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Open Access 02-02-2025 | Human Papillomavirus | Original Paper

Evaluation of HPV and Related Cancer Awareness and Vaccination Attitudes Among Patients with Anogenital Warts: a Survey-Based Study

Authors: Berna Solak, Mustafa Arslan

Published in: Journal of Community Health

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Abstract

We aimed to evaluate awareness of HPV and its associated cancers, attitudes toward HPV vaccination, and vaccination rates in individuals with anogenital warts. This cross-sectional study was conducted at Sakarya University Training and Research Hospital using a questionnaire completed by individuals diagnosed with anogenital warts. A total of 105 respondents were included in the study, comprising 80 males (76.2%) and 25 females (23.8%). The mean age of participants was 34.7 ± 11.2 years. HPV awareness was 70.5%, while cervical cancer awareness was 38.1%. Women demonstrated significantly higher levels of HPV and cervical cancer awareness, as well as knowledge of Pap smear testing, compared to men. Women were also significantly more likely than men to express willingness to vaccinate their children against HPV (84.0% vs. 58.8%, p = 0.039). Higher education levels were associated with increased awareness of HPV, HPV vaccination, and willingness to vaccinate children. Physicians were the primary source of HPV-related information across the cohort. HPV vaccine awareness was 73.3%, but the overall vaccination rate was only 10.5%, with women showing significantly higher vaccination rates than men (24% vs. 6.2%, p = 0.021). The most commonly reported barriers to vaccination were cost (60%) and lack of information (45.7%). None of the participants had vaccinated their children. This study highlights that awareness of HPV and its vaccination is associated with gender and education level but does not translate into higher vaccination rates. Efforts should focus on targeting men and individuals with lower educational attainment by strengthening physicians’ roles in public education. Incorporating HPV vaccination into national programs and implementing culturally tailored campaigns may effectively improve vaccination rates.
Literature
1.
go back to reference Burd, E. M. (2003). Human papillomavirus and cervical cancer. Clinical Microbiology Reviews, 16(1), 1–17. PubMed PMID: 12525422. PMCID: PMC145302. Epub 2003/01/15.CrossRefPubMedPubMedCentral Burd, E. M. (2003). Human papillomavirus and cervical cancer. Clinical Microbiology Reviews, 16(1), 1–17. PubMed PMID: 12525422. PMCID: PMC145302. Epub 2003/01/15.CrossRefPubMedPubMedCentral
2.
go back to reference Chesson, H. W., Dunne, E. F., Hariri, S., & Markowitz, L. E. (2014). The estimated lifetime probability of acquiring human papillomavirus in the United States. Sexually Transmitted Diseases, 41(11), 660–664. PubMed PMID: 25299412. PMCID: PMC6745688. Epub 2014/10/10.CrossRefPubMedPubMedCentral Chesson, H. W., Dunne, E. F., Hariri, S., & Markowitz, L. E. (2014). The estimated lifetime probability of acquiring human papillomavirus in the United States. Sexually Transmitted Diseases, 41(11), 660–664. PubMed PMID: 25299412. PMCID: PMC6745688. Epub 2014/10/10.CrossRefPubMedPubMedCentral
3.
go back to reference Satterwhite, C. L., Torrone, E., Meites, E., Dunne, E. F., Mahajan, R., Ocfemia, M. C., et al. (2013). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40(3), 187–193. PubMed PMID: 23403598. Epub 2013/02/14.CrossRefPubMed Satterwhite, C. L., Torrone, E., Meites, E., Dunne, E. F., Mahajan, R., Ocfemia, M. C., et al. (2013). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40(3), 187–193. PubMed PMID: 23403598. Epub 2013/02/14.CrossRefPubMed
4.
go back to reference de Martel, C., Georges, D., Bray, F., Ferlay, J., & Clifford, G. M. (2020). Global burden of cancer attributable to infections in 2018: A worldwide incidence analysis. Lancet Glob Health, 8(2), e180–e90. PubMed PMID: 31862245. Epub 2019/12/22.CrossRefPubMed de Martel, C., Georges, D., Bray, F., Ferlay, J., & Clifford, G. M. (2020). Global burden of cancer attributable to infections in 2018: A worldwide incidence analysis. Lancet Glob Health, 8(2), e180–e90. PubMed PMID: 31862245. Epub 2019/12/22.CrossRefPubMed
5.
go back to reference Honnavar, P., Mansoor, E., Tulloch, C., Udayan, U., Cosmello, I., Patel, P. (2023). Cervical Cancer and human papillomavirus awareness among women in Antigua and Barbuda. Medicina (Kaunas), 59(7). PubMed PMID: 37512042. PMCID: PMC10383998. Epub 2023/07/29. Honnavar, P., Mansoor, E., Tulloch, C., Udayan, U., Cosmello, I., Patel, P. (2023). Cervical Cancer and human papillomavirus awareness among women in Antigua and Barbuda. Medicina (Kaunas), 59(7). PubMed PMID: 37512042. PMCID: PMC10383998. Epub 2023/07/29.
6.
go back to reference Wang, X., Pan, J., Yan, B., Zhang, R., Yang, T., & Zhou, X. (2024). Inequities in human papillomavirus vaccination among children aged 9–14 years old under constrained vaccine supply in China. Int J Equity Health, 23(1), 112. PubMed PMID: 38822383. PMCID: PMC11141026. Epub 2024/06/01 20:45.CrossRefPubMedPubMedCentral Wang, X., Pan, J., Yan, B., Zhang, R., Yang, T., & Zhou, X. (2024). Inequities in human papillomavirus vaccination among children aged 9–14 years old under constrained vaccine supply in China. Int J Equity Health, 23(1), 112. PubMed PMID: 38822383. PMCID: PMC11141026. Epub 2024/06/01 20:45.CrossRefPubMedPubMedCentral
7.
go back to reference Alghalyini, B., Zaidi, A. R. Z., Meo, S. A., Faroog, Z., Rashid, M., Alyousef, S. S., et al. (2024). Awareness and knowledge of human papillomavirus, vaccine acceptability and cervical cancer among college students in Saudi Arabia. Hum Vaccin Immunother, 20(1), 2403844. PubMed PMID: 39377296. PMCID: PMC11468045. Epub 2024/10/08.CrossRefPubMedPubMedCentral Alghalyini, B., Zaidi, A. R. Z., Meo, S. A., Faroog, Z., Rashid, M., Alyousef, S. S., et al. (2024). Awareness and knowledge of human papillomavirus, vaccine acceptability and cervical cancer among college students in Saudi Arabia. Hum Vaccin Immunother, 20(1), 2403844. PubMed PMID: 39377296. PMCID: PMC11468045. Epub 2024/10/08.CrossRefPubMedPubMedCentral
8.
go back to reference Ozgul, N., Tuncer, M., Abacioglu, M., & Gultekin, M. (2011). Estimating prevalence of genital warts in Turkey: Survey among KETEM-affiliated gynecologists across Turkey. Asian Pacific Journal of Cancer Prevention, 12(9), 2397–2400. PubMed PMID: 22296390. Epub 2012/02/03.PubMed Ozgul, N., Tuncer, M., Abacioglu, M., & Gultekin, M. (2011). Estimating prevalence of genital warts in Turkey: Survey among KETEM-affiliated gynecologists across Turkey. Asian Pacific Journal of Cancer Prevention, 12(9), 2397–2400. PubMed PMID: 22296390. Epub 2012/02/03.PubMed
9.
go back to reference Wheldon, C. W., Krakow, M., Thompson, E. L., & Moser, R. P. (2019). National trends in Human Papillomavirus awareness and knowledge of human papillomavirus-related cancers. American Journal of Preventive Medicine, 56(4), e117–e23. PubMed PMID: 30772151. Epub 2019/02/18.CrossRefPubMed Wheldon, C. W., Krakow, M., Thompson, E. L., & Moser, R. P. (2019). National trends in Human Papillomavirus awareness and knowledge of human papillomavirus-related cancers. American Journal of Preventive Medicine, 56(4), e117–e23. PubMed PMID: 30772151. Epub 2019/02/18.CrossRefPubMed
10.
go back to reference Blake, K. D., Ottenbacher, A. J., Finney Rutten, L. J., Grady, M. A., Kobrin, S. C., Jacobson, R. M., et al. (2015). Predictors of human papillomavirus awareness and knowledge in 2013: Gaps and opportunities for targeted communication strategies. American Journal of Preventive Medicine, 48(4), 402–410. PubMed PMID: 25700651. PMCID: PMC4380806. Epub 2015/02/24.CrossRefPubMedPubMedCentral Blake, K. D., Ottenbacher, A. J., Finney Rutten, L. J., Grady, M. A., Kobrin, S. C., Jacobson, R. M., et al. (2015). Predictors of human papillomavirus awareness and knowledge in 2013: Gaps and opportunities for targeted communication strategies. American Journal of Preventive Medicine, 48(4), 402–410. PubMed PMID: 25700651. PMCID: PMC4380806. Epub 2015/02/24.CrossRefPubMedPubMedCentral
11.
go back to reference Stephens, E. S., Dema, E., McGee-Avila, J. K., Shiels, M. S., Kreimer, A. R., & Shing, J. Z. (2023). Human papillomavirus awareness by Educational Level and by race and ethnicity. JAMA Netw Open, 6(11), e2343325. PubMed PMID: 37962885. PMCID: PMC10646733. Epub 2023/11/14.CrossRefPubMedPubMedCentral Stephens, E. S., Dema, E., McGee-Avila, J. K., Shiels, M. S., Kreimer, A. R., & Shing, J. Z. (2023). Human papillomavirus awareness by Educational Level and by race and ethnicity. JAMA Netw Open, 6(11), e2343325. PubMed PMID: 37962885. PMCID: PMC10646733. Epub 2023/11/14.CrossRefPubMedPubMedCentral
12.
go back to reference Arechkik, A., Lahlou, L., Kharbach, A., Baba, M. A., Obtel, M., Razine, R., & Awareness (2023). Knowledge and attitude regarding cervical Cancer among women living with HIV in the Souss-Massa Region, Southern Morocco: A cross-sectional study. Asian Pacific Journal of Cancer Prevention, 24(8), 2875–2884. PubMed PMID: 37642077. PMCID: PMC10685240. Epub 2023/08/29.CrossRefPubMedPubMedCentral Arechkik, A., Lahlou, L., Kharbach, A., Baba, M. A., Obtel, M., Razine, R., & Awareness (2023). Knowledge and attitude regarding cervical Cancer among women living with HIV in the Souss-Massa Region, Southern Morocco: A cross-sectional study. Asian Pacific Journal of Cancer Prevention, 24(8), 2875–2884. PubMed PMID: 37642077. PMCID: PMC10685240. Epub 2023/08/29.CrossRefPubMedPubMedCentral
13.
go back to reference Belglaiaa, E., Souho, T., Badaoui, L., Segondy, M., Pretet, J. L., Guenat, D., et al. (2018). Awareness of cervical cancer among women attending an HIV treatment centre: A cross-sectional study from Morocco. British Medical Journal Open, 8(8), e020343. PubMed PMID: 30139893. PMCID: PMC6112383. Epub 2018/08/25. Belglaiaa, E., Souho, T., Badaoui, L., Segondy, M., Pretet, J. L., Guenat, D., et al. (2018). Awareness of cervical cancer among women attending an HIV treatment centre: A cross-sectional study from Morocco. British Medical Journal Open, 8(8), e020343. PubMed PMID: 30139893. PMCID: PMC6112383. Epub 2018/08/25.
14.
go back to reference Ozdemir, S., Akkaya, R., & Karasahin, K. E. (2020). Analysis of community-based studies related with knowledge, awareness, attitude, and behaviors towards HPV and HPV vaccine published in Turkey: A systematic review. J Turk Ger Gynecol Assoc, 21(2), 111–123. PubMed PMID: 31397145. PMCID: PMC7294837. Epubs 2019/08/10.CrossRefPubMedPubMedCentral Ozdemir, S., Akkaya, R., & Karasahin, K. E. (2020). Analysis of community-based studies related with knowledge, awareness, attitude, and behaviors towards HPV and HPV vaccine published in Turkey: A systematic review. J Turk Ger Gynecol Assoc, 21(2), 111–123. PubMed PMID: 31397145. PMCID: PMC7294837. Epubs 2019/08/10.CrossRefPubMedPubMedCentral
Metadata
Title
Evaluation of HPV and Related Cancer Awareness and Vaccination Attitudes Among Patients with Anogenital Warts: a Survey-Based Study
Authors
Berna Solak
Mustafa Arslan
Publication date
02-02-2025
Publisher
Springer US
Published in
Journal of Community Health
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-025-01444-y

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