Human Papilloma Virus (Hpv) Infection And Hpv Vaccination: A Kap Study Among Adolescents, Adults And Parents
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Date
2017-12
Authors
Ali, Abdul Nazer
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Baseline information on knowledge, attitude and perception towards Human
Papilloma Viius (HPV) infection is crucial to establish a progressive track of practice on
HPV immunization program to defeat the challenges. The present study aimed at developing
population specific intervention tool (questionnaires) including informative educational tool
(pamphlet) and to assess the impact of these tools on knowledge, attitude, perception and/or
practice (KAP) changes among the three study populations (adolescents, adults and parents).
A prospective cross sectional study was conducted in urban and rural areas of Kedah state,
Kedah Malaysia. The participants were selected using convenience sampling and data was
collected using standardized and validated questionnaires. The participants’ demographic
data, knowledge, attitude, perception/ practice about HPV infection and HPV vaccination
were assessed at baseline, and after intervention and at three to six months among
adolescents (N=2928), adults (N=942) and parents (N=858). The research findings showed a
significant improvement in knowledge scores among adolescents from 37% at baseline to
67% (p .001), after intervention and 66% to 88% (p .001) at pre and post-test after 3-6
months of intervention. The median KAP score also improved significantly from [Mdn = 47
(1QR =12)] at baseline to [Mdn = 57 (IQR = 10)] at intervention and [Mdn = 47 (1QR = 12)]
at post 3-6 months intervention. Among adults, the knowledge score improved from 63% at
baseline to 89% (p < .001), after intervention and 66% to 90% (p < .001) at pre and post-test
[Mdn - 56 (IQR = 10)] at baseline to [Mdn = 88 (IQR = 18)] at intervention and [Mdn = 87
(IQR - 17)] at post 3-6 months intervention. Among parents, die knowledge score improved
from 66% at baseline to 89% (p < .001), after intervention and 73% to 94% (p < .001) at pre
after 3-6 months of intervention. The median KAP score also improved significantly from [Mdn - 56 (IQR = 10)] at baseline to [Mdn = 88 (IQR = 18)] at intervention and [Mdn = 87
(IQR - 17)] at post 3-6 months intervention. Among parents, die knowledge score improved
from 66% at baseline to 89% (p < .001), after intervention and 73% to 94% (p < .001) at pre and post-test after 3-6 months of intervention. The median KAP score also improved
significantly from [Mdn = 50 (1QR 22)] at baseline to [Mdn = 62 (IQR = 11)] at
intervention and [Mdn = 73 (IQR = 5)] at post 3-6 months intervention. The protocol
significantly increased knowledge and KAP scores about HPV in the study population,
regardless of socio-demographic characteristics and risk behaviours. Effective, informative
and appropriate educational protocols about HPV infection and HPV vaccination are
particularly important and regular, booster education campaigns are required to prevent
adverse psychosocial responses and promote healthy sexual practice and Pap screening
behaviours in adolescents and adults. Furthermore, the research finding provides an insight
into utilization of trained counselling teachers in secondary schools for prevention of health
related diseases in nation’s interest.
Description
Keywords
Pharmacy