Coverage and Knowledge Regarding Human Papillomavirus Vaccination Among Female Medical Students at Pelita Harapan University
DOI:
https://doi.org/10.19166/med.v14i3.10148Λέξεις-κλειδιά:
Coverage, Knowledge, Human papillomavirus vaccination, Female students, Faculty of medicineΠερίληψη
Background: Cervical cancer is the fourth most common cancer among women worldwide. Human papillomavirus (HPV) is the primary cause of cervical cancer. One of the key preventive measures to reduce the incidence of cervical cancer is immunization. According to the data from the World Health Organization year 2020, the national HPV vaccination coverage in Indonesia was only 5% for the complete dose and 6% for the first dose. Lack of knowledge is one of the contributing factor of HPV vaccination coverage.
Methods: This study was conducted with cross-sectional design. This study used primary data which was collected using questionnaires. The questionnaire has been tested for validity and reliability in previous study. The subjects were female students of Faculty of Medicine University of Pelita Harapan.
Results: Our of 770 subjects with mean age of 20.3 years old, 490 subjects (63.6%) never got HPV vaccination, 102 subjects (13.3%) were not fully vaccinated and 178 subjects (23.1%) were fully vaccinated. Age at first dose of HPV vaccination was 9-14 years old in 123 subjects (43.9%) and > 15 years old in 157 subjects (56.1%). From all of the HPV vaccinated subjects, 18 subjects (6.4%) got bivalent vaccine, 52 subjects (18.6%) got quadrivalent vaccine and 64 subjects (22.9%) got nonvalent vaccine. Majority of the subjects (354 subjects, 46%) had good knowledge regarding HPV vaccination, 271 subjects (35.2%) had sufficient knowledge and 145 subjects (18.8%) had poor knowledge.
Conclusions: Despite sufficient knowledge regarding HPV vaccination among majority of female medical students at Pelita Harapan University, HPV vaccination coverage remained suboptimal.
Αναφορές
1. World Health Organization. Cervical cancer [Internet]. 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
2. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2021. Jakarta: Kementerian Kesehatan Republik Indonesia; 2022.
3. Pusat Data dan Informasi Kemenkes RI. Profil Kesehatan Indonesia 2018 [Internet]. 2018. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatanindonesia/PROFIL_KESEHATAN_2018_1.pdf
4. Krieking GV, Castellsague X, Cibula D, Demarteau N. Estimation of the potential overall impact of human papillomavirus vaccination on cervical cancer cases and deaths. Vaccine. 2014;32(6):733–9. https://doi.org/10.1016/j.vaccine.2013.11.049
5. Patel H, Wagner M, Singhal P, Kothari S. Systematic review of the incidence and prevalence of genital warts. BMC Infect Dis. 2013;13:39. https://doi.org/10.1186/1471-2334-13-39
6. Workowski KA. Centers for Disease Control and Prevention sexually transmitted diseases treatment guidelines. Clin Infect Dis. 2015;61(8):759–62. https://doi.org/10.1093/cid/civ771
7. Luria L, Cardoza-Favarato G. Human papillomavirus [Internet]. National Library of Medicine; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448132/
8. World Health Organization. Accelerating the elimination of cervical cancer as a public health problem: towards achieving 90-70-90 target by 2030 [Internet]. New Delhi: WHO; 2022. Available from: https://iris.who.int/handle/10665/361138?show=full
9. Hadinegoro SR, Kartasasmita CB, Ismoedijanto, Soedjatmiko, Gunadi H, Sitaresmi MN, Kaswandani N. Pedoman Imunisasi di Indonesia. 7th ed. Jakarta: Satgas Imunisasi IDAI; 2024.
10. World Health Organization. Human papillomavirus vaccination coverage [Internet]. Available from: https://immunizationdata.who.int/global/wiise-detail-page/human-papillomavirus-(hpv)-vaccination-coverage?CODE=IDN&ANTIGEN=&YEAR=
11. Wantini NA, Indrayani N. Rendahnya kesediaan vaksinasi HPV pada remaja putri. J Kebidanan Indones. 2020;11(1):69-78. https://doi.org/10.36419/jkebin.v11i1.327
12. Dethan CM, Suariyani NLP. Pengetahuan dan sikap tentang perilaku vaksinasi HPV pada siswi SMA swasta. Indones J Public Health. 2017;13(2):167-175. https://doi.org/10.30597/mkmi.v13i2.1989
13. Loke AY, Chan ACO, Wong YT. Facilitators and barriers to the acceptance of human papillomavirus (HPV) vaccination among adolescent girls: a comparison between mothers and their adolescent daughters in Hong Kong. BMC Res Notes. 2017;10:1–13. https://doi.org/10.1186/s13104-017-2734-2
14. Brewer NT, Fazekas KI. Predictors of HPV vaccine acceptability: a theory-informed systematic review. Prev Med. 2007;45(2–3):107–14. https://doi.org/10.1016/j.ypmed.2007.05.013
15. Monteiro DLM, et al. Knowledge on the HPV vaccine among university students. J Sao Paulo Inst Trop Med. 2018;60:e46. https://doi.org/10.1590/S1678-9946201860046
16. Khatiwada M, Kartasasmita C, Mediani HS, et al. Knowledge, attitude and acceptability of the human papillomavirus vaccine and vaccination among university students in Indonesia. Front Public Health. 2021;9:616456. https://doi.org/10.3389/fpubh.2021.616456
17. Adnyana IGHE, Toemon AN, Wibawa IWBS. Hubungan tingkat pengetahuan kanker serviks dengan minat vaksinasi HPV pada mahasiswi Fakultas Ekonomi Universitas Palangka Raya. Barigas J Riset Mahasiswa. 2023;1(2). https://doi.org/10.37304/barigas.v1i2.10175
18. Ambarwulan P, Afandi AN, Haryanti NTM, et al. Pengetahuan dan sikap tentang kanker serviks dan vaksinasi HPV pada mahasiswi Kampus C Universitas Airlangga. J Farmasi Komunitas. 2024;11(2). https://doi.org/10.20473/jfk.v11i2.55442
19. He Y, Zhang XY, Chen T, Zhang L, Wei Y. Factors influencing HPV vaccine hesitancy among university students in China: a cross-sectional survey utilizing the 3Cs model. Hum Vaccin Immunother. 2024;20(1):2400750. https://doi.org/10.1080/21645515.2024.2400750
20. Febrianti R, Wahidin M. Determinants of human papilloma virus (HPV) vaccination among elementary students in Central Jakarta. Indones J Cancer. 2021;15(1):26-31. https://doi.org/10.33371/ijoc.v15i1.783
21. Sorrentino M, Mercogliano M, Esposito F, et al. Identification of organizational barriers to HPV vaccination uptake in medical students in southern Italy: a cross-sectional study. Front Public Health. 2023;11:1272630. https://doi.org/10.3389/fpubh.2023.1272630
22. Cheema S, Abraham A, Maisonneuve P, Jithesh A, Chaabna K, Al Janahi R, et al. HPV infection and vaccination: a cross-sectional study of knowledge, perception, and attitude to vaccine uptake among university students in Qatar. BMC Public Health. 2024 Aug 26;24(1):2316. https://doi.org/10.1186/s12889-024-19792-0
23. Chen X, Wang L, Huang Y, Zhang L. Risk perception and trust in the relationship between knowledge and HPV vaccine hesitancy among female university students in China: a cross-sectional study. BMC Public Health. 2024;24:667. https://doi.org/10.1186/s12889-024-18166-w
24. McKenzie AH, Shegog R, Savas LS, Healy CM, Shay LA, Preston S, et al. Parents’ stigmatizing beliefs about the HPV vaccine and their association with information seeking behavior and vaccination communication behaviors. Hum Vaccin Immunother. 2023 May 22;19(1):2214054. https://doi.org/10.1080/21645515.2023.2214054
Λήψεις
Δημοσιευμένα
Πώς να δημιουργήσετε Αναφορές
Τεύχος
Ενότητα
Άδεια
Πνευματική ιδιοκτησία (c) 2025 Leni Lukman
Αυτή η εργασία είναι αδειοδοτημένη υπό το Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-SA 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website). The final published PDF should be used and bibliographic details that credit the publication in this journal should be included.
