Knowledge and awareness of HPV and the HPV vaccine among young women in the first routinely vaccinated cohort in England

Bowyer, Harriet L.; Marlow, Laura A.V.; Hibbitts, Samantha Jayne; Pollock, Kevin G; Waller, Jo

doi:10.1016/j.vaccine.2012.12.038

Cited by 56 publications

(80 citation statements)

References 20 publications

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“…In a study of women from the first cohort targeted by national HPV vaccination in the UK, Bowyer et al (2013) found an HPV awareness level of 80%. This is in line with our finding that 78% of young Danish women covered by free-of-charge HPV vaccination had heard of HPV (Table 5).…”

Section: Discussionmentioning

confidence: 99%

Awareness of human papillomavirus after introduction of HPV vaccination: a large population-based survey of Scandinavian women

Thomsen

Nygård

Stensen

et al. 2017

European Journal of Cancer Prevention

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Using a large, population-based survey, we assessed the levels and correlates of human papillomavirus (HPV) awareness among Scandinavian women after introduction of HPV vaccination. In 2011-2012, a random sample of women aged between 18 and 45 years from Denmark, Sweden and Norway received a questionnaire on lifestyle, health and HPV awareness. We included 47 895 women (response rate 60.6%) in our study. Country-specific and age-specific proportions of women who had heard of HPV in 2011-2012 (postvaccination survey) were compared with corresponding proportions in an identical survey from 2004-2005 (prevaccination survey, n=54 079, response rate 71.3%). Correlates of HPV awareness in the postvaccination survey were assessed by logistic regression. In all countries and age groups, awareness of HPV increased from the prevaccination to the postvaccination survey. In the postvaccination survey, HPV awareness was higher in Denmark (75.8%) and Sweden (74.8%) compared with Norway (62.4%), with greatest discrepancy among women aged between 18 and 19 years (Denmark: 74.9%, Sweden: 70.4%, Norway: 39.6%). Variables associated with low HPV awareness included the following: low education [≤12 vs. >16 years of schooling: odds ratio (OR)=0.45, 95% confidence interval (CI): 0.42-0.48], being a virgin (vs. nonvirgins: OR=0.74, 95% CI: 0.66-0.83), never having used condoms (vs. ever: OR=0.62, 95% CI: 0.56-0.67), nonuse of contraception at first intercourse (vs. use: OR=0.83, 95% CI: 0.79-0.88) and daily smoking (vs. never: OR=0.86, 95% CI: 0.80-0.92). HPV awareness in Scandinavia has increased since the introduction of HPV vaccination. However, 24-38% of Scandinavian women still have never heard of HPV. Future information efforts should target groups with low HPV awareness.

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Section: Discussionmentioning

confidence: 99%

Awareness of human papillomavirus after introduction of HPV vaccination: a large population-based survey of Scandinavian women

Thomsen

Nygård

Stensen

et al. 2017

European Journal of Cancer Prevention

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Section: Knowledge and Awarenessmentioning

confidence: 99%

“…24 48 Knowledge levels by vaccination status were considered in 11 studies. 22,24,30,31,37,39,52,54,62,65,66 Nine of these reported that vaccinated respondents (or those with vaccination intent) had higher levels of knowledge versus the unvaccinated. 24,30,31,37,39,54,62,65,66 Only two studies reported no significant association between knowledge levels and intention to be vaccinated.…”

Section: Knowledge and Awarenessmentioning

confidence: 99%

“…22,24,30,31,37,39,52,54,62,65,66 Nine of these reported that vaccinated respondents (or those with vaccination intent) had higher levels of knowledge versus the unvaccinated. 24,30,31,37,39,54,62,65,66 Only two studies reported no significant association between knowledge levels and intention to be vaccinated. 22,52 Knowledge relating to the Pap smear (cervical screening) and cervical cancer was captured in 13 studies, 19,20,30,38,[44][45][46]49,50,52,54,57,64 with awareness typically recorded as poor (eight studies).…”

Section: Knowledge and Awarenessmentioning

confidence: 99%

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The association of human papillomavirus vaccination with sexual behaviours and human papillomavirus knowledge: a systematic review

et al. 2014

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Since the 2008 introduction of the human papillomavirus (HPV) vaccination programme for adolescent girls in the UK, parents and other groups have expressed fears that immunisation condones sexual activity, promotes promiscuity and encourages risky sexual behaviour. This study aimed to explore whether HPV vaccination programmes have increased knowledge surrounding HPV and associated disease and whether uptake has influenced sexual behaviour. MEDLINE, Embase, Cochrane Library and PsycINFO electronic databases were interrogated. Studies of behaviour, attitudes and knowledge associated with HPV vaccination (or vaccination intent) in subjects of any age and gender in programmes reflective of UK practice were included in the review (n = 58). The evidence regarding the association of HPV vaccination with high-risk sexual behaviour was varied, primarily due to the heterogeneous nature of the included studies. Young females typically exhibited better knowledge than males, and vaccinated respondents (or those with vaccination intent) had higher levels of knowledge than the unvaccinated. However, knowledge surrounding HPV and genital warts was generally poor. This review highlights the need to provide effective education regarding the HPV vaccine and HPV-associated disease to adolescents of vaccination age, nurses, teachers, parents and guardians to ultimately allow informed decisions to be made regarding receipt of the HPV vaccine.

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“…Two recently published reviews found that doubts about vaccine effectiveness, concerns of safety, and fear of side effects were among the most common themes related to HPV vaccine uptake. 11,21 Knowledge regarding HPV has been shown to be relatively low in various settings, [21][22][23] although it has increased since introduction of HPV vaccines. 24 In our study, 76.5% and 66.9% of vaccinated and unvaccinated women knew that HPV vaccination cannot replace regular cervical cancer screening.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and uptake related to human papillomavirus vaccination among young women in Germany recruited via a social media site

Schmich¹,

Wetzstein²,

Deleré³

et al. 2014

vaccines

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Background: Many industrialized countries have introduced human papillomavirus (HPV) vaccination of young women, but vaccine uptake often remains suboptimal. This study aimed to investigate whether a social media site like Facebook is an appropriate tool to assess knowledge, attitude and uptake related to HPV vaccination in young women in Germany.Methods: Between December 2012 and January 2013 two different targeting strategies were implemented on Facebook, providing a link to an online questionnaire. Advertisements were displayed to female Facebook users aged 18-25 years living in Germany. During the simple targeting strategy, advertisements comprised health-related images along with various short titles and text messages. During the focused strategy, advertisements were targeted to users who in addition had certain fashion brands or pop stars listed on their profiles. The targeting strategies were compared with respect to participant characteristics. Univariate and multivariate analyses were used to identify factors associated with HPV vaccine uptake.Results: A total of 1161 women participated. The two targeting strategies resulted in significant differences regarding educational status and migrant background. Overall, awareness of HPV was high, but only 53% received at least one vaccine dose. In multivariate analysis, HPV vaccine uptake was independently associated with a physician's recommendation and trust in vaccine effectiveness. Concerns of adverse effects were negatively associated with vaccine uptake.Discussion: Social network recruitment permits fast and convenient access to young people. Sample characteristics can be manipulated by adjusting targeting strategies. There is further need for promoting knowledge of HPV vaccination among young women. Physicians have a major role in the vaccination decision-making process of young women.

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Knowledge and awareness of HPV and the HPV vaccine among young women in the first routinely vaccinated cohort in England

Cited by 56 publications

References 20 publications

Awareness of human papillomavirus after introduction of HPV vaccination: a large population-based survey of Scandinavian women

Awareness of human papillomavirus after introduction of HPV vaccination: a large population-based survey of Scandinavian women

The association of human papillomavirus vaccination with sexual behaviours and human papillomavirus knowledge: a systematic review

Knowledge, attitude, and uptake related to human papillomavirus vaccination among young women in Germany recruited via a social media site

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