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Knowledge of human papillomavirus among high school students can be increased by an educational intervention
Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.ORCID iD: 0000-0002-5837-8263
Uppsala universitet, Vårdvetenskap.
Uppsala universitet, Centrum för forsknings- och bioetik.
Uppsala universitet, Institutionen för kvinnors och barns hälsa. (Internationell kvinno- & mödrahälsovård/Essén)
2010 (English)In: International Journal of STD and AIDS (London), ISSN 0956-4624, Vol. 21, no 8, 558-562 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate the effect of an educational intervention concerning human papillomavirus (HPV) directed at Swedish first year high school students. The intervention consisted of a class room lesson, a website and a folder. Outcome variables were knowledge of HPV and attitudes to preventive methods such as HPV vaccination, condom use and Pap smear testing. An intervention group (n = 92) was matched with two comparison groups (n = 184). At baseline, the median score for HPV knowledge was one out of 10 in both groups. At follow-up, the median knowledge score had increased to six in the intervention group, but was still one in the comparison group (P < 0.001). Attitudes to HPV vaccination, condom use and Pap smear testing remained the same (P > 0.05). In conclusion, a short school-based intervention can greatly increase the students' knowledge about HPV, but attitudes and behaviours are less easy to influence.

Place, publisher, year, edition, pages
2010. Vol. 21, no 8, 558-562 p.
Keyword [en]
hpv, knowledge, adolescent, intervention, HPV vaccine, prevention, condom
National Category
Dermatology and Venereal Diseases
Research subject
Caring Sciences
Identifiers
URN: urn:nbn:se:rkh:diva-1065DOI: 10.1258/ijsa.2010.010063PubMedID: 20975088OAI: oai:DiVA.org:rkh-1065DiVA: diva2:750155
Projects
HPV projekt
Available from: 2010-10-28 Created: 2014-09-26 Last updated: 2015-08-10Bibliographically approved
In thesis
1. Introduction of School-Based HPV Vaccination in Sweden: Knowledge and Attitudes among Youth, Parents, and Staff
Open this publication in new window or tab >>Introduction of School-Based HPV Vaccination in Sweden: Knowledge and Attitudes among Youth, Parents, and Staff
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis is to provide a better understanding of knowledge, attitudes, consent, and decision-making regarding Human papillomavirus (HPV) vaccination, seen from the perspectives of concerned parties – high school students, school nurses, and parents.

Two quantitative studies were performed: one descriptive cross-sectional study and one quasi-experimental intervention study. Qualitative studies using focus group interviews and individual interviews were also performed.

High school students’ knowledge about HPV and HPV prevention was low but their attitudes toward HPV vaccination were positive. An educational intervention significantly increased the students’ knowledge regarding HPV and HPV prevention. Their already positive attitudes toward condom use and HPV vaccination remained unchanged. The students wanted to receive more information about HPV from school nurses. The school nurses were also positive to HPV vaccination but identified many challenges concerning e.g. priorities, obtaining informed consent, culture, and gender. They saw an ethical dilemma in conflicting values such as the child’s right to self-determination, the parents’ right to make autonomous choices on behalf of their children, and the nurse’s obligation to promote health. They were also unsure of how, what, and to whom information about HPV should be given. Parents, who had consented to vaccination of their young daughters, reasoned as follows: A vaccine recommended by the authorities is likely to be safe and effective, and the parents were willing to do what they could to decrease the risk of a serious disease for their daughter. Fear of unknown adverse events was overweighed by the benefits of vaccination. Parents also saw the school nurse as an important source of HPV information.

Conclusions: Positive attitudes toward HPV vaccination despite limited knowledge about HPV, are overarching themes in this thesis. School nurses have a crucial role to inform about HPV prevention. It is important that the concerned parties are adequately informed about HPV and its preventive methods, so that they can make an informed decision about vaccination. A short school-based intervention can increase knowledge about HPV among students. From a public health perspective, high vaccination coverage is important as it can lead to a reduced number of HPV-related disease cases. 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2014. 62 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 962
Keyword
Human papillomavirus, HPV, cervical cancer, vaccination, condom use, adolescents, school-nurses, parents, knowledge, attitudes, intervention
National Category
Medical Ethics Nursing
Research subject
Medical Science
Identifiers
urn:nbn:se:rkh:diva-1060 (URN)978-91-554-8836-9 (ISBN)
Public defence
2014-02-21, Gustavianum, Auditorium Minus, Akademigatan 3, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2014-09-26 Created: 2014-09-26 Last updated: 2015-08-10Bibliographically approved

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