Female Secondary School Students Sexual Exposure, Anti HPV Vaccine Awareness and Practice in High Cervical Cancer Prevalence Environment

Abstract

Background: Introduction: Eighty-five per cent of new cervical cancer cases in the world were recorded in developing countries in 2018. Implementation anti-HPV vaccine can prevent HPV infection by more than 90%. In Cameroon, the incidence of CC is 100 cases/100000 women and 27% of female adolescent have risky sexual behavior. The aim was to assess sexual behavior and the rate of vaccination against HPV in urban and rural secondary school girls in a country a high incidence and mortality due to CC. Method: It was a Knowledges Attitude and Practice study conducted in 10 secondary schools in the capital city of Yaoundé, and the rural town of Ndikinemeki including female students only. Results: Among the 1313 respondents, (30.4%) students were sexually active, the youngest age of first sexual intercourse was 12 and 14 years in urban and rural secondary school respectively. Oral or anal intercourse were occasional in urban area schools. The knowledge on HPV vaccine were bad but the acceptability was good although only 0.8% received occasional HPV vaccine. Conclusion: Large scale sensitization and affordability of HPV-vaccine should be implemented in order to reduce the coming incidence of CC.

Human papillomavirus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte city, Western Ethiopia, 2020

“…In this study, the proportion of study participants who ever heard about Human papillomavirus was 77.6, 95%CI [73.3, 80.1]. This finding was higher than A systematic review done in the Middle East and Northern African region where 20% of adolescents reported that they knew about the human papillomavirus [35] and similarly, higher than a study conducted in Cameroon where 20.7% of adolescents in school girls were aware of the existence of human papillomavirus [36]. The difference would be attributed to the time difference between the studies and only specific age groups of adolescents were included in the recent study.…”

“…This finding was higher than the study conducted in Los Angeles County among Ethnic Minority girls about 61% had heard of about HPV vaccine. However, it is lower than studies conducted in Valencia, Spain [37], and Cameroon [36] where 97.4% and 87.1% of adolescent girls had ever heard about the HPV vaccine respectively. The difference might be due to the different age groups of adolescent girls who participated in the study, the time difference between the studies, and the study setting.…”