Determination of knowledge levels and educational needs of middle adolescent students regarding Human Papilloma Virus (HPV) vaccine

Year 2025, Volume: 18 Issue: 2, 170 - 182, 15.08.2025

Nur Üredi , Aysun Ekşioğlu

https://doi.org/10.26559/mersinsbd.1595952

https://izlik.org/JA66KJ95CZ

Abstract

Aim: This study aimed to assess the knowledge levels and educational needs of middle adolescents regarding Human Papilloma Virus (HPV) vaccine. Method: A cross-sectional study was conducted between May and June 2024 with 285 students from an Anatolian High School in Mersin province. Data were collected using a descriptive form for sociodemographic characteristics and an information form on HPV vaccination. Analyses were performed using IBM SPSS Statistics 23.0, with descriptive statistics, independent sample t-tests, and One-Way ANOVA tests applied. A p-value of <0.05 was considered statistically significant. Results: More than half of the students (50.3%) had heard about HPV infection, and 55.6% were aware of the HPV vaccine, yet only 3.5% had been vaccinated. Among the participants, 59.4% expressed a willingness to be vaccinated. Students exhibited moderate knowledge levels about HPV, and those with prior information about the infection and vaccine had significantly higher knowledge scores. Social media was identified as the primary source of information for 33.2% of students, while only 2.4% obtained information from healthcare professionals. Conclusion: The findings revealed that high school students possess a moderate understanding of HPV infection and vaccination and require additional education on the topic. It has been determined that high school students use social media as a source of information, and comprehensive, innovative, and social media tools should be developed to increase their level of knowledge about HPV infection and vaccine.

Keywords

HPV , Vaccine , Adolescent , Knowledge

Project Number

Yoktur

Human Papilloma Virüsü (HPV) aşısına yönelik orta adölesan dönem öğrencilerin bilgi düzeyleri ve eğitim gereksinimlerinin belirlenmesi

https://izlik.org/JA66KJ95CZ

Abstract

Amaç: Bu çalışma orta adölesanların HPV aşısı hakkındaki bilgi düzeylerini ve eğitim gereksinimlerini değerlendirmek amacıyla gerçekleştirilmiştir. Yöntem: Kesitsel tasarımdaki araştırmanın verileri Mayıs-Haziran 2024 tarihleri arasında elde edilmiştir. Araştırmanın örneklemini Mersin iline ait bir ilçede yer alan bir lisenin öğrencileri oluşturmuştur (n=285). Araştırma verilerinin toplanmasında; öğrencilerin sosyodemografik özelliklerini sorgulayan tanıtıcı bilgi formu ve HPV aşısı hakkında bilgi formu kullanılmıştır. Verilerin analizi IBM SPSS Statistics 23.0 programında gerçekleştirilmiş olup; tanımlayıcı istatistikler, bağımsız örneklem t-testi ve One-Way ANOVA testi kullanılarak değerlendirilmiştir. İstatistiksel anlamlılık düzeyi p<0.05 olarak kabul edilmiştir. Bulgular: Öğrencilerin yarısından fazlası HPV enfeksiyonunu (%50.3) ve HPV aşısını (%55.6) duymuş; %3.5’i HPV aşısı olmuştur. Öğrencilerin %59.4’ü aşı olmayı istemektedir. Öğrencilerin HPV hakkında bilgileri orta düzeyde olup, HPV enfeksiyonunu ve aşısını duyan öğrencilerin bilgi düzeyleri anlamlı derecede yüksektir. Öğrencilerin % 33.2’si sosyal medyadan bilgi edinmiş, ancak sağlık personelinden bilgi alma oranı %2.4 olarak oldukça düşük bulunmuştur. Sonuç: Çalışmada öğrencilerin HPV aşısı ve hastalığı hakkında orta düzeyde bilgi sahibidir ve bu konuda eğitim ihtiyaçları bulunmaktadır. Lise öğrencilerinin özellikle sosyal medyayı yüksek oranda bilgi kaynağı olarak kullandıkları belirlenmiş olup, HPV enfeksiyonu ve aşısı hakkında bilgi düzeylerini artırmaya yönelik kapsamlı, yenilikçi ve sosyal medya araçlarını aracı olarak kullanan eğitim programları geliştirilmelidir.

Keywords

HPV , Aşı , Adölesan , Bilgi

Project Number

Yoktur

References

• Kombe AJ, Mensch B. Epidemiology and burden of human papillomavirus and related diseases, molecular pathogenesis, and vaccine evaluation. Front Public Health. 2021;8:552028.
• Anandarajah A, Shato T, Humble S, et al. The association of caregiver attitudes, information sources, and trust with HPV vaccine initiation among adolescents. Hum Vaccin Immunother. 2024;20(1):2300879.https://doi.org/10.1080/21645515.2023.2300879
• Keçeci Z, Bölükbaş C, Eken H. İnsan papilloma virüsü (HPV) tedavisinde yeni yaklaşımlar: Aktif heksoz ilişkili bileşik (AHCC®). J Fac Pharm Ankara Univ. 2024;48(2):6.
• World Health Organization. Cervical cancer. [Internet]. 2024 [cited 2025 March 25]. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
• Simoens C, Martin-Hirsch PP. Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors. Cochrane Database Syst Rev. 2018;(5):CD009069. https://doi.org/10.1002/14651858.CD009069.pub3
• Strömmer S, Shaw S, Jenner S, et al. How do we harness adolescent values in designing health behaviour change interventions? A qualitative study. Br J Health Psychol. 2021;26(4):1176–93. https://doi.org/10.1111/bjhp.12526
• World Health Organization. One-dose Human Papillomavirus (HPV) vaccine offers solid protection against cervical cancer [Internet]. 2022 [cited 2024 Oct 10]. Available from: https://www.who.int/news/item/11-04-2022-one-dose-human-papillomavirus-(hpv)-vaccine-offers-solid-protection-against-cervical-cancer.
• European Cancer Organization. Viral Protection: Achieving the Possible. A Four Step Plan for Eliminating HPV Cancers in Europe [Internet]. 2020 [cited 2024 Nov 28]. Available from: https://www.europeancancer.org/resources/159:viral-protection-achievingthe-possible-a-four-step-plan-for-eliminating-hpv-cancers-in-europe.html.
• Türk Jinekoloji ve Obstetri Derneği. HPV aşılarıyla ilgili güncel bilgilendirme [Internet]. 2024 [cited 2024 Feb 25]. Available from: https://www.tjod.org/hpv-asilariyla-ilgiliguncel-bilgilendirme.
• Ellingson MK, Sheikha H, Nyhan K, Oliveira CR, Niccolai LM. Human papillomavirus vaccine effectiveness by age at vaccination: A systematic review. Hum Vaccin Immunother. 2023;19(2). doi:10.1080/21645515.2023.2239085
• Zhang X, Liu CR, Wang ZZ, et al. Effect of a school-based educational intervention on HPV and HPV vaccine knowledge and willingness to be vaccinated among Chinese adolescents: A multi-center intervention follow-up study. Vaccine. 2020;38(20):3665–70. https://doi.org/10.1016/j.vaccine.2020.03.032
• Brewer NT, Kahn BZ, Kritikos KI, Heisler-MacKinnon JA, Young JD, Gilkey MB. How to make effective HPV vaccine recommendations starting at age 9. Hum Vaccin Immunother. 2023;19(2):2216117. https://doi.org/10.1080/21645515.2023.2216117
• Pennella RA, Ayers KA, Brandt HM. Understanding how adolescents think about the HPV vaccine. Vaccines. 2020;8(4):693. https://doi.org/10.3390/vaccines8040693
• Huh WK, Joura EA, Giuliano AR, et al. Final efficacy, immunogenicity, and safety analyses of a nine-valent human papillomavirus vaccine in women aged 16–26 years: A randomised, double-blind trial. Lancet. 2017;390(10108):2143–59. https://doi.org/10.1016/S0140-6736(17)31821-4
• WHO. Recommendations on digital interventions for health system strengthening. World Health Organization Guideline [Internet]. 2019 [cited 2024 Feb 25]. Available from: https://www.who.int/publications-detail-redirect/9789241550505.
• Di Lorenzo A, Bianchi FP, Martinelli A, et al. Safety profile of recommended vaccinations in adolescents: Data from surveillance of adverse events following immunization in Puglia (Italy), 2016–2020. Vaccines. 2021;9(11):1302. https://doi.org/10.3390/vaccines9111302
• Iova CF, Badau D, Daina MD, Șuteu CL, Daina LG. Evaluation of the knowledge and attitude of adolescents regarding the HPV infection, HPV vaccination and cervical cancer in a region from the northwest of Romania. Patient Prefer Adherence. 2023;2249–62. https://doi.org/10.2147/PPA.S421875
• Kops NL, Hohenberger GF, Bessel M, et al. Knowledge about HPV and vaccination among young adult men and women: Results of a national survey. Papillomavirus Res. 2019;7:123–8. https://doi.org/10.1016/j.pvr.2019.03.003
• Trucchi C, Amicizia D, Tafuri S, et al. Assessment of knowledge, attitudes, and propensity towards HPV vaccine of young adult students in Italy. Vaccines. 2020;8(1):74. https://doi.org/10.3390/vaccines8010074
• Jalani FFM, Rani MDM, Isahak I, et al. Knowledge, attitude and practice of human papillomavirus (HPV) vaccination among secondary school students in rural areas of Negeri Sembilan, Malaysia. Int J Collab Res Intern Med Public Health. 2016;8(6):56.
• Sezgin Y, Salimoğlu S, Başaran E, Akdur R. Yüksekokul öğrencilerinin Human Papilloma Virüs enfeksiyonu ve aşılamasına ilişkin bilgi düzeyleri ve sağlık inançları. Turkish Journal of Family Medicine and Primary Care. 2024;18(1):48-55. https://doi.org/10.21763/tjfmpc.1315534
• Chiang VCL, Wong HT, Yeung PCA, et al. Attitude, acceptability and knowledge of HPV vaccination among local university students in Hong Kong. Int J Environ Res Public Health. 2016;13(5):486. https://doi.org/10.3390/ijerph13050486
• Bruni L, Albero G, Serrano B, et al. ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Human papillomavirus and related diseases in the world. Summary Report. 2023 Mar 10.
• Asare M, Agyei-Baffour P, Lanning BA, et al. Multi-theory model and predictors of likelihood of accepting the series of HPV vaccination: A cross-sectional study among Ghanaian adolescents. Int J Environ Res Public Health. 2020;17(2):571. https://doi.org/10.3390/ijerph17020571
• Çetin O, Verit FF, Keskin S, et al. Ergen kızların human papilloma virüsü ve aşısı hakkındaki bilgi düzeyleri. Turk Ped Ars. 2014;49:142–7. DOI:10.5152/tpa.2014.1545
• Aksu H, Yurtsev E. Ergen kızlar ve annelerinin HPV aşısına ilişkin bilgi ve görüşleri [master’s thesis]. Adnan Menderes University, Health Sciences Institute; 2011.
• Alsancak A, Sakar HH, Bala NB, et al. Üniversite öğrencilerinin Human Papilloma Virus (HPV) ve HPV aşısı hakkındaki tutumları ve bilgi düzeyleri. Halk Sag Arast Uygulama Derg. 2024;2(1):30–43. https://doi.org/10.5281/zenodo.11047068
• Kocaay F. Tıp fakültesi öğrencilerinin serviks kanseri, human papilloma virüsü ve aşısı ile ilgili bilgi, tutum ve davranışlarının cinsel mitler perspektifinde incelenmesi. Int J Entrepreneurship Manage Inquiries. 2023;7(Spec Iss 2):58–70. https://doi.org/10.55775/ijemi.1348775
• Ayissi CA, Wamai RG, Oduwo GO, et al. Awareness, acceptability and uptake of human papilloma virus vaccine among Cameroonian school-attending female adolescents. J Community Health. 2012;37:1127–35. https://doi.org/10.1007/s10900-012-9554-z
• Asempah E, Wiktorowicz ME. Understanding HPV vaccination policymaking in Rwanda: A case of health prioritization and public-private partnership in a low-resource setting. Int J Environ Res Public Health. 2023;20(21):6998. https://doi.org/10.3390/ijerph20216998
• Söğüt İS, Yarli SK. Tıbbi korunma hakkı bağlamında HPV aşısı ve toplumsal cinsiyet. Dokuz Eylül Üniversitesi Hukuk Fakültesi Dergisi. 2024;26(2):1097-1126. https://doi.org/10.33717/deuhfd.1479880
• Gazibara T, Cakic M, Cakic J, et al. Familiarity with the internet and health apps, and specific topic needs are amongst the factors that influence how online health information is used for health decisions amongst adolescents. Health Info Libr J. 2024;41(3):283–97. https://doi.org/10.1111/hir.12440
• Rosen BL, Shew ML, Zimet GD, et al. Human papillomavirus vaccine sources of information and adolescents’ knowledge and perceptions. Glob Pediatr Health. 2017;4:2333794X17743405. https://doi.org/10.1177/2333794X17743405
• Ventola CL. Social media and health care professionals: Benefits, risks, and best practices. Pharm Ther. 2014;39(7):491–9.
• Chen L, Yang X, Huang X. Promoting HPV vaccination on social media: Interactive effects of threat, efficacy and social cues. Hum Vaccin Immunother. 2021;17(11):4442–56. https://doi.org/10.1080/21645515.2021.1975449
• Yağız Altıntaş, R., Kilci Erciyas, Ş., & Ertem, G. Sağlık Bilimleri Fakültesi öğrencilerinin serviks kanseri ile Human Papilloma Virüs enfeksiyonu aşılamasına ilişkin sağlık inanç düzeylerinin belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2022;15(1):40-49. https://doi.org/10.46483/deuhfed.792977