Knowledge, Attitude, and Intention to Obtain HPV Vaccination Among Undergraduate Students in Saint Lucia

Abstract

Objective In the Caribbean, cancer ranks as the second leading cause of mortality. Without interventions, the incidence is predicted to increase by 66% within the next decade, with over 56,000 women being diagnosed with cervical cancer annually and more than 28,000 succumbing to the disease. However, life-saving prevention and treatment measures are available. This research sought to explore potential differences in knowledge, attitudes, and willingness to receive HPV vaccinations among male and female undergraduate students at a chosen Community College in St. Lucia.Methods This investigation utilized a descriptive, quantitative, and cross-sectional approach, with participants (n = 100) chosen through random sampling and completing 59-item self-administered questionnaires addressing the targeted variables. Multivariable statistical techniques were employed to determine independent predictors for HPV-vaccine acceptance among participants.Results Despite recognizing the associated risks, the findings highlighted a substantial deficit in public health promotion efforts. Firstly, although HPV is widespread in St. Lucia and causes cancer in both genders, there is insufficient awareness-raising about HPV. Secondly, the vaccine is not accessible in St. Lucia. Thirdly, the high expenses associated with the vaccine ($500 US) and HPV test ($275 EC) serve as barriers to obtaining them. Lastly, HPV vaccine uptake was minimal among participants; only 7 out of 100 had been vaccinated and received it in the US. Despite low vaccine uptake, 53% acknowledged the urgent need for vaccination.Conclusions Integrating HPV vaccination within healthcare and HPV awareness initiatives can yield positive outcomes in mitigating cancer's long-term impact on St. Lucia's male and female populations. Educational programs could prove advantageous in enhancing knowledge about HPV and vaccinations.