دورية أكاديمية

Knowledge about cervical cancer and HPV immunization dropout rate among Brazilian adolescent girls and their guardians.

التفاصيل البيبلوغرافية
العنوان: Knowledge about cervical cancer and HPV immunization dropout rate among Brazilian adolescent girls and their guardians.
المؤلفون: Santos ACDS; Programa de Pós-graduação em Ciências Farmacêuticas (CiPharma), Escola de Farmácia, Universidade Federal de Ouro Preto, Campus Universitário, Morro do Cruzeiro, Ouro Preto, Minas Gerais, 35.400-000, Brazil. anacarolenfermagem@gmail.com., Silva NNT; Programa de Pós-graduação em Ciências Farmacêuticas (CiPharma), Escola de Farmácia, Universidade Federal de Ouro Preto, Campus Universitário, Morro do Cruzeiro, Ouro Preto, Minas Gerais, 35.400-000, Brazil., Carneiro CM; Programa de Pós-graduação em Ciências Biológicas, Núcleo de Pesquisa em Ciências Biológicas (NUPEB), Universidade Federal de Ouro Preto, Ouro Preto, Brazil., Coura-Vital W; Programa de Pós-graduação em Ciências Farmacêuticas (CiPharma), Escola de Farmácia, Universidade Federal de Ouro Preto, Campus Universitário, Morro do Cruzeiro, Ouro Preto, Minas Gerais, 35.400-000, Brazil.; Programa de Pós-graduação em Ciências Biológicas, Núcleo de Pesquisa em Ciências Biológicas (NUPEB), Universidade Federal de Ouro Preto, Ouro Preto, Brazil., Lima AA; Programa de Pós-graduação em Ciências Farmacêuticas (CiPharma), Escola de Farmácia, Universidade Federal de Ouro Preto, Campus Universitário, Morro do Cruzeiro, Ouro Preto, Minas Gerais, 35.400-000, Brazil.
المصدر: BMC public health [BMC Public Health] 2020 Mar 06; Vol. 20 (1), pp. 301. Date of Electronic Publication: 2020 Mar 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Health Knowledge, Attitudes, Practice* , Papillomavirus Infections*/prevention & control , Uterine Cervical Neoplasms*/prevention & control, Mothers/*psychology , Papillomavirus Vaccines/*administration & dosage , Patient Dropouts/*statistics & numerical data, Adolescent ; Adult ; Brazil ; Child ; Cross-Sectional Studies ; Female ; Humans ; Middle Aged ; Mothers/statistics & numerical data ; Socioeconomic Factors
مستخلص: Background: Infections with Human Papillomavirus (HPV) are the main cause of cervical cancer. Since 2014, the HPV vaccine was introduced in the Brazilian National Vaccination Calendar. The purpose of this study was to assess the knowledge of adolescent girls and their mothers/guardians about HPV and HPV vaccine, identify the factors associated with this knowledge, and evaluate immunization dropout rate.
Methods: This was a cross-sectional study involving adolescent girls and their mothers/guardians. Participants underwent an interview that addressed sociodemographic data, sexual and gynecological history, and knowledge about HPV, HPV vaccine and cervical cancer. The third quartile of the total score was established as a cutoff for assessing knowledge. Adolescents who correctly answered more than four questions and mothers/guardians who obtained more than five correct responses were categorized into high knowledge. Poisson regression analysis was performed to identify variables associated with low knowledge. Vaccination records were used to assess immunization dropout rates. Any adolescent who did not complete the two-dose vaccination schedule was considered dropout.
Results: A total of 666 adolescent girls and 623 mothers/guardians were interviewed. Low knowledge was observed in 76.7% of adolescents and 79.8% of mothers/guardians. Most were unaware of the causal relationship between HPV and cervical cancer, signs and symptoms of HPV infection, and had limited knowledge about the HPV vaccine. Factors associated with low knowledge of adolescents were aged 12 years [IRR 1.2 (95% CI 1. 1-1.3)] or less [IRR 1.3 (95% CI (1. 2-1.4)]; household income lower than US$750 [IRR 1.7 (95% CI 1. 1-2.6)] and household income between US$751 and US$1500 [IRR 1.6 (95% CI 1.0-2.6)]. Among mothers/guardians, low knowledge was related to having completed elementary school or less [IRR 1.5 (95% CI 1. 2-2.0)]; and household income lower than US$750 [IRR 1.2 (95% CI 1.0-1.4)]. Knowledge of adolescents and mothers/guardians was not associated with vaccine uptake. HPV immunization dropout rate was considered high (32.3%).
Conclusion: Knowledge about HPV and cervical cancer as well as vaccine uptake was low. Results highlight the need for educational interventions about HPV and cervical cancer. These actions may contribute to improve adherence to HPV vaccination.
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فهرسة مساهمة: Keywords: Adolescent girls; Cervical cancer; HPV vaccine; Human papillomavirus (HPV); Knowledge; Vaccine uptake
المشرفين على المادة: 0 (Papillomavirus Vaccines)
تواريخ الأحداث: Date Created: 20200308 Date Completed: 20200616 Latest Revision: 20200616
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7060582
DOI: 10.1186/s12889-020-8410-9
PMID: 32143614
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-020-8410-9