Conhecimento e atitude de usuários do SUS sobre o HPV e as vacinas disponíveis no Brasil

Abstract

OBJECTIVETo investigate knowledge of HPV and HPV vaccines in men and women, users of the Brazilian Unified Health System, and the intention to get themselves and their teenage children vaccinated.METHODSA descriptive, cross-sectional study with 286 women (18-49 years old) and 252 men (18-60 years old), users of five primary health units and two polyclinics in Campinas, SP, Southeastern Brazil, was carried out. Participants were interviewed in 2011 using a structured questionnaire. Bivariate and Poisson regression analysis were performed to identify variables associated with knowledge of HPV and HPV vaccines, and participants vaccination intentions.RESULTSAlmost 40.0% of the participants reported having heard of HPV and 28.9% mentioned adequate information. The main information source was the media (41.7%). Only 8.6% of the participants had heard of the HPV vaccines. Once the participants were informed of the existence of HPV vaccines about 94% of them said they would get vaccinated and/or vaccinate their teenage children, if the vaccines were available in the public health system. Schooling of over 8 years and being female were the variables independently associated with having heard of HPV, the vaccines and having adequate knowledge of the virus. Advanced age was associated with having heard of HPV vaccines. There were no variables associated with the vaccination intentions.CONCLUSIONSThese results reinforce the need for educational activities that provide the population with adequate information on HPV and preventive measures.

Knowledge and attitudes about human papillomavirus and vaccination

“…9 The lack of knowledge about HPV was also evidenced in other studies, in which few people cited adequate information about the virus. 8,18 This scenario reinforces the need to carry out educational actions with the population, in order to raise awareness about the problem of infection and to alert it to the ways of prevention, so that they adopt healthy behaviors. 19 The various forms of micro-organism transmission were recognized, among them, the sexual transmission, which is the may form of HPV contagion, from the oral-genital, genital-genital or hand-genital contact.…”

“…23 Situations in which the knowledge about the vaccine is still not satisfatory ancored CSD, impacting in the non adherence to vaccination. 8,24,25 Within this context, for the implementation of health action, the educational actions that stimulate the reflection, participation and change of behavior constitute a strategy that can contribute to optimization of this knowledge and it's decision making of people involved with immunization. 9 The social barriers that emerged from collective thought of school age children, adolescents, mothers, teachers, undergraduate level health professionals and HCA also interfere on vaccination, which hamper administration of the vaccine.…”

“…7 Parents, most of the time, determine the vaccination of their children and need to be involved in a conversation that demystifies some thoughts and breaks with created taboos. According to the speeches, controversial contexts have been observed, in which some are favorable to vaccination, even if they are clarified on the subject, 8,26,27 and others still show themselves concerned about the safety of vaccines. 28 What we find is that for unknowing the information, many parents don't vaccinate their children, not guaranteeing the protective effect from the immunobiological.…”

“…This can be related to the way the information are being selected and transmitted by professionals of different areas, because health education must be developed according the capacity of different social extractions in access and process certain informations. 8 Educational actions that aim to improve knowledge and incentive vaccination must be based on the meaning of the virus and of cervical cancer; on vaccination against HPV; on tracking, diagnosis and cancer treatment; on prevention of sexually transmitted infections (STI); target public's participation and autonomy to adopt healthy behaviors. 9 These activities need to be developed on schools, once it's where young people remain most part of their day.…”

Avaliação De Cobertura Em Esquema Básico De Vacinação Em Maringá-Pr

“…Estudo conduzido em Campinas buscando analisar o conhecimento de homens e mulheres acerca do HPV e das vacinas e a intenção de vacinarem seus filhos adolescentes ressaltou a necessidade de intervenções educativas na população para prover informação adequada sobre o HPV e sobre medidas de prevenção (DUARTE-OSIS et al, 2014). Segundo Derchain et al (2007) uma eficácia de 95% da vacina associada a uma cobertura de 80%, tendo a vacina os antígenos do HPV 16, 18 e 45 teoricamente levaria a uma redução de 59% na incidência do carcinoma cervical.…”