Skip to main content
Top
Published in: Journal of Prevention 2/2023

28-10-2022 | Human Papillomavirus

Human Papillomavirus Vaccination in Male University Students in Turkey: Coverage Rate, Barriers, and Associated Factors

Authors: Melike Yalçın Gürsoy, Furkan Sağtaş

Published in: Journal of Prevention | Issue 2/2023

Login to get access

Abstract

The human papillomavirus (HPV) vaccine is one of the most effective public health measures for preventing HPV-related cancers and other diseases. However, vaccination coverage is not at the desired level, especially among men. In this context, we aimed to determine HPV vaccination rates, barriers, and some related demographic and personal factors among male university students in Turkey. We shared an online questionnaire prepared by the authors in line with the relevant literature on social media platforms and included 1723 male university students in this cross-sectional study. Only 4.9% of the students stated that they were vaccinated against HPV, and the most important obstacle to vaccination was not knowing when to be vaccinated (49.5%). Additionally, marital status, sexual orientation, chronic diseases, family history of cervical cancer, and having heard of HPV were significant predictors of HPV vaccination.
Literature
go back to reference Balcezak, H. C., Olusanya, O. A., Tomar, A., Foster, M., & Wigfall, L. T. (2021). A 10-year systematic review of theory-driven approaches to increasing catch-up HPV vaccination rates among young adult males in colleges/university settings.Journal of American College Health,1–13 Balcezak, H. C., Olusanya, O. A., Tomar, A., Foster, M., & Wigfall, L. T. (2021). A 10-year systematic review of theory-driven approaches to increasing catch-up HPV vaccination rates among young adult males in colleges/university settings.Journal of American College Health,1–13
go back to reference Belani, H. K., Sekar, P., Guhaniyogi, R., Abraham, A., Bohjanen, P. R., & Bohjanen, K. (2014). Human papillomavirus vaccine acceptance among young men in Bangalore, India. International Journal of Dermatology, 53(11), e486–e491CrossRefPubMedPubMedCentral Belani, H. K., Sekar, P., Guhaniyogi, R., Abraham, A., Bohjanen, P. R., & Bohjanen, K. (2014). Human papillomavirus vaccine acceptance among young men in Bangalore, India. International Journal of Dermatology, 53(11), e486–e491CrossRefPubMedPubMedCentral
go back to reference Brown, B., Gabra, M. I., & Pellman, H. (2017). Reasons for acceptance or refusal of human papillomavirus vaccine in a California pediatric practice. Papillomavirus Research, 3, 42–45CrossRefPubMedPubMedCentral Brown, B., Gabra, M. I., & Pellman, H. (2017). Reasons for acceptance or refusal of human papillomavirus vaccine in a California pediatric practice. Papillomavirus Research, 3, 42–45CrossRefPubMedPubMedCentral
go back to reference Catalano, H. P., Knowlden, A. P., Birch, D. A., Leeper, J. D., Paschal, A. M., & Usdan, S. L. (2017). Using the theory of planned behavior to predict HPV vaccination intentions of college men. Journal of American College Health, 65(3), 197–207CrossRefPubMed Catalano, H. P., Knowlden, A. P., Birch, D. A., Leeper, J. D., Paschal, A. M., & Usdan, S. L. (2017). Using the theory of planned behavior to predict HPV vaccination intentions of college men. Journal of American College Health, 65(3), 197–207CrossRefPubMed
go back to reference Cinar, Ä. 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), 300–307CrossRefPubMedPubMedCentral Cinar, Ä. 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), 300–307CrossRefPubMedPubMedCentral
go back to reference Cocchio, S., Bertoncello, C., Baldovin, T., Fonzo, M., Bennici, S. E., Buja, A., & Baldo, V. (2020). Awareness of HPV and drivers of HPV vaccine uptake among university students: a quantitative, cross-sectional study. Health & Social Care in the Community, 28(5), 1514–1524CrossRef Cocchio, S., Bertoncello, C., Baldovin, T., Fonzo, M., Bennici, S. E., Buja, A., & Baldo, V. (2020). Awareness of HPV and drivers of HPV vaccine uptake among university students: a quantitative, cross-sectional study. Health & Social Care in the Community, 28(5), 1514–1524CrossRef
go back to reference Cooper, D. L., Zellner-Lawrence, T., Mubasher, M., Banerjee, A., & Hernandez, N. D. (2018). Examining HPV awareness, sexual behavior, and intent to receive the HPV vaccine among racial/ethnic male college students 18–27 years. American Journal of Men’s Health, 12(6), 1966–1975CrossRefPubMedPubMedCentral Cooper, D. L., Zellner-Lawrence, T., Mubasher, M., Banerjee, A., & Hernandez, N. D. (2018). Examining HPV awareness, sexual behavior, and intent to receive the HPV vaccine among racial/ethnic male college students 18–27 years. American Journal of Men’s Health, 12(6), 1966–1975CrossRefPubMedPubMedCentral
go back to reference Drolet, M., Bénard, E., Boily, M., Ali, H., Baandrup, L., Bauer, H., & Brisson, M. (2015). Population-level impact and herd effects following human papillomavirus vaccination programmes: a systematic review and meta-analysis. The Lancet Infectious Diseases, 15(5), 565–580CrossRefPubMedPubMedCentral Drolet, M., Bénard, E., Boily, M., Ali, H., Baandrup, L., Bauer, H., & Brisson, M. (2015). Population-level impact and herd effects following human papillomavirus vaccination programmes: a systematic review and meta-analysis. The Lancet Infectious Diseases, 15(5), 565–580CrossRefPubMedPubMedCentral
go back to reference Durusoy, R., Yamazhan, M., Taşbakan, M., Ergin, I., Aysin, M., Pullukçu, H., & Yamazhan, T. (2010). HPV vaccine awareness and willingness of first-year students entering university in western Turkey. Asian Pacific Journal of Cancer Prevention, 11(6), 1–6 Durusoy, R., Yamazhan, M., Taşbakan, M., Ergin, I., Aysin, M., Pullukçu, H., & Yamazhan, T. (2010). HPV vaccine awareness and willingness of first-year students entering university in western Turkey. Asian Pacific Journal of Cancer Prevention, 11(6), 1–6
go back to reference Fontenot, H. B., Collins, H. F., Charyk, A., & Sutherland, M. A. (2014). Human papillomavirus (HPV) risk factors, vaccination patterns, and vaccine perceptions among a sample of male college students. Journal of American College Health, 62(3), 186–192CrossRefPubMed Fontenot, H. B., Collins, H. F., Charyk, A., & Sutherland, M. A. (2014). Human papillomavirus (HPV) risk factors, vaccination patterns, and vaccine perceptions among a sample of male college students. Journal of American College Health, 62(3), 186–192CrossRefPubMed
go back to reference Fuller, K. M., & Hinyard, L. (2017). Factors associated with HPV vaccination in young males. Journal of Community Health, 42(6), 1127–1132CrossRefPubMed Fuller, K. M., & Hinyard, L. (2017). Factors associated with HPV vaccination in young males. Journal of Community Health, 42(6), 1127–1132CrossRefPubMed
go back to reference Gerend, M. A., Shepherd, M. A., Lustria, M. L. A., & Shepherd, J. E. (2016). Predictors of provider recommendation for HPV vaccine among young adult men and women: Findings from a cross-sectional survey. Sexually Transmitted Infections, 92(2), 104–107CrossRefPubMed Gerend, M. A., Shepherd, M. A., Lustria, M. L. A., & Shepherd, J. E. (2016). Predictors of provider recommendation for HPV vaccine among young adult men and women: Findings from a cross-sectional survey. Sexually Transmitted Infections, 92(2), 104–107CrossRefPubMed
go back to reference Gerend, M. A., Murdock, C., & Grove, K. (2020). An intervention for increasing HPV vaccination on a university campus. Vaccine, 38(4), 725–729CrossRefPubMed Gerend, M. A., Murdock, C., & Grove, K. (2020). An intervention for increasing HPV vaccination on a university campus. Vaccine, 38(4), 725–729CrossRefPubMed
go back to reference Hofstetter, A. M., Lappetito, L., Stockwell, M. S., & Rosenthal, S. L. (2017). Human papillomavirus vaccination of adolescents with chronic medical conditions: a national survey of pediatric subspecialists. Journal of Pediatric and Adolescent Gynecology, 30(1), 88–95CrossRefPubMed Hofstetter, A. M., Lappetito, L., Stockwell, M. S., & Rosenthal, S. L. (2017). Human papillomavirus vaccination of adolescents with chronic medical conditions: a national survey of pediatric subspecialists. Journal of Pediatric and Adolescent Gynecology, 30(1), 88–95CrossRefPubMed
go back to reference Holman, D. M., Benard, V., Roland, K. B., Watson, M., Liddon, N., & Stokley, S. (2014). Barriers to human papillomavirus vaccination among US adolescents: a systematic review of the literature. JAMA Pediatrics, 168(1), 76–82CrossRefPubMedPubMedCentral Holman, D. M., Benard, V., Roland, K. B., Watson, M., Liddon, N., & Stokley, S. (2014). Barriers to human papillomavirus vaccination among US adolescents: a systematic review of the literature. JAMA Pediatrics, 168(1), 76–82CrossRefPubMedPubMedCentral
go back to reference Hunter, T., & Weinstein, M. (2015). Beliefs and knowledge about the human papillomavirus vaccine among undergraduate men. Health Education Journal, 75(2), 249–256CrossRef Hunter, T., & Weinstein, M. (2015). Beliefs and knowledge about the human papillomavirus vaccine among undergraduate men. Health Education Journal, 75(2), 249–256CrossRef
go back to reference Kayı, İ., Yavaş, G., Uçurum, B. E., Yılmaz, P., Gökçek, B., Oğuzer, Ş. E., & Ergönül, Ö. (2020). Predictors of human papilloma virus vaccination uptake among female university students in Turkey. Infectious Diseases & Clinical Microbiology, 2(3), 138–146CrossRef Kayı, İ., Yavaş, G., Uçurum, B. E., Yılmaz, P., Gökçek, B., Oğuzer, Ş. E., & Ergönül, Ö. (2020). Predictors of human papilloma virus vaccination uptake among female university students in Turkey. Infectious Diseases & Clinical Microbiology, 2(3), 138–146CrossRef
go back to reference Koç, Z. (2015). University students’ knowledge and attitudes regarding cervical cancer, human papillomavirus, and human papillomavirus vaccines in Turkey. Journal of American College Health, 63(1), 13–22CrossRefPubMed Koç, Z. (2015). University students’ knowledge and attitudes regarding cervical cancer, human papillomavirus, and human papillomavirus vaccines in Turkey. Journal of American College Health, 63(1), 13–22CrossRefPubMed
go back to reference Lee, H. Y., Lust, K., Vang, S., & Desai, J. (2018). Male undergraduates’ HPV vaccination behavior: implications for achieving HPV-associated cancer equity. Journal of Community Health, 43(3), 459–466CrossRefPubMed Lee, H. Y., Lust, K., Vang, S., & Desai, J. (2018). Male undergraduates’ HPV vaccination behavior: implications for achieving HPV-associated cancer equity. Journal of Community Health, 43(3), 459–466CrossRefPubMed
go back to reference Meites, E., Szilagyi, P. G., Chesson, H. W., Unger, E. R., Romero, J. R., & Markowitz, L. E. (2019). Human papillomavirus vaccination for adults: updated recommendations of the advisory committee on immunization practices. MMWR Morbidity and Mortality Weekly Report, 68(32), 698–702CrossRefPubMedPubMedCentral Meites, E., Szilagyi, P. G., Chesson, H. W., Unger, E. R., Romero, J. R., & Markowitz, L. E. (2019). Human papillomavirus vaccination for adults: updated recommendations of the advisory committee on immunization practices. MMWR Morbidity and Mortality Weekly Report, 68(32), 698–702CrossRefPubMedPubMedCentral
go back to reference Newman, P. A., Logie, C. H., Doukas, N., & Asakura, K. (2013). HPV vaccine acceptability among men: a systematic review and meta-analysis. Sexually Transmitted Infections, 89(7), 568–574CrossRefPubMed Newman, P. A., Logie, C. H., Doukas, N., & Asakura, K. (2013). HPV vaccine acceptability among men: a systematic review and meta-analysis. Sexually Transmitted Infections, 89(7), 568–574CrossRefPubMed
go back to reference Oz, M., Cetinkaya, N., Apaydin, A., Korkmaz, E., Bas, S., Ozgu, E., & Gungor, T. (2018). Awareness and knowledge levels of Turkish college students about human papilloma virus infection and vaccine acceptance. Journal of Cancer Education, 33(2), 260–268CrossRefPubMed Oz, M., Cetinkaya, N., Apaydin, A., Korkmaz, E., Bas, S., Ozgu, E., & Gungor, T. (2018). Awareness and knowledge levels of Turkish college students about human papilloma virus infection and vaccine acceptance. Journal of Cancer Education, 33(2), 260–268CrossRefPubMed
go back to reference Prue, G., Baker, P., Graham, D., Nutting, C., Greenhouse, P., & Lawler, M. (2018). It is time for universal HPV vaccination. The Lancet, 392(10151), 913–914CrossRef Prue, G., Baker, P., Graham, D., Nutting, C., Greenhouse, P., & Lawler, M. (2018). It is time for universal HPV vaccination. The Lancet, 392(10151), 913–914CrossRef
go back to reference Ratanasiripong, N. T. (2015). Factors related to human papillomavirus (HPV) vaccination in college men. Public Health Nursing, 32(6), 645–653CrossRefPubMed Ratanasiripong, N. T. (2015). Factors related to human papillomavirus (HPV) vaccination in college men. Public Health Nursing, 32(6), 645–653CrossRefPubMed
go back to reference Rathfisch, G., Güngör, İ., Uzun, E., Keskin, Ö., & Tencere, Z. (2015). Human papillomavirus vaccines and cervical cancer: awareness, knowledge, and risk perception among Turkish undergraduate students. Journal of Cancer Education, 30(1), 116–123CrossRefPubMed Rathfisch, G., Güngör, İ., Uzun, E., Keskin, Ö., & Tencere, Z. (2015). Human papillomavirus vaccines and cervical cancer: awareness, knowledge, and risk perception among Turkish undergraduate students. Journal of Cancer Education, 30(1), 116–123CrossRefPubMed
go back to reference Roden, R. B. S., & Stern, P. L. (2018). Opportunities and challenges for human papillomavirus vaccination in cancer. Nature Reviews Cancer, 18(4), 240–254CrossRefPubMedPubMedCentral Roden, R. B. S., & Stern, P. L. (2018). Opportunities and challenges for human papillomavirus vaccination in cancer. Nature Reviews Cancer, 18(4), 240–254CrossRefPubMedPubMedCentral
go back to reference Kasymova, S. (2020). Human papillomavirus (HPV) and HPV vaccine knowledge, the intention to vaccinate, and HPV vaccination uptake among male college students. Journal of American College Health, 70(4), 1079–1093CrossRefPubMed Kasymova, S. (2020). Human papillomavirus (HPV) and HPV vaccine knowledge, the intention to vaccinate, and HPV vaccination uptake among male college students. Journal of American College Health, 70(4), 1079–1093CrossRefPubMed
go back to reference Schmeler, K. M., & Sturgis, E. M. (2016). Expanding the benefits of HPV vaccination to boys and men. Lancet (London England), 387(10030), 1798–1799CrossRefPubMed Schmeler, K. M., & Sturgis, E. M. (2016). Expanding the benefits of HPV vaccination to boys and men. Lancet (London England), 387(10030), 1798–1799CrossRefPubMed
go back to reference Shin, H., Jeon, S., Cho, I., & Park, H. (2022). Factors affecting human papillomavirus vaccination in men: systematic review.JMIR Public Health and Surveillance, 8(4), e34070 Shin, H., Jeon, S., Cho, I., & Park, H. (2022). Factors affecting human papillomavirus vaccination in men: systematic review.JMIR Public Health and Surveillance, 8(4), e34070
go back to reference Sledge, J. A. (2015). The male factor: human papillomavirus (HPV) and HPV4 vaccine acceptance among African American young men. Journal Of Community Health, 40(4), 834–842CrossRefPubMed Sledge, J. A. (2015). The male factor: human papillomavirus (HPV) and HPV4 vaccine acceptance among African American young men. Journal Of Community Health, 40(4), 834–842CrossRefPubMed
go back to reference Smith, J. S., Gilbert, P. A., Melendy, A., Rana, R. K., & Pimenta, J. M. (2011). Age-specific prevalence of human papillomavirus infection in males: a global review. The Journal of Adolescent Health, 48(6), 540–552CrossRefPubMed Smith, J. S., Gilbert, P. A., Melendy, A., Rana, R. K., & Pimenta, J. M. (2011). Age-specific prevalence of human papillomavirus infection in males: a global review. The Journal of Adolescent Health, 48(6), 540–552CrossRefPubMed
go back to reference Stout, M. E., Christy, S. M., Winger, J. G., Vadaparampil, S. T., & Mosher, C. E. (2020). Self-efficacy and HPV vaccine attitudes mediate the relationship between social norms and intentions to receive the HPV vaccine among college students. Journal of Community Health, 45(6), 1187–1195CrossRefPubMedPubMedCentral Stout, M. E., Christy, S. M., Winger, J. G., Vadaparampil, S. T., & Mosher, C. E. (2020). Self-efficacy and HPV vaccine attitudes mediate the relationship between social norms and intentions to receive the HPV vaccine among college students. Journal of Community Health, 45(6), 1187–1195CrossRefPubMedPubMedCentral
go back to reference Thomas, R., Higgins, L., Ding, L., Widdice, L. E., Chandler, E., & Kahn, J. A. (2018). Factors associated with HPV vaccine initiation, vaccine completion, and accuracy of self-reported vaccination status among 13- to 26-year-old men. American Journal of Men’s Health, 12(4), 819–827CrossRefPubMed Thomas, R., Higgins, L., Ding, L., Widdice, L. E., Chandler, E., & Kahn, J. A. (2018). Factors associated with HPV vaccine initiation, vaccine completion, and accuracy of self-reported vaccination status among 13- to 26-year-old men. American Journal of Men’s Health, 12(4), 819–827CrossRefPubMed
go back to reference van Zoonen, K., Ruijs, W. L. M., De Melker, H. E., Bongers, M. E. J., & Mollema, L. (2021). How to increase awareness of additional vaccinations; the case of maternal pertussis vaccination. Bmc Public Health, 21(1), 1–14 van Zoonen, K., Ruijs, W. L. M., De Melker, H. E., Bongers, M. E. J., & Mollema, L. (2021). How to increase awareness of additional vaccinations; the case of maternal pertussis vaccination. Bmc Public Health, 21(1), 1–14
Metadata
Title
Human Papillomavirus Vaccination in Male University Students in Turkey: Coverage Rate, Barriers, and Associated Factors
Authors
Melike Yalçın Gürsoy
Furkan Sağtaş
Publication date
28-10-2022
Publisher
Springer US
Published in
Journal of Prevention / Issue 2/2023
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI
https://doi.org/10.1007/s10935-022-00711-1

Other articles of this Issue 2/2023

Journal of Prevention 2/2023 Go to the issue