A Study to Assess the Impact of Education on the Knowledge and Attitude Toward Cervical Cancer and HPV (Human Papillomavirus) Vaccination Among Female Healthcare Students
Authors
Ishan Verma
General Medicine, All India Institute of Medical Sciences, Nagpur, Nagpur, IND
Rashmi Bajpai
Obstetrics and Gynaecology, LN Medical College and Research Center, Bhopal, IND
Vibha Arjaria
Epidemiology and Public Health, LN Medical College and Research Center, Bhopal, IND
Lekhraj Garg
General Medicine, LN Medical College and Research Center, BHOPAL, IND
Ayushi Mungad
General Medicine, LN Medical College and Research Center, Bhopal, IND
Devendra Singh
General Medicine, LN Medical College and Research Center, Bhopal, IND
Jai Gavli
General Medicine, LN Medical College and Research Center, Bhopal, IND
Apurva Khare
General Medicine/Rheumatology, LN Medical College and Research Center, Bhopal, IND
Keywords:
attitude, knowledge, female, students, professionals, health care, cancer, hpv vaccine, cervical cancer
Abstract
Cervical cancer ranks among the top five cancers in India, with human papillomavirus (HPV) types 16 and 18 causing up to 70% of related lesions. HPV infection, acquired through various routes, poses risks for both men and women, especially in the age group of 16 to 25 years. Effective prevention is possible through HPV vaccination, with Cervarix and Gardasil approved for use in India. Despite its proven efficacy, HPV vaccine use remains minimal. This study aims to evaluate awareness, willingness, and barriers among female healthcare students while assessing the impact of a health education program on their knowledge and attitude.
Methods
The present study is an educational interventional study conducted on 489 female students in the healthcare sector in the age group of 19-25 years. Two questionnaires (pre-lecture and post-lecture) were used. After the pre-lecture questionnaire, a session on cervical cancer and vaccine education was delivered by the subject expert. Afterward, the post-lecture questionnaire was given and the impact of session was analyzed using various statistical tools.
Result
A total of 489 students across MBBS (Bachelor of Medicine, Bachelor of Surgery), BAMS (Bachelor of Ayurvedic Medicine and Surgery), BHMS (Bachelor of Homoeopathic Medicine and Surgery), paramedical, and nursing courses participated in the study. Prior to the lecture, knowledge regarding cervical cancer and vaccines was generally low across subgroups, witnessing improvements ranging from 60% to 100% in various questionnaire sections post-education. Understanding of the importance of a Pap smear (Papanicolaou test) increased significantly from 21% to 79% after the educational session. The most preferred measure to boost coverage was the inclusion of the HPV vaccine in the National Immunization Schedule, with lack of awareness identified as the most significant barrier.
Conclusion
An educational session not only enhances knowledge but also boosts willingness for cervical cancer vaccination. Inclusion of the vaccine in the National Immunization Schedule not only increases acceptability but also indirectly raises awareness.
Keywords: attitude, knowledge, female, students, professionals, health care, cancer, hpv vaccine, cervical cancer
Author Biographies
Ishan Verma, General Medicine, All India Institute of Medical Sciences, Nagpur, Nagpur, IND
General Medicine, LN Medical College and Research Center, Bhopal, IND
Ayushi Mungad, General Medicine, LN Medical College and Research Center, Bhopal, IND
Cardiology, Saveetha Medical College and Hospital, Chennai, IND
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