Knowledge, attitude and practice in primary and secondary cervical cancer prevention among young adult Italian women

被引：43

作者：

Donati, Serena ^{[1
]}

Giambi, Cristina ^{[2
]}

Declich, Silvia ^{[2
]}

Salmaso, Stefania

Filia, Antonietta ^{[2
]}

degli Atti, Marta Luisa Ciofi ^{[3
]}

Alibrandi, Maria Pia ^{[4
]}

Brezzi, Silvia ^{[5
]}

Carozzi, Francesca ^{[6
]}

Collina, Natalina ^{[7
]}

Franchi, Daniela ^{[8
]}

Lattanzi, Amedeo ^{[9
]}

Meda, Margherita ^{[10
]}

Minna, Maria Carmela ^{[11
]}

Nannini, Roberto ^{[12
]}

Gallicchio, Giuseppina ^{[13
]}

Bella, Antonino ^{[2
]}

机构：

[1] Ist Super Sanita, Natl Ctr Epidemiol Surveillance & Hlth Promot, Unit Woman Child & Adolescent Hlth, I-00161 Rome, Italy

[2] Ist Super Sanita, Natl Ctr Epidemiol Surveillance & Hlth Promot, Infect Dis Epidemiol Unit, I-00161 Rome, Italy

[3] Bambino Gesu Pediat Hosp, Med Direct, I-00165 Rome, Italy

[4] LHU Torino4, Hyg & Publ Hlth Unit, I-10015 Turin, Italy

[5] LHU Viterbo, Dept Prevent, I-01100 Viterbo, Italy

[6] ISPO Canc Res & Prevent Inst, Analyt Cytol & Biomol Unit, I-50139 Florence, Italy

[7] LHU Bologna, Dept Publ Hlth, Epidemiol Hlth Promot & Risk Commun Unit, I-40068 Bologna, Italy

[8] LHU Avezzano Sulmona LAquila, Dept Prevent, Hyg Epidemiol & Publ Hlth Unit, I-67051 Laquila, Italy

[9] LHU Teramo, San Liberatore Hosp, I-64032 Atri, Teramo, Italy

[10] LHU Torino1, Dept Prevent, Hyg & Publ Hlth Unit, I-10122 Turin, Italy

[11] LHU Pescara, Community Med Unit, I-65124 Pescara, Italy

[12] LHU Imola, Oncol Screening Ctr, I-40026 Bologna, Italy

[13] LHU Napoli 2 Nord, Mother & Child Dept, I-80010 Naples, Italy

来源：

VACCINE | 2012年 / 30卷 / 12期

关键词：

Cervical cancer; Pap smear; HPV; HPV vaccine; KAP survey; Young adult women; HUMAN-PAPILLOMAVIRUS VACCINE; HPV VACCINATION; ACCEPTANCE; AWARENESS; IMMUNIZATION; EPIDEMIOLOGY; ADOLESCENTS; INFECTION;

D O I：

10.1016/j.vaccine.2012.01.057

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

In Italy since 2007 vaccination against human papillomavirus (HPV) is offered to 11-year-old females, whereas vaccination for older age groups is still a matter of debate. To assess Italian young women's knowledge, attitudes and practice regarding primary and secondary cervical cancer prevention a cross-sectional study among young women aged 18-26 years was conducted in 2008. The survey collected information on in-depth awareness and knowledge regarding Pap testing, HPV infection, HPV vaccine and cervical cancer. The response rate was 57.7% with a wide range of variability (34-84%) amongst local health units. Among 667 women who participated in the survey poor awareness and various misconceptions regarding HPV and cervical cancer prevention were detected. Overall women were found to be more knowledgeable about Pap smears and cervical cancer than about HPV infection and the HPV vaccine. Respondents pointed to their healthcare providers as their most trusted source for medical information. Understanding women's knowledge on cervical cancer prevention, as well as related factors is important in helping to achieve and maintain adherence to cervical cancer preventive strategies. Moreover in order to minimize cervical cancer risk by improving women's adherence to preventive strategies, appropriate and adequate information dissemination, and guidance from health professionals appear to be crucial elements. (C) 2012 Elsevier Ltd. All rights reserved.

引用

页码：2075 / 2082

页数：8

共 29 条

[1]

AIRT Working Group, 2006, EPIDEMIOL PREV, P64

[2] A systematic review of measures used in studies of human papillomavirus (HPV) vaccine acceptability [J].

Allen, Jennifer D. ;

Coronado, Gloria D. ;

Williams, Rebecca S. ;

Glenn, Beth ;

Escoffery, Cam ;

Fernandez, Maria ;

Tuff, Raegan A. ;

Wilson, Katherine M. ;

Mullen, Patricia Dolan .

VACCINE, 2010, 28 (24) :4027-4037

[3] Stage of adoption of the human papillomavirus vaccine among college women [J].

Allen, Jennifer D. ;

Mohllajee, Anshu P. ;

Shelton, Rachel C. ;

Othus, Megan K. D. ;

Fontenot, Holly B. ;

Hanna, Richard .

PREVENTIVE MEDICINE, 2009, 48 (05) :420-425

[4]

[Anonymous], 2010, OTT RAPP ONS DIC 200

[5]

[Anonymous], 2009, PASSI SISTEMA SORVEG

[6] Efficacy of the theory of planned behaviour: A meta-analytic review [J].

Armitage, CJ ;

Conner, M .

BRITISH JOURNAL OF SOCIAL PSYCHOLOGY, 2001, 40 :471-499

[7] The epidemiology of human papillomavirus infections [J].

Baseman, JG ;

Koutsky, LA .

JOURNAL OF CLINICAL VIROLOGY, 2005, 32 :S16-S24

[8] HPV type-distribution in women with and without cervical neoplastic diseases [J].

Clifford, Gary ;

Franceschi, Silvia ;

Diaz, Mireia ;

Munoz, Nubia ;

Villa, Luisa Lina .

VACCINE, 2006, 24 :26-34

[9] Human Papillomavirus Vaccine Among Adult Women Disparities in Awareness and Acceptance [J].

Cui, Yan ;

Baldwin, Susie B. ;

Wiley, Dorothy J. ;

Fielding, Jonathan E. .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2010, 39 (06) :559-563

[10] HPV infection in Europe [J].

De Vuyst, Hugo ;

Clifford, Gary ;

Li, Ni ;

Franceschi, Silvia .

EUROPEAN JOURNAL OF CANCER, 2009, 45 (15) :2632-2639

← 1 2 3 →