Knowledge of the HPV vaccine and its association with vaccine uptake among female higher-education students in Greece

Donadiki, Elisavet M.; Jiménez‐García, Rodrigo; Hernández-Barrera, Valentín; Carrasco‐Garrido, Pilar; Andrés, Ana López de; Jiménez‐Trujillo, Isabel; Velonakis, Emmanuel

doi:10.4161/hv.22548

Cited by 32 publications

(38 citation statements)

References 25 publications

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“…With regard to sexual behaviour, virgins were less likely than nonvirgins to have heard of HPV, which is similar to previous findings (Blodt et al, 2012;Samkange-Zeeb et al, 2012;Donadiki et al, 2013). Among nonvirgins, women who were less sexually experienced in terms of late sexual debut or (in Denmark) a low number of sexual partners were less likely to have heard of HPV.…”

Section: Discussionsupporting

confidence: 90%

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: Discussionsupporting

confidence: 90%

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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“…11 Despite the fact that the HPV vaccine is provided by the Greek health service, uptake of the vaccine among women has been surprisingly low; one study found a 25.82% vaccination rate in female higher-education students in Athens. 12 Given that there has been limited uptake of the HPV vaccine amongst Greek women, herd immunity for Greek men who have sex with women (MSW) is likely also suboptimal. Moreover, uptake of multiple vaccinations is generally low among Greek adolescents, 13 and a recent study suggests that vaccine coverage rates in Greek youth are associated with socioeconomic factors.…”

Section: Introductionmentioning

confidence: 99%

HPV vaccine acceptability in high-risk Greek men

Hoefer

Tsikis

Bethimoutis

et al. 2017

Human Vaccines & Immunotherapeutics

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HPV is associated with malignancy in men, yet there is a lack of data on HPV knowledge, vaccine acceptability, and factors affecting vaccine acceptability in Greek men. This study aims to identify determinants of knowledge and willingness to vaccinate against HPV among high-risk Greek men. Men (n = 298) between the ages of 18 and 55 were enrolled from the STI and HIV clinics at "Andreas Syggros" Hospital in Athens, Greece from July-October 2015. Participants completed a survey on demographics, economic factors, sexual history, HPV knowledge, and vaccine acceptability. The majority of participants were younger than 40 (76.6%) and unmarried (84.6%). Our sample was 31.2% MSM (men who have sex with men), and 20.1% were HIV-positive. Most participants (>90%) were aware that HPV is highly prevalent in both men and women; however, fewer identified that HPV causes cancers in both sexes (68%) and that vaccination protects men and women (67%). Amongst participants, 76.7% were willing to vaccinate themselves against HPV, 71.4% an adolescent son, and 69.3% an adolescent daughter. HIV-positive men were more likely to be willing to vaccinate themselves (OR 2.83, p = .015), a son (OR 3.3, p = .015) or a daughter (3.01, p = .020). Higher income levels were associated with increased willingness to vaccinate oneself (OR 1.32, p = .027), a son (1.33, p = .032) or daughter (1.34, p = .027). Although there is a HPV knowledge gap, HPV vaccine acceptability is high despite lack of vaccine promotion to Greek men. Future studies should include lower-risk men to adequately inform public health efforts.

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“…It is important that girls know, for example, that: HPV is transmitted through sexual activity and has a lifetime risk of 75-80% [2,3]; that although HPV infections are common, most infections clear within 2 years [4,5]; that an HPV infection is a necessary factor in the development of cervical cancer [6]; and that the vaccine does not provide full protection against HPV infections (it does protect against HPV 16 and 18 which are responsible for 71% of all cervical cancers [7]). Furthermore, a positive association has been found between knowledge on HPV and uptake [8,9]. …”

Section: Introductionmentioning

confidence: 99%

Increasing girls’ knowledge about human papillomavirus vaccination with a pre-test and a national leaflet: a quasi-experimental study

et al. 2013

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BackgroundAdolescent girls are at an age to be involved in the decision about HPV vaccination uptake and therefore need adequate information about the vaccination. This study assesses to what extent reading an official information leaflet about HPV contributes to girls’ knowledge levels, and to what extent an increase in knowledge is boosted by a pre-test measurement.MethodsParticipants (girls aged 11–14 years) were systematically allocated to group A that completed a pre-test measurement (12 true/false statements) or to group B that did not complete it. Subsequently, both groups read the HPV leaflet and completed the post-test measurement.ResultsThe response rate was 237/287 (83%). Pre-test scores in group A (M = 3.6, SD = 1.81, p < 0.001) were lower than post-test mean knowledge scores (0–10) in group B (M = 4.6, SD = 2.05). Post-test knowledge scores in group A were higher than those in group B [6.2 (SD = 2.06) versus 4.6 (SD = 2.05), p < 0.001]. In the post-test measurement, about a third of both groups knew that vaccinations do not give 100% protection against cervical cancer and that the duration of protection is unknown.ConclusionsReading the information leaflet had a positive effect on knowledge, even more so when boosted by a pre-test measurement. However, knowledge on the degree and duration of protection against cervical cancer remained limited. Focusing girls’ attention on important aspects before they start reading the leaflet (e.g. by including a quiz on the first page) may serve to raise their awareness of these aspects.

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Knowledge of the HPV vaccine and its association with vaccine uptake among female higher-education students in Greece

Cited by 32 publications

References 25 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

HPV vaccine acceptability in high-risk Greek men

Increasing girls’ knowledge about human papillomavirus vaccination with a pre-test and a national leaflet: a quasi-experimental study

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