Title: Mapping Awareness and Attitude Pattern of Medical Students on Cervical Cancer Preventive Vaccination and Screening for Human Papilloma Virus (HPV)

Author: Rajendran NK, Ramarajan S, Vijai Surya, Balasubramanian S

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i7.75

Abstract

Introduction: The role of Human Papilloma Virus (HPV) infection in cervical cancer development is a strongly established relationship. Cervical cancer is the second leading cause of death due to cancers in women. The recognition that cervical cancer is caused by HPV infection and can be prevented by vaccination, and curable if diagnosed in the early stages is an immense scientific contribution to the mankind. However, vaccination is a benefaction for the Indian people with low-socio-economic status in whom preventive screening is almost never done.

Aim: This study aims to collect and assess the familiarity and recognition on Human papilloma Virus (HPV) infection and HPV vaccination rate among medical students in our medical college. Medical students, the future health care providers are necessary for spreading knowledge among people in the general population. Success of any vaccination program depends on creating awareness in the population.

Materials and Methods: This is a cross sectional study carried out in our medical college, Karpagam Faculty of Medical Sciences and Research, in Coimbatore, Tamilnadu, India. Total of 473 students, both male and female from clinical and pre-clinical semesters are approached with a structured explorative questionnaire form in English. The students are assessed after informing them that this study is only for research purpose and their identity will be preserved. Statistically, the collected data were analyzed.

Results: Our study has revealed that majority of students from both genders in undergraduate medical education program have limited knowledge on many aspects of the HPV infection and HPC vaccination. Therefore, there is an urgency to implement necessary measures to increase their knowledge as well as the general public with regard to HPV and the benefits of vaccination. Thereby, the burden of cervical cancer will be reduced in a low-income country like India.

Conclusion: First, awareness and education among medical people and later among general public will have a great impact on the implementation of the IAP immunization program and its future successful coverage of vaccination and thereby prevention of cervical cancer. Our data will help the national immunization committee to plan the future strategies required to improve the immunization coverage in India. Further studies are suggested on the vaccinated group for clinical effectiveness of the vaccine.

Keywords: human papilloma virus (HPV), immunization, medical students, cervical cancer and cytology screening.

References

 

1.      Bernard HU, Calleja-Macias IE and Dunn ST (2006) “Genome variation of human papillomavirus types: phylogenetic and medical implications” Int J Cancer 118(5) 1071–1076.

2.      WHO/ICO Information Centre on HPV and Cancer (HPV Information Centre) 2014. Mortality from cervical cancer in India (last update 15 ene 2014).

3.      Haedicke J and Iftner T (2013) “Human papillomaviruses and cancer” Radiother Oncol 108(3) 397–402.

4.      WHO weekly epidemiological record, 24 Oct. 2014, No 43, 89 465-492 (lag period, Pap test, implementation).

5.      Neerja B, Elizabeth J (2009) “Cervical cancer prevention & the role of humanpapillomavirus vaccines in India”Indian J Med Res 130 334–340.

6.      Mausumi B, Showket H, Vilas N and Bhudev CD (2009) “HPV & HPV vaccination: Issues in developing countries”Indian J Med Res 130 327–333.

7.      Aruna Nigam, Pikee Saxena, Anitha S. Acharya, Archana Mishra, and Swaraj Batra “HPV Vaccination in India: Critical Appraisal” Hindawi Publishing Corporation. ISRN Obstetrics and Gynecology Volume 2014, Article ID 394595, 5 pages.

8.      IAP guidebook on immunization 2013-2014- by Advisory committee on vaccine and immunization Practices.

9.      Seema Farhath, PP Vijaya and P Mumtaj (2013)“Cervical Cancer: Is Vaccination Necessary in India?”Asian Pacific Journal of Cancer Prevention 14 2681-2684.

10.  Sumita Mehta, Shalini Rajaram, Geelika goel and Neeraja goel (2013) “Awareness about HPV and its vaccine among medical students” Indian journal of community medicine April - June 38 (2) 92-94.

11.  Ying Wen, Xiong-Fei Pan (2014), “Knowledge of Human Papillomavirus (HPV) Infection, Cervical Cancer, and HPV Vaccine and its Correlates among Medical Students in Southwest China: a Multi-center Cross-sectional Survey” Asian Pacific Journal of Cancer Prevention 15 5773-5779.

12.  Nagasireesha challa, Venkatachalam madras and supradeeptha challa (2014) “Awareness and attitude regarding HPV and its vaccine among medical students in a medical school in India” Indian journal of research in medical science Nov:1607 – 1611.

13.  Pandey D, Vanya V, Bhagat S, Binu VS and Shetty J (2012) “Awareness and attitude towards HPV vaccine among medical students in a premier medical school in India” PLoS ONE 7(7) e40619.

14.  Teresa J, Brijesh S, Chacchu B and Jenny C (2011) “Awareness of Cervix CancerRisk Factors in Educated Youth: A Cross-Sectional, Questionnaire Based Surveyin India, Nepal, and Sri Lanka”Asian Pacific J Cancer Prev 12 1707–1712.

15.  Saha A, Nag Chaudhury A, Bhowmik P and Chatterjee R (2010) “Awareness ofCervical Cancer Among Female Students of Premier Colleges in Kolkata, India” Asian Pacific Journal of Cancer Prevention 11 1085-1090.

16.  Sasidharanpillai Sabeena and Parvati V Bhat (2015). “Knowledge, Attitude and Practice Concerning Human Papilloma Virus Infection and its Health Effects among Rural Women, Karnataka, South India” Asian Pacific Journal of Cancer Prevention 16 (12) 5053-5058.

17.  Advisory Committee statements (ACS), national advisory committee in immunization (NACI) - feb-2015. (2dose, 3 dose).

Corresponding Author

Balasubramanian S

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.