Evaluation of Health Services Vocational School Students' Knowledge, Attitudes, and Behaviours About Human Papilloma Virus and Vaccine

Abstract

Objective: This study evaluated the knowledge, attitudes, and behaviors of students studying at the Vocational School of Health Services about the HPV virus and HPV vaccination. Materials and Methods: The study is descriptive and cross-sectional. The sample of the study consisted of 506 students studying in the Vocational School of Health Services of 4 universities in the eastern provinces of our country in January-February 2024. The study data were collected using a socio-demographic information form and a human papillomavirus (HPV) information scale. Results: 79.8% of participants were female and 89.5% were aged between 18 and 24. The mean score of the "total HPV-KS" was 8.24±6.90 (0-25), the mean score for "GHI" was 5.33±4.09 (0-15), the mean score for "STI" was 0.87±1.19 (0-6), the mean score of "GVI" was 1.33±1.57 (0-5) and the mean score of "GVP" was 0.69±1.08 (0-25). The mean total scores of the scale belonging to the age groups of the students, obtaining information from their families, having information about sexually transmitted diseases (STDs), having information about cervical cancer, and having an active sexual life were statistically significantly higher (p<0.05). Conclusion: It was determined that students' knowledge, attitudes, and behaviors about HPV and vaccination were not at an adequate level. To increase the knowledge about HPV, educational concepts about HPV should be added to high school and university curricula and the educational process should be started at an earlier age to inform the society.

Keywords

• HPV
• Preventive Health Services
• Cervical Cancer
• Sexual Health

Sağlık Hizmetleri Meslek Yüksekokulu Öğrencilerinin Human Papilloma Virüsü ve Aşısı Hakkında Bilgi, Tutum ve Davranışlarının Değerlendirilmesi

Abstract

Amaç: Bu çalışmada, Sağlık Hizmetleri Meslek Yüksekokulu'nda öğrenim gören öğrencilerin HPV virüsü ve HPV aşısı hakkındaki bilgi, tutum ve davranışları değerlendirilmiştir. Gereç-yöntem: Çalışma tanımlayıcı ve kesitsel niteliktedir. Çalışmanın örneklemini 2024 yılı Ocak-Şubat aylarında ülkemizin doğu illerinde bulunan 4 üniversitenin Sağlık Hizmetleri Meslek Yüksekokulu'nda öğrenim gören 506 öğrenci oluşturmuştur. Çalışma verileri sosyo-demografik bilgi formu ve Human Papillomavirüs (HPV) bilgi ölçeği kullanılarak toplanmıştır. Bulgular: Katılımcıların %79,8'i kadın ve %89,5'i 18-24 yaşları arasındadır. “HPV bilgi ölçeği toplam” puan ortalaması 8,24±6,90 (0-25), “genel HPV bilgisi” puan ortalaması 5,33±4,09 (0-15), “HPV tarama testi bilgisi” puan ortalaması 0,87±1,19 (0-6), genel HPV aşı bilgisi” puan ortalaması 1,33±1,57 (0-5) ve “mevcut HPV aşılama programına yönelik bilgi” puan ortalaması 0,69±1,08 (0-25)'dir. Öğrencilerin yaş grupları, ailelerinden bilgi alma, cinsel yolla bulaşan hastalıklar (CYBH) hakkında bilgi sahibi olma, serviks kanseri hakkında bilgi sahibi olma ve aktif bir cinsel yaşama sahip olma durumlarına ait ölçek toplam puan ortalamaları istatistiksel olarak anlamlı düzeyde yüksektir (p<0.05). Sonuç: Öğrencilerin HPV ve aşısı hakkında bilgi, tutum ve davranışlarının yeterli düzeyde olmadığı saptanmıştır. Öğrencilerin HPV hakkındaki bilgi düzeylerini artırmak için lise ve üniversite müfredatına HPV ile ilgili eğitim kavramları eklenmeli ve eğitim sürecine daha erken yaşta başlanarak toplumun bilgi sahibi olması sağlanmalıdır.

Keywords

• Serviks Kanseri
• HPV
• Cinsel Sağlık
• Koruyucu Sağlık Hizmetleri

Ethical Statement

ETİK KURALLARA UYULDUĞUNU BEYAN EDERİZ

References

1. Arı, H. (2021). Nurses' knowledge, beliefs, and vaccination status about human papillomavirus (Master's thesis, Başkent University Institute of Health Sciences).
2. Aslan, G., & Bakan, A. (2020), Identification of the Knowledge Level of Students Receiving Health Education About the Human Papilloma Virus, Screening Tests, and Human Papilloma Virus Vaccination. J Community Health, 46, 428-433. doi: 10.1007/s10900-020-00888-8.
3. Başar, F., Çiçek, S. & Yeşildere Sağlam, H. (2019). Knowledge Levels of Nursing Department Holders About Human Papilloma Virus and Vaccine. Opus International Journal of Community Research, 10(17), 123-138. Doi.Org/10.26466/Opus.499635
4. Bozkurt, F. D., & Özdemir, S. (2023). Validity and reliability of a Turkish version of the human papillomavirus knowledge scale: a methodological study. Journal of the Turkish German Gynecological Association, 24(3), 177.
5. Böyük, M., & Bilgin, N. Ç. (2023). A Current Overview of Hpv Infection: Causes, Effects and Protection. Abant Journal of Health Sciences and Technologies, 3(1), 1-9.
6. Cinar, İ. O., Ozkan, S., Aslan, G. K., & Alatas, E. (2019). Knowledge and behavior of university students toward human papillomavirus and vaccination. Asia-Pacific Journal of Oncology Nursing, 6(3), 300-307.
7. Demir F. (2019). Turkish Validity and Reliability of Human Papilloma Virus (Hpv) Knowledge Scale, Health Sciences University, Gülhane Institute of Health Sciences, Department of Public Health Nursing. Master Thesis.
8. Farsi, N. J., Al Sharif, S., Al Qathmi, M., Merdad, M., Marzouki, H., & Merdad, L. (2020). Knowledge of human papillomavirus (HPV) and oropharyngeal cancer and acceptability of the HPV vaccine among dental students. Asian Pacific Journal of Cancer Prevention: APJCP, 21(12), 3595.

9. Genç Koyucu, R. (2022). Analysis of midwifery students’ knowledge of human papillomavirus: A descriptive survey study. Androl Bul 2022;24:118−126 https://doi.org/10.24898/tandro.2022.50103
10. Kamolratanakul, S., & Pitisuttithum, P. (2021). Human papillomavirus vaccine efficacy and effectiveness against cancer. Vaccines, 9(12), 1413.
11. Karahan, S., Ağadayı, E., Koç, .M.M., Yavuz, B., Yıldız, Z.İ., Ilgın, E., Karapınar, S., & Ozellı, M. (2023). Knowledge, attitudes, and behaviors of medical school students about Human Papillomavirus (HPV) and HPV Vaccine. Journal of Kahramanmaraş Sütçü İmam University Faculty of Medicine, 18(3), 78-85.
12. Özen, D. Ö., & Terzioglu, F. (2023). Knowledge of Human Papilloma Virus Infection of Young People Studying at University. Samsun Journal of Health Sciences, 8(2), 353-370.
13. Sel, G., Barut, A., Özmen, Ü., Akdemir, A.Y., Harma, S., Aynalı, B., Harma, M., & Harma Mİ. (2020).Mode of delivery does not have a relationship with high-risk HPV positivity. Clinical and Experimental Obstetrics & Gynecology 2020;47(4):541-545
14. Singh, J., & Baliga, S. S. (2021). Knowledge regarding cervical cancer and HPV vaccine among medical students: A cross-sectional study. Clinical Epidemiology and Global Health, 9, 289-292.
15. Swarnapriya, K., Kavitha, D., & Reddy, G. M. M. (2016). Knowledge, attitude, and practices regarding HPV vaccination among medical and paramedical students, India a cross-sectional study. Asian Pacific Journal of Cancer Prevention, 16(18), 8473-8477.
16. Şahin, M. A., Şenel, U., Şahin, R. A., Ömer, A. T. A. Ç., & Hayran, O. (2022). Knowledge, Attitudes, and Behaviours of University Students About Human Papilloma Virus and Vaccine. Journal of Health Sciences, 31(1), 1-8.
17. Tabachnick & Fidell, 2013 B.G. Tabachnick, L.S. Fidell Using Multivariate Statistics (sixth ed.)Pearson, Boston (2013)
18. Turhan Çakır, A., Porsuk, İ., Çalbıyık, F., Taner, G., Noğay, A.E., Aslan, M.E., Demir, S., Can, C., Altıner, E., Kılıç, Ş.Ş., Yılmaz, Ş., Karaca, Z., Gündoğan, Y., & Şen, A. (2021). Evaluation of university students' level of knowledge about HPV, HPV screening test and HPV vaccine: A cross-sectional study. Med J West Black Sea. 2021;5(3):472-480.
19. Unutkan, A., & Yangın, H. B. (2016). Evaluation of university students' knowledge and opinions about human papillomavirus vaccine. TAF Preventive Medicine Bulletin, 15(2).
20. Williamson, A. L. (2023). Recent Developments in Human Papillomavirus (HPV) Vaccinology. Viruses, 15(7), 1440.
21. WHO (2024). https://www.who.int/health-topics/cervical-cancer#tab=tab_1 Access Date: 07.01.2024
22. WHO (2024). https://www.who.int/health-topics/cervical-cancer#tab=tab_1 Access Date: 07.01.2024
23. WHO (2024). https://www.istanbuleczaciodasi.org.tr/upload/pdf/20211203-1601-hpv-pharmacist-informing-b379a.pdf Access Date: 07.01.2024
24. Yıldırım, C. (2022). Human Papilloma Virus Awareness of a Foundation University Faculty of Health Sciences Students. Biruni University Institute of Postgraduate Education Department of Nursing Nursing Master's Programme with Thesis
25. Yılmaz Özdemir, Y., Marakoğlu, K., & Körez, M.K. (2023). Evaluation of knowledge, attitudes, and behaviours of medical faculty students about Human Papillomavirus and Human Papillomavirus vaccine. Turkish Journal of Family Medicine, 27(4):88-94.