Research Article
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Health Belief Levels about HPV Infection and Vaccination for Protection from Cervical Cancer of Women between 18-65 Years

Year 2024, Volume: 17 Issue: 2, 256 - 269, 30.04.2024
https://doi.org/10.46483/jnef.1468570

Abstract

Backround: To reduce the incidence and mortality rates of cervical cancer, HPV vaccination provides safe, effective, and permanent protection against HPV infection.

Objectives: This study aimed to determine the health belief levels of women aged 18-65 regarding HPV infection and vaccination for protection from cervical cancer.

Methods: The research was conducted as a cross-sectional and descriptive study with an online questionnaire design between November 2020 and June 2021. The sample of the study consisted of 272 women who met the inclusion criteria. “Descriptive Information Form” and “Health Belief Model Scale Regarding HPV Infection and Vaccination” were used to obtain research data.

Results: It was determined that the participants had higher than average health belief levels regarding HPV infection and vaccination. The participant’s perception of disability was 7.89±2.07 below the average, while the perception of violence was 11.84±2.71, the perception of benefit was 8.40±2.40, and the perception of sensitivity was 5.32±1.45, above the average. There was a significant difference between women’s health belief levels and age group, marital status, number of children, place of residence and working status (p<.05).

Conclusions: As a result of the study, it was determined that women had a higher than average level of health belief regarding HPV infection and vaccination in prevention of cervical cancer. It was concluded that the women believed that HPV infection and its consequences were a serious problem, that HPV vaccination would be beneficial in the prevention of HPV infection and protection from cervical cancer, and they were sensitive in this regard.

References

  • Açoğlu, E.A., Oğuz, M.M., Şenel, S. (2019). Parents’ knowledge and attitudes about HPV vaccination. Türkiye Çocuk Hast Derg, 13(2), 78–82.
  • Babaoğlu, AB., Büyüközmen, E., Can, F.E. (2021). İzmir ’ de toplumda kanser tarama testleri farkındalığı ve bireylerin kanser tarama testlerine katılımını etkileyen faktörler. Med J West Black Sea, 5(2),173–81.
  • Bulut, İ., Oğuzöncül, AF., Kara, KT. (2021). Kanser erken teşhis, tarama ve eğitim merkezi’ne ait meme ve serviks kanserlerini tarama programı sonuçları. ESTÜDAM Halk Sağlığı Dergisi, 6(2),182–90.
  • Brisson, M., Kim, J.J., Canfell, K., Drolet, M., Gingras, G., Burger, E.A., et al. (2020). Impact of HPV vaccination and cervical screening on cervical cancer elimination: a comparative modelling analysis in 78 low-income and lower-middle-income countries. Lancet, 395(10224), 575–90.
  • Dağ, H., Dönmez, S., Sezer, H., Şendağ, F., Sevil, Ü., & Saruhan, A. (2015). The effects of two different teaching techniques on the knowledge level of nursing students about HPV. Gaziantep Medical Journal, 21(2), 90-8.
  • Dodd, R.H., Mccaffery, K.J., Marlow, L.A.V., Ostini, R., Zimet, G.D., Waller, J. (2014). Knowledge of human papillomavirus (HPV) testing in the USA , the UK and Australia: an international survey. Sex Transm Infect, 90(3), 201–7.
  • Eysenbach, G. (2004). Improving the quality of web surveys: the checklist for reporting results of ınternet e-surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34.
  • Fernandes, R., Potter, B.K., Little, J. (2018). Attitudes of undergraduate university women towards HPV vaccination : a cross-sectional study in Ottawa , Canada. BMC Womens Heal, 18(1), 134.
  • Globocan Observatory W. The Global Cancer Observatory - All cancers. (2020). Int Agent Res Cancer - WHO, 419:199–200. Available from: https://gco.iarc.fr/today/home
  • Güvenç, G., Seven, M., Akyüz, A. Health belief model scale for human papilloma virus and its vaccination: adaptation and psychometric testing. J Pediatr Adolesc Gynecol. 2016;29(3):252–8. Available from: http://dx.doi.org/10.1016/j.jpag.2015.09.007
  • Hussain, A.N., Alkhenizan, A., Mcwalter, P., Qazi, N., Alshmassi, A., Farooqi, S., et al. Attitudes and perceptions towards HPV vaccination among young women in Saudi Arabia. (2016). J Fam Community Med, 23, 145–50.
  • Kim, H.W. (2012). Knowledge about human papillomavirus (HPV) and health beliefs and intention to recommend HPV vaccination for girls and boys among Korean health teachers. Vaccine, 30, 5327.
  • Nakao, Y., Sasaki, A., Obara, T., Abe, S., Furusaki, K., Yoshimachi, S., et al. (2020). Knowledge of cervical cancer and human papillomavirus among Japanese women. Asian Pac J Cancer Prev, 21(12), 3527–32.
  • Obulaney, P. A., Gilliland, I., & Cassells, H. (2016). Increasing cervical cancer and human papillomavirus prevention knowledge and HPV vaccine uptake through mother/daughter education. Journal of Community Health Nursing, 33(1), 54–67.
  • Özdemir, S., Akkaya, R., Karaşahin, 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, 111–23.
  • Öztürk, Y., Gürsoy, E. (2020). Kadınların pap smear tarama testini yaptırmalarının önündeki engeller. STED / Sürekli Tıp Eğitimi Derg, 29(1), 61–8.
  • Petrosky, E., Bocchini, J. A., Jr, Hariri, S., Chesson, H., Curtis, C. R., et al. (2015). Use of 9-valent human papillomavirus (HPV) vaccine: updated HPV vaccination recommendations of the advisory committee on immunization practices. Morbidity and Mortality Weekly Report, 64(11), 300–4.
  • Rezqalla, J., Alshatti, M., Ibraheem, A., Omar, D., Al-failakawi, H., Alhaqqan, S., et al. (2021). Human Papillomavirus ( HPV): unawareness of the causal role of HPV infection in cervical cancer, HPV vaccine availability, and HPV vaccine uptake among female schoolteachers in a Middle Eastern country. J Infect Public Health, 14(5), 661–7. https://doi.org/10.1016/j.jiph.2021.01.015
  • Satılmışoğlu, Z. Z. , Özer Aslan, İ. , Can, N. , Gülcivan, G. , Yıldız, T. & Şentürk, M. (2018). Kız çocuk ebeveyni hemşire annelerin hpv aşısı hakkında bilgi düzeyi: Namık Kemal Üniversitesi Sağlık Uygulama ve Araştırma Merkezi anket çalışması . Namık Kemal Tıp Dergisi, 6(3), 104-108 .
  • Shelton, R.C, Snavely, A.C, de Jesus, M., Othus, M.D., Allen, J.D. (2013). HPV vaccine decision-making and acceptance: does religion play a role? J Relig Health, 52(4):1120–30.
  • Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 71(3), 209–49.
  • Sundström, K., Miriam, E.K. (2020). Advances in cervical cancer prevention: Efficacy, effectiveness, elimination? PLoS Med, 17(1), e1003035.1-5.
  • World Health Organization(WHO). Globocan 2018 International Agency for Research on Cancer (IARC). (2018). Available from: http://gco.iarc.fr/today
  • World Health Organization(WHO). (2021). WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, second edition. Second. Geneva; 2021.
  • Yıldırım, Öztürk, E.N., Uyar, M., Şahin, T.K. (2020). Development of an attitude scale for cancer screening. Turkish J Oncol, 35(4):394–404.
  • Yiğitalp, G. (2019). Ebe ve hemşirelerin serviks kanseri, human papilloma virüs enfeksiyonu ve aşısı ile ilgili bilgi, tutum ve davranışları-Diyarbakır örneği. Türkiye Klinikleri Journal of Nursing Sciences, 11(4), 357-66.

18-65 Yaş Arasındaki Kadınların Serviks Kanserinden Korunmaya Yönelik HPV Enfeksiyonu ve Aşılanmasına İlişkin Sağlık İnanç Düzeyleri

Year 2024, Volume: 17 Issue: 2, 256 - 269, 30.04.2024
https://doi.org/10.46483/jnef.1468570

Abstract

Giriş: Serviks kanseri insidans ve mortalite oranlarını azaltmak için HPV aşılaması, HPV enfeksiyonuna karşı güvenli, etkili ve kalıcı koruma sağlamaktadır.

Amaç: Bu çalışma ile 18-65 yaş arası kadınların serviks kanserinden korunmaya yönelik HPV enfeksiyonu ve aşılanmasına ilişkin sağlık inanç düzeylerinin belirlenmesi amaçlandı.

Yöntem: Araştırma, Kasım 2020- Haziran 2021 tarihleri arasında kesitsel ve tanımlayıcı bir çalışma olarak yürütüldü. Araştırmanın örneklemini dahil edilme ölçütlerine uygun 272 kadın oluşturdu. Araştırma verilerinin elde edilmesinde, “Tanıtıcı Bilgiler Formu” ve “HPV Enfeksiyonu ve Aşılanmasına İlişkin Sağlık İnanç Modeli Ölçeği” kullanıldı.

Bulgular: Katılımcıların HPV enfeksiyonu ve aşılamasına ilişkin ortalamanın üzerinde sağlık inanç düzeyine sahip oldukları tespit edildi. Katılımcılar, ölçek alt boyutlarından engel algısı 7.89±2.07 ortalamanın altında, ciddiyet algısı 11.84±2.71, yarar algısı 8.40±2.40 ve duyarlılık algısı 5.32±1.45 ise ortalamanın üzerindeydi. Kadınların sağlık inanç düzeyleri ile yaş grubu, medeni durum, çocuk sayısı, yaşanılan yer ve çalışma durumu arasında anlamlı fark bulundu (p<.05).

Sonuç: Çalışma sonucunda, kadınların serviks kanserinden korunmada HPV enfeksiyonu ve aşılamasına ilişkin ortalamanın üzerinde sağlık inancı düzeyine sahip oldukları belirlendi. Kadınların HPV enfeksiyonu ve sonuçlarının ciddi bir sorun olduğu inancına sahip oldukları, HPV enfeksiyonunun önlenmesi ile serviks kanserinden korunmada HPV aşılamasının yararlı olacağı ve bu konuda duyarlı oldukları sonucuna varıldı.

References

  • Açoğlu, E.A., Oğuz, M.M., Şenel, S. (2019). Parents’ knowledge and attitudes about HPV vaccination. Türkiye Çocuk Hast Derg, 13(2), 78–82.
  • Babaoğlu, AB., Büyüközmen, E., Can, F.E. (2021). İzmir ’ de toplumda kanser tarama testleri farkındalığı ve bireylerin kanser tarama testlerine katılımını etkileyen faktörler. Med J West Black Sea, 5(2),173–81.
  • Bulut, İ., Oğuzöncül, AF., Kara, KT. (2021). Kanser erken teşhis, tarama ve eğitim merkezi’ne ait meme ve serviks kanserlerini tarama programı sonuçları. ESTÜDAM Halk Sağlığı Dergisi, 6(2),182–90.
  • Brisson, M., Kim, J.J., Canfell, K., Drolet, M., Gingras, G., Burger, E.A., et al. (2020). Impact of HPV vaccination and cervical screening on cervical cancer elimination: a comparative modelling analysis in 78 low-income and lower-middle-income countries. Lancet, 395(10224), 575–90.
  • Dağ, H., Dönmez, S., Sezer, H., Şendağ, F., Sevil, Ü., & Saruhan, A. (2015). The effects of two different teaching techniques on the knowledge level of nursing students about HPV. Gaziantep Medical Journal, 21(2), 90-8.
  • Dodd, R.H., Mccaffery, K.J., Marlow, L.A.V., Ostini, R., Zimet, G.D., Waller, J. (2014). Knowledge of human papillomavirus (HPV) testing in the USA , the UK and Australia: an international survey. Sex Transm Infect, 90(3), 201–7.
  • Eysenbach, G. (2004). Improving the quality of web surveys: the checklist for reporting results of ınternet e-surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34.
  • Fernandes, R., Potter, B.K., Little, J. (2018). Attitudes of undergraduate university women towards HPV vaccination : a cross-sectional study in Ottawa , Canada. BMC Womens Heal, 18(1), 134.
  • Globocan Observatory W. The Global Cancer Observatory - All cancers. (2020). Int Agent Res Cancer - WHO, 419:199–200. Available from: https://gco.iarc.fr/today/home
  • Güvenç, G., Seven, M., Akyüz, A. Health belief model scale for human papilloma virus and its vaccination: adaptation and psychometric testing. J Pediatr Adolesc Gynecol. 2016;29(3):252–8. Available from: http://dx.doi.org/10.1016/j.jpag.2015.09.007
  • Hussain, A.N., Alkhenizan, A., Mcwalter, P., Qazi, N., Alshmassi, A., Farooqi, S., et al. Attitudes and perceptions towards HPV vaccination among young women in Saudi Arabia. (2016). J Fam Community Med, 23, 145–50.
  • Kim, H.W. (2012). Knowledge about human papillomavirus (HPV) and health beliefs and intention to recommend HPV vaccination for girls and boys among Korean health teachers. Vaccine, 30, 5327.
  • Nakao, Y., Sasaki, A., Obara, T., Abe, S., Furusaki, K., Yoshimachi, S., et al. (2020). Knowledge of cervical cancer and human papillomavirus among Japanese women. Asian Pac J Cancer Prev, 21(12), 3527–32.
  • Obulaney, P. A., Gilliland, I., & Cassells, H. (2016). Increasing cervical cancer and human papillomavirus prevention knowledge and HPV vaccine uptake through mother/daughter education. Journal of Community Health Nursing, 33(1), 54–67.
  • Özdemir, S., Akkaya, R., Karaşahin, 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, 111–23.
  • Öztürk, Y., Gürsoy, E. (2020). Kadınların pap smear tarama testini yaptırmalarının önündeki engeller. STED / Sürekli Tıp Eğitimi Derg, 29(1), 61–8.
  • Petrosky, E., Bocchini, J. A., Jr, Hariri, S., Chesson, H., Curtis, C. R., et al. (2015). Use of 9-valent human papillomavirus (HPV) vaccine: updated HPV vaccination recommendations of the advisory committee on immunization practices. Morbidity and Mortality Weekly Report, 64(11), 300–4.
  • Rezqalla, J., Alshatti, M., Ibraheem, A., Omar, D., Al-failakawi, H., Alhaqqan, S., et al. (2021). Human Papillomavirus ( HPV): unawareness of the causal role of HPV infection in cervical cancer, HPV vaccine availability, and HPV vaccine uptake among female schoolteachers in a Middle Eastern country. J Infect Public Health, 14(5), 661–7. https://doi.org/10.1016/j.jiph.2021.01.015
  • Satılmışoğlu, Z. Z. , Özer Aslan, İ. , Can, N. , Gülcivan, G. , Yıldız, T. & Şentürk, M. (2018). Kız çocuk ebeveyni hemşire annelerin hpv aşısı hakkında bilgi düzeyi: Namık Kemal Üniversitesi Sağlık Uygulama ve Araştırma Merkezi anket çalışması . Namık Kemal Tıp Dergisi, 6(3), 104-108 .
  • Shelton, R.C, Snavely, A.C, de Jesus, M., Othus, M.D., Allen, J.D. (2013). HPV vaccine decision-making and acceptance: does religion play a role? J Relig Health, 52(4):1120–30.
  • Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 71(3), 209–49.
  • Sundström, K., Miriam, E.K. (2020). Advances in cervical cancer prevention: Efficacy, effectiveness, elimination? PLoS Med, 17(1), e1003035.1-5.
  • World Health Organization(WHO). Globocan 2018 International Agency for Research on Cancer (IARC). (2018). Available from: http://gco.iarc.fr/today
  • World Health Organization(WHO). (2021). WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, second edition. Second. Geneva; 2021.
  • Yıldırım, Öztürk, E.N., Uyar, M., Şahin, T.K. (2020). Development of an attitude scale for cancer screening. Turkish J Oncol, 35(4):394–404.
  • Yiğitalp, G. (2019). Ebe ve hemşirelerin serviks kanseri, human papilloma virüs enfeksiyonu ve aşısı ile ilgili bilgi, tutum ve davranışları-Diyarbakır örneği. Türkiye Klinikleri Journal of Nursing Sciences, 11(4), 357-66.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Derya Çınar 0000-0002-4926-335X

Serpil Abalı Çetin 0000-0003-0922-7060

Early Pub Date April 15, 2024
Publication Date April 30, 2024
Published in Issue Year 2024 Volume: 17 Issue: 2

Cite

APA Çınar, D., & Abalı Çetin, S. (2024). 18-65 Yaş Arasındaki Kadınların Serviks Kanserinden Korunmaya Yönelik HPV Enfeksiyonu ve Aşılanmasına İlişkin Sağlık İnanç Düzeyleri. Etkili Hemşirelik Dergisi, 17(2), 256-269. https://doi.org/10.46483/jnef.1468570

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