Knowledge, Attitude, and Practice on Cervical Cancer and HPV Vaccination among Medical Students in Jakarta, Indonesia: A Cross-Sectional Study
DOI:
https://doi.org/10.3889/oamjms.2022.8939Keywords:
Cancer, Cross-sectional survey, Health education and promotion, ImmunisationAbstract
BACKGROUND: Cervical cancer is the second-most common cancer in Indonesian women. While the cervical cancer screening has been integrated in Indonesian primary health-care facilities, the HPV vaccination has not yet become a national program.
AIM: The objective of this research was to measure the knowledge, attitude, and behavior of medical students in Jakarta toward cervical cancer and its prevention. The result of this study could be implemented to develop a more comprehensive national educational program and public health policy.
METHODS: We conducted a cross-sectional study on medical students at 10 different universities in Jakarta, Indonesia. Student’s knowledge, attitude, and behavior were collected through a self-administered online questionnaire consist of a total of 27 questions concerning cervical cancer epidemiology, pathogenesis, screening, diagnosis, and prevention.
RESULTS: A total of 2159 medical students participated in this study. More than half (55%) of the students obtained satisfactory knowledge score. The students’ knowledge regarding HPV vaccination was low. However, 87.2% of them agreed to get the HPV vaccination. Only 7.0% had participated in cervical cancer screening program and only 16.8% had received HPV vaccination. Female gender, second or third year of study, and three universities had better odds to have good practice score.
CONCLUSION: The knowledge and attitude score did not reflect on student’s practice on cervical cancer and its prevention. Effort to increase the awareness toward cervical cancer should be endorsed through university curriculum and public health policy.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. DOI: https://doi.org/10.3322/caac.21660
Zhang S, Xu H, Zhang L, Qiao Y. Cervical cancer: Epidemiology, risk factors and screening. Chin J Cancer Res. 2020;32(6):720-28. DOI: https://doi.org/10.21147/j.issn.1000-9604.2020.06.05
Pangribowo S. The Burden of Cancer in Indonesia. Jakarta: Data and Information Center of the Indonesian Ministry of Health; 2019.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. https://doi.org/10.3322/caac.21492 PMid:30207593 DOI: https://doi.org/10.3322/caac.21492
Pimple SA, Mishra GA. Global strategies for cervical cancer prevention and screening. Minerva Ginecol. 2019;71(4):313-20. https://doi.org/10.23736/S0026-4784.19.04397-1 PMid:30808155 DOI: https://doi.org/10.23736/S0026-4784.19.04397-1
Alliance for Cervical Cancer Prevention. Cervical cancer Prevention Fact Sheet: New evidence on the impact of cervical cancer screening and treatment using HPV DNA tests, visual inspection, or cytology. Pan American Health Organization [Internet]. 2009 Jul [cited: 2019 Dec 10]. Available from: https://www.paho.org/sites/default/files/ACCP_screening_factsheet_2009.pdf
Poli UR, Bidinger PD, Gowrishankar S. Visual inspection with acetic acid (VIA) screening program: 7 years experience in early detection of cervical cancer and pre-cancers in rural South India. Indian J Community Med. 2015;40(3):203-7. https://doi.org/10.4103/0970-0218.158873 PMid:26170547 DOI: https://doi.org/10.4103/0970-0218.158873
Utami TW, Permanasari VY, Istanti ND. Strategic study of policies related to the role and authority of health workers to carry out cryotherapy in primary health facilities towards the eradication of cervical cancer in Indonesia. Jakarta: UI Publishing; 2019.
Geller AC, Prout MN, Miller DR, Siegel B, Sun T, Ockene J, Koh HK. Evaluation of a cancer prevention and detection curriculum for medical students. Prev Med. 2002;35(1):78-86. https://doi.org/10.1006/pmed.2002.1044 PMid:12079444 DOI: https://doi.org/10.1006/pmed.2002.1044
Patel IS, Dongara AR, Mungala BM, Chapla A, Phatak AG, Nimbalkar SM. Knowledge and attitude about cervical cancer and human papillomavirus vaccine among medical and paramedical students of a university. J Family Med Prim Care. 2021;10(1):462-7. https://doi.org/10.4103/jfmpc.jfmpc_625_20 PMid:34017771 DOI: https://doi.org/10.4103/jfmpc.jfmpc_625_20
Borlu A, Gunay O, Balci E, Sagiroglu M. Knowledge and attitudes of medical and non-medical Turkish university students about cervical cancer and HPV vaccination. Asian Pac J Cancer Prev. 2016;17(1):299-303. https://doi.org/10.7314/apjcp.2016.17.1.299 PMid:26838228 DOI: https://doi.org/10.7314/APJCP.2016.17.1.299
Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and conducting knowledge, attitude, and practice surveys in psychiatry: Practical guidance. Indian J Psychol Med. 2020;42(5):478-81. https://doi.org/10.1177/0253717620946111 PMid:33414597 DOI: https://doi.org/10.1177/0253717620946111
Rodriguez-Feria P, Hernández-Florez L, Rodriguez-Feria D. Knowledge, attitudes and practices of prevention for cervical cancer and breast cancer among medical students. Rev Salud Pública. 2016;18(3):354-66. https://doi.org/10.15446/rsap.v18n3.44487 PMid:28453099 DOI: https://doi.org/10.15446/rsap.v18n3.44487
Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11 Suppl 1:S80-9. https://doi.org/10.4103/sja.SJA_203_17 PMid:28616007 DOI: https://doi.org/10.4103/sja.SJA_203_17
Manikandan S, Behera S, Naidu NM, Angamuthu V, Mohammed OF, Debata A. Knowledge and awareness toward cervical cancer screening and prevention among the professional college female students. J Pharm Bioallied Sci. 2019;11 Suppl 2:S314-20. https://doi.org/10.4103/JPBS.JPBS_21_19 PMid:31198361 DOI: https://doi.org/10.4103/JPBS.JPBS_21_19
Navalpakam A, Dany M, Hajj Hussein I. Behavioral perceptions of Oakland University female college students towards human papillomavirus vaccination. PLoS One. 2016;11(5):e0155955. https://doi.org/10.1371/journal.pone.0155955 PMid:27203284 DOI: https://doi.org/10.1371/journal.pone.0155955
Saha A, Chaudhury AN, Bhowmik P, Chatterjee R. Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pac J Cancer Prev. 2010;11(4):1085-90. PMid:21133629
Komalasari KW. Knowledge Level of Students of the Faculty of Medicine, University of Diponegoro Class of 2011 on the Prevention of Cervical Cancer. Semarang: Faculty of Medicine, University of Diponegoro; 2012.
Yörük S, Açıkgöz A, Ergör G. Determination of knowledge levels, attitude and behaviors of female university students concerning cervical cancer, human papiloma virus and its vaccine. BMC Womens Health. 2016;16:51. https://doi.org/10.1186/s12905-016-0330-6 PMid:27487848 DOI: https://doi.org/10.1186/s12905-016-0330-6
Yam PW, Lam PL, Chan TK, Chau KW, Hsu ML, Lim YM, et al. A cross sectional study on knowledge, attitude and practice related to human papillomavirus vaccination for cervical cancer prevention between medical and non-medical students in Hong Kong. Asian Pac J Cancer Prev. 2017;18(6):1689-95. https://doi.org/10.22034/APJCP.2017.18.6.1689 PMid:28670890
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Hariyono Winarto, Maya Dorothea, Anthony Sughiarto Winarno, Naufal Arkan Abiyyu Ibrahim, Yan Martha Putri, Sigit Purbadi, Fitriyadi Kusuma, Tofan Widya Utami, Kartiwa Hadi Nuryanto (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0