Understanding cervical cancer, human papillomavirus (HPV), and HPV vaccine acceptance in college-going students: Institutional-based cross-sectional study from Bihar State.
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Abstract
Background: Cervical cancer is the second leading cause of cancer-related deaths in Indian women, constituting a significant public health problem. Improving knowledge regarding cervical cancer, human papillomavirus (HPV), and HPV vaccines will help in increased vaccine acceptance and prevention of cervical cancer.
Material and methods: This cross-sectional study was conducted among 801 college-going students of Patna, Bihar, using a predesigned, semistructured, self-administered questionnaire. Data analysis was performed using the SPSS version 20 (Statistical Package for Social Sciences) software.
Results: A total of 801 students participated in the study, and the mean (SD) age was 20.6 ± 2.2 years. The knowledge of students in the medical group was found to be higher than that in the nonmedical group. In the medical group, 93% of the students were aware of cervical cancer versus 71.3% students in the nonmedical group. Awareness regarding the etiological role of HPV in cervical cancer was 84.3% in the medical group compared to 16% in the nonmedical group. Most (82.5%) medical students knew of the existence of a vaccine against HPV in contrast to just 12.5% of the nonmedical group. Willingness to take the vaccine in the medical group was 84.3% versus 46.5% in the nonmedical group. Willingness to pay for the vaccine was reported by 55.6% and 7.5% in the medical and nonmedical groups, respectively.
Conclusion: The comparative results of the two groups identified specific areas where awareness campaigns should be intensified for both medical and nonmedical groups. This study further highlighted nonmedical students, which also represents the general population has very less knowledge about HPV and the HPV vaccine. The findings emphasize the importance of awareness campaigns and educational interventions to improve understanding and vaccine uptake among potential beneficiaries.
背景：宫颈癌是印度妇女癌症相关死亡的第二大原因，构成了一个重大的公共卫生问题。提高对宫颈癌、人乳头瘤病毒（HPV）和HPV疫苗的认识将有助于提高疫苗接受度和预防宫颈癌。材料与方法：本横断面研究采用预先设计的半结构化自我管理问卷，对比哈尔邦巴特那市801名大学生进行调查。使用SPSS version 20 （Statistical Package for Social Sciences）软件进行数据分析。结果：共有801名学生参与研究，平均（SD）年龄为20.6±2.2岁。医学组学生的知识水平高于非医学组。在医学组中，93%的学生知道宫颈癌，而非医学组中有71.3%的学生知道宫颈癌。对HPV在宫颈癌中的病因作用的认识在医学组中为84.3%，而在非医学组中为16%。大多数（82.5%）医学院学生知道HPV疫苗的存在，而非医学组只有12.5%。医疗组愿意接种疫苗的比例为84.3%，非医疗组为46.5%。在医疗组和非医疗组中，愿意支付疫苗费用的比例分别为55.6%和7.5%。结论：两组的比较结果确定了应加强医疗和非医疗群体宣传运动的具体领域。这项研究进一步强调了非医学院学生，这也代表了一般人群对HPV和HPV疫苗的了解非常少。研究结果强调了提高认识运动和教育干预措施的重要性，以提高潜在受益者的理解和疫苗接种。
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