developing country. Vaccine, 33, 1001-7. https://doi.org/10.1016/j.vaccine.2015.01.009
  5. Deriemaeker H, Michielsen D, Reichman G, Devroey D, Cammu H (2014). Knowledge about human papillomavirus and the human papillomavirus vaccine in Belgian students. Cent European J Urol, 67, 410-7.
  6. Durusoy R, Yamazhan M, Tasbakan MI, et al (2010). HPV vaccine awareness and willingness of first-year students entering university in Western Turkey. Asian Pac J Cancer Prev, 11, 1695-701.
  7. Fu CJ, Pan XF, Zhao ZM, et al (2014). Knowledge, perceptions and acceptability of HPV vaccination among medical students in Chongqing, China. Asian Pac J Cancer Prev, 5, 6187-93.
  8. GLOBOCAN 2012. Available from : http://globocan.iarc.fr/
  9. Hong Y, Zhang C, Li X, Lin D, Liu Y (2013). HPV and cervical cancer related knowledge, awareness and testing behaviors in a community sample of female sex workers in China. BMC Public Health, 13, 696. https://doi.org/10.1186/1471-2458-13-696
  10. Johnson DC, Bhatta MP, Gurung S, Aryal S, Lhaki P, Shrestha S. (2014). Knowledge and awareness of human papillomavirus (HPV), cervical cancer and HPV vaccine among women in two distinct Nepali communities. Asian Pac J Cancer Prev, 15, 8287-93. https://doi.org/10.7314/APJCP.2014.15.19.8287
  11. Joy T, Sathian B, Bhattarai C, Chacko J (2011). Awareness of cervix cancer risk factors in educated youth: a crosssectional, questionnaire based survey in India, Nepal, and Sri Lanka. Asian Pac J Cancer Prev, 12, 1707-12.
  12. 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.
  13. Louie KS, de Sanjose S, Diaz M, et al (2009). Early age at first sexual intercourse and early pregnancy are risk factors for cervical cancer in developing countries. Br J Cancer, 100, 1191-7. https://doi.org/10.1038/sj.bjc.6604974
  14. Markovic M, Kesic V, Topic L, Matejic B. (2005). Barriers to cervical cancer screening: a qualitative study with women in Serbia. Soc Sci Med, 61, 2528-35. https://doi.org/10.1016/j.socscimed.2005.05.001
  15. Mehta S, Rajaram S, Goel G, Goel N. (2013) .Awareness about Human Papilloma Virus and its Vaccine Among Medical Students. Indian J Community Med, 38, 92-4. https://doi.org/10.4103/0970-0218.112438
  16. Montgomery MP, Dune T, Shetty PK, Shetty AK. (2015) Knowledge and acceptability of human papillomavirus vaccination and cervical cancer screening among women in Karnataka, India. J Cancer Educ, 30, 130-7 https://doi.org/10.1007/s13187-014-0745-4
  17. Ortashi O, Shallal M, Osman N, Raheel H. (2012). Knowledge, attitude and practice of school nurses in the United Arab Emirates about HPV infection and vaccine. Asian Pac J Cancer Prev, 13, 6481-4. https://doi.org/10.7314/APJCP.2012.13.12.6481
  18. 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. https://doi.org/10.7314/APJCP.2013.14.8.4877
  19. Pandey D, Vanya V, Bhagat S, Vs B, Shetty J (2012). Awareness and attitude towards human papillomavirus (HPV) vaccine among medical students in a premier medical school in India. PLoS One, 7, 40619. https://doi.org/10.1371/journal.pone.0040619
  20. Poole DN, Tracy JK, Levitz L, Rochas M, Sangare K, Yekta S, et al. (2013). A cross-sectional study to assess HPV knowledge and HPV vaccine acceptability in Mali. PLoS One, 8, 56402. https://doi.org/10.1371/journal.pone.0056402
  21. Rama CH, Villa LL, Pagliusi S, et al (2010). Awareness and knowledge of HPV, cervical cancer, and vaccines in young women after first delivery in Sao Paulo, Brazil--a crosssectional study. BMC Womens Health, 22, 35.
  22. Rositch AF, Gatuguta A, Choi RY, et al (2012). Knowledge and acceptability of pap smears, self-sampling and HPV vaccination among adult women in Kenya. PLoS One, 7, 40766. https://doi.org/10.1371/journal.pone.0040766
  23. Wamai RG, Ayissi CA, Oduwo GO, et al (2013). Awareness, knowledge and beliefs about HPV, cervical cancer and HPV vaccines among nurses in Cameroon: an exploratory study. Int J Nurs Stud, 50, 1399-406. https://doi.org/10.1016/j.ijnurstu.2012.12.020
  24. Watkins KL, Reitzel LR, Wetter DW, McNeill LH (2015). HPV awareness, knowledge and attitudes among older african American women. Am J Health Behav, 39, 205-11. https://doi.org/10.5993/AJHB.39.2.7
  25. Winer RL, Hughes JP, Feng Q, et al (2012). Prevalence and risk factors for oncogenic human papillomavirus infections in high-risk mid-adult women. Sex Transm Dis, 39, 848-56. https://doi.org/10.1097/OLQ.0b013e3182641f1c
  26. Yanikkerem E, Koker G. (2014). Knowledge, attitudes, practices and barriers towards HPV vaccination among nurses in Turkey: a longitudinal study. Asian Pac J Cancer Prev, 15, 7693-702. https://doi.org/10.7314/APJCP.2014.15.18.7693