Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia

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internalnotes Al-Dubai SA, Alshagga MA, Al-Naggar RA, et al (2010). Knowledge, attitudes and barriers for human papilloma virus (HPV) vaccines among Malaysian women. Asian Pac J Cancer Prev, 11, 887-92. Baseman JG, Koutsky LA. (2005). The epidemiology of human papillomavirus infections. J Clin Virol, 32, 16–24. Chan CYZ, Lam CH, Lam DY, et al (2011). A Qualitative Study on HPV Vaccination from a Nursing Perspective in Hong Kong. Asian Pac J Cancer Prev, 12, 2539-45. Duval B, Gilca V, Boulianne N, et al (2009). Cervical cancer prevention by vaccination: Nurses’ knowledge, attitudes and intentions. J Adv Nurs, 65, 499-508. Gerend MA and Shepherd JE. (2011). Correlates of HPV knowledge in the era of HPV vaccination: A Study of unvaccinated young adult women. Women Health, 51, 25–40. Guidelines on standards and criteria for approval nursing programmes. (2010) Nursing board of Malaysia. Henninger J. (2009). Human papillomavirus and papillomavirus vaccines: knowledge, attitudes and intentions of general practitioners and practice nurses in Christchurch. J Prim Health Care, 1, 278-5. Hilton S, Hunt K, Bedford H, et al. (2011). School nurses’ experiences of delivering the UK HPV vaccination programme in its first year. BMC Infectious Diseases, 11, 226. Hyunjin Oh. (2011). Knowledge about HPV, and the Attitudes toward HPV vaccination among adult women in asian countries: a literature review. J Korean Oncol Nurs, 11, 171-178. ICO HPV Information Centre (2016). Human papillomavirus and related disease. summary report, Malaysia. 2016. Kelantan Cancer Registry Statistic Report 2007-2011 no 3/2014. (2014) Kelantan State Health Office. ISSN 2289-795X Markowitz LE, Dunne EF, Saraiya M, et al (2007). Advisory committee on immunization practices (ACIP). quadrivalent human papillomavirus vaccine: recommendations of the advisory committee on immunization practices (ACIP). MMWR Recomm Rep, 56, 1-24. Marshall H, Ryan P, Roberton D, et al (2007). A cross-sectional survey to assess community attitudes to the introduction of human papillomavirus vaccine. Aust. N. Z. J. Public Health, 31, 235–242. Mojahed S, Zarchi MK, Bokaie M, et al (2013). Attitude and knowledge of Iranian female nurses about Human Papilomavirus infection and cervical cancer: a cross sectional survey. J Prev Med Hyg, 54, 187-190. Nganwai P, Truadpon P, Inpa C, et al (2007). Knowledge, Attitudes and Practices vis-a-vis Cervical Cancer among Registered Nurses at the Faculty of Medicine, Khon Kaen University, Thailand. Asian Pac J Cancer Prev, 9, 15–18. Ogilvie G, Anderson M, Marra F, et al (2010). A Populationbased evaluation of a publicly funded, school-based hpv vaccine program in british columbia, canada: parental factors associated with HPV vaccine receipt. PLoS Med, 7, 1000270. Ortash A, Shallal M, Osman N, et al (2012). Knowledge, Attitude and Practice of School Nurses in the United Arab Emirates about HPV Infection and Vaccine. Asian Pac J Cancer Prev, 13, 6481-4. Quek SC, Lim BK, Domingo E, et al (2013). Human papillomavirus type distribution in invasive cervical cancer and high-grade cervical intraepithelial neoplasia across 5 countries in Asia. Int J Gynecol Cancer, 23, 148-56. Ruiz-Sternberg AM and Pinzon-Rondon AM (2014). Risk perception and sexual behaviour in HPV vaccinated and Unvaccinated young Columbian women. Int J of Gynecol K Jeyachelvi et al 3988 Asian Pacific Journal of Cancer Prevention, Vol 17, 2016 Obstet, 126, 205-8. Songthap A, Pitisuttithum P, Kaewkungwal J, et al (2009). Knowledge, attitudes, and acceptability of a human papillomavirus vaccine among healthcare providers. SE Asian J Trop Med, 40,1048-56. Strohl AE, Mendoza G, Ghant MS, et al (2015). Barriers to prevention: knowledge of HPV, cervical cancer, and HPV vaccinations among African American women. Am J Obstet Gynecol, 212, 1-5. Tiro AJ, Helen I, Kobrin S, et al (2007). What do women in the U.S. Know about Human Papillomavirus and Cervical Cancer? Cancer Epidemiol Biomarkers Prev, 16, 288-94. Uzunlar O, Ozyer Ş, Başer E, et al (2013). A survey on human papillomavirus awareness and acceptance of vaccination among nursing students in a tertiary hospital in Ankara, Turkey. Vaccine, 31, 2191-5. Yanikkerem E and Koker G (2014). Knowledge, attitudes, practices and barriers towards HPV vaccination among Nurses in Turkey: a longitudinal study. Asian Pac J Cancer Prev, 15, 7693-702. Zaridah S (2014). A review of cervical cancer research in malaysia. Med J Malaysia, 69, 33-41.
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spelling 13255 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=13255 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal image/jpeg inches 96 96 norman 771 63 63 1431 1431x771 2016-10-09 08:04:59 7565-01-FH02-FP-16-06684.jpg UniSZA Private Access Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia Asian Pacific Journal of Cancer Prevention Background: Cervical cancer though preventable is still the leading cause of cancer death among women secondary to breast cancer. Persistent infection with HPV has been causally linked to the disease. A school based HPV vaccination program was introduced in late 2010 in Malaysia and nurse support is essential for its success. Objectives: To determine nurses knowledge and attitudes about HPV infection and its vaccines, and factors associated with their knowledge. Materials and Methods: This cross-sectional study was conducted among nurses working at primary health clinics in Kelantan from mid-June till the end of July 2014. Its involved 330 nurses selected through multistage random sampling. A validated self-administered questionnaire consisting of 11 items for the knowledge domain and eight items for the attitude domain was used. Results: The response rate of the study was 93.7%. The mean knowledge and mean attitude (SD) scores were 5.37 (1.76) and 29.8 (3.51) respectively. Only 24% knew that HPV is the most common sexually transmitted infection and 67% correctly answered that Gardasil vaccine can protect against four types of HPV. Nearly 60% of participants wrongly answered that HPV vaccines cannot be offered to sexually active women. Likewise, 70.9% participants were not aware that HPV vaccine may be appropriate for females aged 9 through 26 years. Though 90% of participants believed that the vaccine is safe, nearly half of them were unsure about efficacy. From multiple linear regression analysis, among the factors tested only participant’s level of education showed a statistically significant association with the HPV knowledge score (p <0.001). Conclusions: This study indicates nurses have favorable attitudes towards HPV vaccination; however they have significant knowledge deficit and major misunderstanding in critical knowledge items. Among the factors tested, nursing qualification is the only factor that is significantly associated with the nurses knowledge score. 17 8 3981-3986 Al-Dubai SA, Alshagga MA, Al-Naggar RA, et al (2010). Knowledge, attitudes and barriers for human papilloma virus (HPV) vaccines among Malaysian women. Asian Pac J Cancer Prev, 11, 887-92. Baseman JG, Koutsky LA. (2005). The epidemiology of human papillomavirus infections. J Clin Virol, 32, 16–24. Chan CYZ, Lam CH, Lam DY, et al (2011). A Qualitative Study on HPV Vaccination from a Nursing Perspective in Hong Kong. Asian Pac J Cancer Prev, 12, 2539-45. Duval B, Gilca V, Boulianne N, et al (2009). Cervical cancer prevention by vaccination: Nurses’ knowledge, attitudes and intentions. J Adv Nurs, 65, 499-508. Gerend MA and Shepherd JE. (2011). Correlates of HPV knowledge in the era of HPV vaccination: A Study of unvaccinated young adult women. Women Health, 51, 25–40. Guidelines on standards and criteria for approval nursing programmes. (2010) Nursing board of Malaysia. Henninger J. (2009). Human papillomavirus and papillomavirus vaccines: knowledge, attitudes and intentions of general practitioners and practice nurses in Christchurch. J Prim Health Care, 1, 278-5. Hilton S, Hunt K, Bedford H, et al. (2011). School nurses’ experiences of delivering the UK HPV vaccination programme in its first year. BMC Infectious Diseases, 11, 226. Hyunjin Oh. (2011). Knowledge about HPV, and the Attitudes toward HPV vaccination among adult women in asian countries: a literature review. J Korean Oncol Nurs, 11, 171-178. ICO HPV Information Centre (2016). Human papillomavirus and related disease. summary report, Malaysia. 2016. Kelantan Cancer Registry Statistic Report 2007-2011 no 3/2014. (2014) Kelantan State Health Office. ISSN 2289-795X Markowitz LE, Dunne EF, Saraiya M, et al (2007). Advisory committee on immunization practices (ACIP). quadrivalent human papillomavirus vaccine: recommendations of the advisory committee on immunization practices (ACIP). MMWR Recomm Rep, 56, 1-24. Marshall H, Ryan P, Roberton D, et al (2007). A cross-sectional survey to assess community attitudes to the introduction of human papillomavirus vaccine. Aust. N. Z. J. Public Health, 31, 235–242. Mojahed S, Zarchi MK, Bokaie M, et al (2013). Attitude and knowledge of Iranian female nurses about Human Papilomavirus infection and cervical cancer: a cross sectional survey. J Prev Med Hyg, 54, 187-190. Nganwai P, Truadpon P, Inpa C, et al (2007). Knowledge, Attitudes and Practices vis-a-vis Cervical Cancer among Registered Nurses at the Faculty of Medicine, Khon Kaen University, Thailand. Asian Pac J Cancer Prev, 9, 15–18. Ogilvie G, Anderson M, Marra F, et al (2010). A Populationbased evaluation of a publicly funded, school-based hpv vaccine program in british columbia, canada: parental factors associated with HPV vaccine receipt. PLoS Med, 7, 1000270. Ortash A, Shallal M, Osman N, et al (2012). Knowledge, Attitude and Practice of School Nurses in the United Arab Emirates about HPV Infection and Vaccine. Asian Pac J Cancer Prev, 13, 6481-4. Quek SC, Lim BK, Domingo E, et al (2013). Human papillomavirus type distribution in invasive cervical cancer and high-grade cervical intraepithelial neoplasia across 5 countries in Asia. Int J Gynecol Cancer, 23, 148-56. Ruiz-Sternberg AM and Pinzon-Rondon AM (2014). Risk perception and sexual behaviour in HPV vaccinated and Unvaccinated young Columbian women. Int J of Gynecol K Jeyachelvi et al 3988 Asian Pacific Journal of Cancer Prevention, Vol 17, 2016 Obstet, 126, 205-8. Songthap A, Pitisuttithum P, Kaewkungwal J, et al (2009). Knowledge, attitudes, and acceptability of a human papillomavirus vaccine among healthcare providers. SE Asian J Trop Med, 40,1048-56. Strohl AE, Mendoza G, Ghant MS, et al (2015). Barriers to prevention: knowledge of HPV, cervical cancer, and HPV vaccinations among African American women. Am J Obstet Gynecol, 212, 1-5. Tiro AJ, Helen I, Kobrin S, et al (2007). What do women in the U.S. Know about Human Papillomavirus and Cervical Cancer? Cancer Epidemiol Biomarkers Prev, 16, 288-94. Uzunlar O, Ozyer Ş, Başer E, et al (2013). A survey on human papillomavirus awareness and acceptance of vaccination among nursing students in a tertiary hospital in Ankara, Turkey. Vaccine, 31, 2191-5. Yanikkerem E and Koker G (2014). Knowledge, attitudes, practices and barriers towards HPV vaccination among Nurses in Turkey: a longitudinal study. Asian Pac J Cancer Prev, 15, 7693-702. Zaridah S (2014). A review of cervical cancer research in malaysia. Med J Malaysia, 69, 33-41.
spellingShingle Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia
summary Background: Cervical cancer though preventable is still the leading cause of cancer death among women secondary to breast cancer. Persistent infection with HPV has been causally linked to the disease. A school based HPV vaccination program was introduced in late 2010 in Malaysia and nurse support is essential for its success. Objectives: To determine nurses knowledge and attitudes about HPV infection and its vaccines, and factors associated with their knowledge. Materials and Methods: This cross-sectional study was conducted among nurses working at primary health clinics in Kelantan from mid-June till the end of July 2014. Its involved 330 nurses selected through multistage random sampling. A validated self-administered questionnaire consisting of 11 items for the knowledge domain and eight items for the attitude domain was used. Results: The response rate of the study was 93.7%. The mean knowledge and mean attitude (SD) scores were 5.37 (1.76) and 29.8 (3.51) respectively. Only 24% knew that HPV is the most common sexually transmitted infection and 67% correctly answered that Gardasil vaccine can protect against four types of HPV. Nearly 60% of participants wrongly answered that HPV vaccines cannot be offered to sexually active women. Likewise, 70.9% participants were not aware that HPV vaccine may be appropriate for females aged 9 through 26 years. Though 90% of participants believed that the vaccine is safe, nearly half of them were unsure about efficacy. From multiple linear regression analysis, among the factors tested only participant’s level of education showed a statistically significant association with the HPV knowledge score (p <0.001). Conclusions: This study indicates nurses have favorable attitudes towards HPV vaccination; however they have significant knowledge deficit and major misunderstanding in critical knowledge items. Among the factors tested, nursing qualification is the only factor that is significantly associated with the nurses knowledge score.
title Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia
title_full Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia
title_fullStr Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia
title_full_unstemmed Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia
title_short Human papillomavirus infection and its vaccines: Knowledge and attitudes of primary health clinic nurses in Kelantan, Malaysia
title_sort human papillomavirus infection and its vaccines: knowledge and attitudes of primary health clinic nurses in kelantan, malaysia