Human Papillomavirus (HPV) in Rural Adolescent Females: Knowledge, Protected Sex, and Sexual Risk Behaviors

Wang, Janet F.; Simoni, Patricia S.; Wu, Ying

doi:10.14574/ojrnhc.v6i1.168

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…In our study; the average age of first sexual intercourse was 17; and as a risk group these sexually experienced participants were found to be more aware and had more knowledge related to HPV. Our finding supports the study of Wang et al who also reported that the students with a sexual intercourse history provided more accurate knowledge related to HPV than the ones without sexual experience [29].…”

Section: Discussionsupporting

confidence: 92%

Knowledge and attitudes of Turkish young adult men regarding HPV and HPV related diseases

Bebiş¹,

Güleşen²,

Ortabağ³

2013

J Behav Health

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Background: Cervical cancer is the second most common cancer in women worldwide and majority of cervical cancers are attributed to HPV. Men's sexual behavior plays a large role in the transmission of HPV and consequently cervical cancer. Awareness among men of HPV and the risks it poses for their female partners is therefore crucial especially because HPV is asymptomatic, and men are unlikely to know if they have been infected. In this study, it is aimed to identify the knowledge and attitudes of young male adults about HPV. Methods: The research was conducted in Gulhane Military Medical Academy in Ankara during April 2010-May 2011. Research group consisted of 874 private participants who agreed to participate. Data were collected with a form developed by the researchers including sociodemographic characteristics and knowledge level about HPV. In statistical analysis; frequencies and chi-square tests were utilized. For all the analysis, 0.05 was considered to be statistically significant. Results: Participants had an average age of 23.4+2.9 and the average age of first sexual intercourse was 17.6+2.2. Three quarters of the participants (70.8%) didn't hear HPV, 71.3% didn't know that sexual partner can spread HPV without warts and 70.9% didn't know that HPV causes cervical cancer in women and penile cancer in men. However, 6.1% of the respondents stated to have genital warts at any one time. 57.6% of the respondents stated that HPV spread through sexual intercourse. 17.3% of the respondents stated that they did not know whether they had HPV suspected sexual partners. Conclusions: As a result, knowledge level of the respondents was found to be quite low and three of every four respondents were found to have no idea about HPV. In this context, nurses are believed to have an important role in informing young male adults about HPV.

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Section: Discussionsupporting

confidence: 92%

Knowledge and attitudes of Turkish young adult men regarding HPV and HPV related diseases

Bebiş¹,

Güleşen²,

Ortabağ³

2013

J Behav Health

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“…Although much attention has focused on young women's perceptions of the HPV vaccine and their vaccination decisions (Fazekas, Brewer, & Smith, ; Hall, Howard, & McCaffery, ; Short et al., ; Wang, Simoni, & Wu, ), little research has focused on rural health care providers' perceptions (Katz, Reiter, Heaner et al., ; Katz, Reiter, Kennedy et al., ; Keating et al., ). The perceptions of nursing professionals are particularly important as previous research suggests most nurses are supportive of HPV vaccination and are in an ideal position to provide related HPV education to young women compared to other clinicians (Duval et al., ; Teitelman, Stringer, Averbuch, & Witkoski, ).…”

Section: Introductionmentioning

confidence: 99%

Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky

Head

Vanderpool

Mills

2013

Public Health Nursing

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Objective-Previous intervention research conducted in Appalachian Kentucky resulted in extremely low uptake and adherence to the human papillomavirus (HPV) vaccine among women ages 18 -26, despite provision of free vaccine. Because of these findings, the purpose of this qualitative, follow-up study was to elicit health care providers' perspectives on barriers and facilitators to HPV vaccination and suggested strategies for improving vaccination rates.Design and Sample-Researchers conducted semi-structured qualitative interviews with a purposive sample of eight health care providers (seven nursing professionals, one physician) at the health clinic where the original HPV vaccination intervention took place. Interviews were audiorecorded and transcribed and authors used a constant-comparative method to analyze the data.Results-Significant themes emerged from the interviews, centering around two primary issues: vaccine uptake and vaccine adherence. Related to uptake, health care providers identified perceived patient barriers and inadequate HPV vaccine education. They also identified the vaccine schedule and clinic-centered communication deficiencies as adherence-related barriers. Conclusion-TheseAppalachian Kentucky health care providers provided important insights into barriers and facilitators to HPV vaccine uptake and adherence that need to be readily addressed in this community. As informed by these providers, several suggestions for improving HPV vaccination, such as more targeted education efforts and patient-centered reminder systems, may be applicable to other nursing professionals working in rural and medically underserved communities. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptUptake and adherence to the three-dose human papillomavirus (HPV) vaccine remains low, which is particularly concerning for communities that shoulder an excessive burden of cervical cancer and have limited access to health care, such as Appalachian Kentucky. A previous intervention study conducted in this geographic region revealed low HPV vaccination rates among young women ages 18-26, despite waiving the cost of the vaccine series. The current study serves as a qualitative follow-up to this previous intervention research, seeking to understand health care providers' perspectives on actual barriers and facilitators to HPV vaccination and garnering strategies for improving vaccination rates in this region.

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“…As rural communities are often religiously inclined, the church may act as a resource for rural populations, such as female adolescents, who have compromised health resources 37 . Parish nurses, registered nurses who work within a faith community, could provide sexual health information 38 . Small rural parishes that may not be able to afford parish nurses could consider sharing the cost of one nurse.…”

Section: Recommendations To Facilitate Rural Female Adolescents' Sexual Decision-makingmentioning

confidence: 99%

Heterosexual female adolescents' decision-making about sexual intercourse and pregnancy in rural Ontario, Canada

Ezer¹,

Leipert²,

Evans³

et al. 2016

RRH

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Human Papillomavirus (HPV) in Rural Adolescent Females: Knowledge, Protected Sex, and Sexual Risk Behaviors

Cited by 8 publications

References 19 publications

Knowledge and attitudes of Turkish young adult men regarding HPV and HPV related diseases

Knowledge and attitudes of Turkish young adult men regarding HPV and HPV related diseases

Health Care Providers' Perspectives on Low HPV Vaccine Uptake and Adherence in Appalachian Kentucky

Heterosexual female adolescents' decision-making about sexual intercourse and pregnancy in rural Ontario, Canada

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