Knowledge, Attitude, and Practice on Cervical Cancer and HPV Vaccination among Medical Students in Jakarta, Indonesia: A Cross-Sectional Study

Winarto, Hariyono; Dorothea, Maya; Winarno, Anthony Sughiarto; Ibrahim, Nurhadi; Putri, Yan Martha; Purbadi, Sigit; Kusuma, Fitriyadi; Utami, Tofan Widya; Nuryanto, Kartiwa Hadi

doi:10.3889/oamjms.2022.8939

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Although based on WHO recommendations, HPV vaccines are effective if administered before the start of sexual activity and exposure to HPV infection [1], our study found that only 7.6% of female students were vaccinated. The findings from our study are aligned with several other studies that have also reported low levels of HPV vaccination among students, although in a slightly lower percentage than our study [11,32].…”

Section: Discussionsupporting

confidence: 92%

“…Data was collected using a Google questionnaire form, sent to female students via email. The questionnaire was prepared using a method of combining the WHO guidelines on conducting a KAP survey study [9] and similar questionnaires from several published KAP studies related to cervical cancer [10][11][12][13]. The survey questionnaire was divided into four sections: (i) sociodemographic characteristics; (ii) knowledge; (iii) attitudes, and (iv) practices.…”

Section: Methodsmentioning

confidence: 99%

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Assessment of the Albanian University female students' knowledge, attitudes, and practices on cervical cancer

Merkuri

Kamberi

Qorri

et al. 2023

J Infect Dev Ctries

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Introduction: Cervical cancer is highly preventable and if diagnosed and treated early, highly curable. Yet it remains the fourth most common cancer in women worldwide. In Albania, cervical cancer is the second most frequent cancer among women 15 - 44 years. A national cervical cancer screening program has been established, which offers HPV tests as part of routine examinations in primary health care centres. Aim: To assess knowledge, attitude, and practices (KAP) as well as associated factors regarding cervical cancer, among Albanian University female students, and provide useful information for the development of evidence-based preventive strategies for the future. Methodology: A cross-sectional KAP study was conducted among Albanian University female students during March to May 2022. A total of 503 female students participated in the study (response rate of 82%). A Google questionnaire based on WHO guidance and similar KAP surveys was used to collect the study data. Descriptive analysis was used to analyze the knowledge, attitude, and practices of Albanian female students regarding cervical cancer. Results: Overall, most students in the study (71.2%) had little knowledge about cervical cancer. Only a fifth of them (20.7%) knew about HPV as a risk factor for the disease with a smaller proportion (18.9%) recognized HPV vaccine as a preventive method. In terms of risky behaviors: 45.9% of respondents showed a positive attitude towards condom use; with 17.7% of students reporting several sexual partners. Only 6.8% of respondents had ever done an HPV test and a total of 7.5% were HPV vaccinated. Conclusions: The study showed that respondents had a low level of knowledge and unfavorable attitudes about cervical cancer including risk factors, screening, and preventive procedures. The findings could serve as baseline information for further research in this area and highlight the need for more effective information-education-communication strategies to stimulate and support a shift towards positive behaviors of this target group.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Assessment of the Albanian University female students' knowledge, attitudes, and practices on cervical cancer

Merkuri

Kamberi

Qorri

et al. 2023

J Infect Dev Ctries

View full text Add to dashboard Cite

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Cervical cancer screening program in Indonesia: is it time for HPV-DNA tests? Results of a qualitative study exploring the stakeholders’ perspectives

Ekawati,

Listiani,

Idaiani

et al. 2024

BMC Women's Health

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Objectives Cervical cancer is a significant public health concern in Indonesia, and effective screening methods are necessary to improve the detection and reduce mortality. This study aimed to explore the perspectives of high-level stakeholders involved in cervical cancer screening in Indonesia and whether the use of human papillomavirus-deoxyribonucleic acid (HPV-DNA) methods for cervical cancer screening is acceptable in Indonesian settings. Methods A qualitative research approach guided by realist evaluation was applied using focus group discussions (FGDs) between December 2021 and February 2022, conducted with stakeholders involved in cervical cancer screening in Indonesia. They were representatives of practitioners and policymakers involved in the screening, and were recruited through purposive recruitment. The data were analysed using inductive approach of thematic analysis. Results The analysis of two FGDs with 29 participants identified four main themes: (i) Visual inspection with acetic acid (VIA) method as the most common modality used for cervical cancer screening, (ii) the applied screening programs in the community, (iii) the perceived challenges on the screening program, such as limitations of the National Health Insurance benefits package and a lack of regulations regarding screening procedures, and (iv) the possibilities of HPV-DNA testing as another modality for cervical cancer screening. Incorporating HPV-DNA testing also needs to ensure the capacity of the workers and the readiness of healthcare facilities. Conclusion Although HPV-DNA testing is a promising modality, challenges on the cervical cancer screening in Indonesia remain on the coverage, accessibility of the tools in practice and the women’s awareness towards the screening. Ultimately, the findings of this study would help inform policies to improve cervical cancer screening programs in Indonesia.

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An investigation into the human papilloma virus (HPV) vaccination among undergraduate medical students (A prospective cross-sectional KAP survey)

Kamel,

Alomari,

Ismail

et al. 2024

OGIJ

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Introduction: The most common sexually transmitted infection worldwide is the human papillomavirus (HPV) infection. It is believed that over 80% of sexually active women have contracted the virus at some point in their lives. About 11 million women in Saudi Arabia who are aged 15 to 44 years are at risk of having HPV-related cervical cancer. Aim: To assess the awareness and knowledge of undergraduate medical students (males and females) about the human papilloma virus (HPV) vaccination and to pinpoint the major factors influencing their attitudes towards it. Subjects and methods: A prospective, cross-sectional online survey included 411 undergraduate medical students (males and females) across different grades during three months, from January 1st to March 31st, 2024, at the Batterjee Medical College, Jeddah City, Saudi Arabia. We statistically analyzed the collected data using Microsoft Office®, Excel® 2016, and IBM's Statistical Package for Social Studies (SPSS®) version 26.0. IBM is located in Chicago, Illinois, USA. Results: The majority of participating students were of young age, 20–25 years old (233, 56.69%), female (393, 95.62%), and of Saudi nationality (260, 63.26%). The most common recruited students were from the preparatory year (124, 30.17%), while the fewest were from the M6 grade (6, 1.46%). We implemented "Kamel's scoring system for students' awareness", which yielded the following scores: not acceptable (124, 30.17%), fairly acceptable (101, 24.57%), moderately acceptable (95, 23.11%), acceptable (71, 17.27%), and highly acceptable (20, 4.87%). Next, we implemented "Kamel's scoring system for students' knowledge", which yielded the following scores: very low (130, 31.63%), low (110, 26.76%), moderate (90, 21.90%), high (50, 12.17%), and very high (31, 7.54%). We implemented "Kamel's scoring system for students' attitude" to assess the students' attitude towards HPV vaccine utilization. We interpreted the calculated scores as inadequate or poor (136, 33.09%), reasonable or fair (100, 24.33%), sufficient or good (80, 19.46%), remarkable or very good (70, 17.03%), and outstanding or excellent (25, 6.08%). results were of statistical significance (the P-value is <0.00001). Conclusion: The estimated degree of awareness and knowledge about the HPV vaccination among undergraduate medical students at the Batterjee Medical College (BMC) was poor. This results in low motivation and utilization of the available vaccine.

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Knowledge, Attitude, and Practice on Cervical Cancer and HPV Vaccination among Medical Students in Jakarta, Indonesia: A Cross-Sectional Study

Cited by 3 publications

References 14 publications

Assessment of the Albanian University female students' knowledge, attitudes, and practices on cervical cancer

Assessment of the Albanian University female students' knowledge, attitudes, and practices on cervical cancer

Cervical cancer screening program in Indonesia: is it time for HPV-DNA tests? Results of a qualitative study exploring the stakeholders’ perspectives

An investigation into the human papilloma virus (HPV) vaccination among undergraduate medical students (A prospective cross-sectional KAP survey)

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