Tıp Fakültesi Öğrencilerinin İnsan Papilloma Virüsü (HPV) ve HPV Aşısı Hakkındaki Bilgi, Tutum ve Davranışları
Öz
Amaç: Bu çalışmanın amacı, tıp fakültesi öğrencilerinin Human Papilloma Virüs (HPV) ve HPV aşısı hakkındaki bilgi, tutum ve davranışlarını ölçmek ve HPV aşılama durumlarını tespit etmektir.
Gereç ve Yöntemler: Bu tanımlayıcı kesitsel çalışma bir tıp fakültesindeki öğrencileri üzerinde yapılmıştır. Araştırmada sosyodemografik veri formu ve HPV Bilgi Ölçeği kullanılmıştır. P değerinin 0,05'ten küçük olması ve %95 güven aralığı ile istatistiksel anlamlılık olarak kabul edildi.
Bulgular: Araştırmaya katılan 518 öğrencinin %57,9'u kız, %61,6'sı preklinik öğrencisidir. Erkeklerde sigara içme (p=0,018), alkol kullanma (p=0,001) ve cinsel aktivite durumu (p<0,001) oranları kız öğrencilere göre anlamlı derecede yüksekti. Katılımcıların sadece %2,3'ü HPV aşısı olduğunu bildirmiştir. Öğrencilerin HPV aşısı yaptırmasında yaş (p<0,001), cinsiyet (p=0,017) ve uyruk (p=0,045) anlamlı bulundu. HPV bilgi düzeyi kadınlarda (p=0,004), klinik sınıfta öğrenim görenlerde (p<0,001), cinsel yönden aktiflerde (p<0,001), aile içinde cinsellik hakkında kolayca konuşabilenlerde (p=0,027), bilgilerini tıp fakültesinden (p<0,001) ve okul dışında diğer sağlık profesyonellerinden (p<0,001) alanlarda daha yüksekti.
Sonuç: Tıp öğrencilerinin HPV bilgi düzeyi literatüre göre orta düzeydeydi. Tıp öğrencilerinin bilgi düzeylerini artırmak, akran eğitimi yoluyla diğer akranlarını etkileyebilecekleri için çok önemlidir. Bu nedenle tıp fakültelerinde hem müfredatta hem de ders dışı etkinliklerde bilgi düzeyinin ve aşılanma oranının artırılmasına yönelik çalışmalar yapılmalıdır.
Anahtar Kelimeler
Human Papillomavirus Aşıları Tıp Öğrencisi Bilgi Tutum Cinsel Davranış
Kaynakça
- Cubie HA. Diseases associated with human papillomavirus infection. Virology 2013;445(1-2):21-34.
- Schiffman M, Doorbar J, Wentzensen N, de Sanjosé S, Fakhry C, Monk BJ et al. Carcinogenic human papillomavirus infection. Nat Rev Dis Primers 2016;2:16086.
- St Laurent J, Luckett R, Feldman S. HPV vaccination and the effects on rates of HPV-related cancers. Curr Probl Cancer. 2018;42(5):493-506.
- T.C. Ministry of Health. Turkey cancer statistics 2017. Ankara: Ministry of Health Publishing; 2021.
- WHO. International agency for research on cancer. Global cancer statistics. 2020. https://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf Accessed 17 August 2021. Brotherton JML, Bloem PN. Population-based HPV vaccination programmes are safe and effective: 2017 update and the impetus for achieving better global coverage. Best Prac & Rese Clin Obst and Gyn. 2018;47(3):42-58.
- Dikbaş L. Human papilloma virus vaccines: Current controversies. Duzce Med Jour 2017;19(3):81-5.
- Emre N, Özşahin A, Edirne T. Pamukkale University Medical Faculty students' knowledge level of human papilloma virus ınfection and vaccine. Euras J Fam Med 2020;9(1):42-50.
- Özsaran Z, Demirci S, Aras AB. Tıp fakültesi öğrencileri arasında HPV aşısı bilgi düzeyini değerlendiren anket çalışması. Türk Ji Onkol Derg 2011;14(2):40-4.
- Albright AE, Allen RS. HPV misconceptions among college students: The role of health literacy. J Com Health 2018;43(6):1192-1200.
- Aslan G, Bakan AB. Identification of the knowledge level of students receiving health education about the human papilloma virus, screening tests, and human papilloma virus vaccination. J Com Health 2021;46(2):428-33.
- Villanueva S, Mosteiro-Miguéns DG, Domínguez-Martís EM, López-Ares D, Novío S. Knowledge, attitudes, and intentions towards human papillomavirus vaccination among nursing students in Spain. Int J Environ Res Public Health 2019;16:4507.
- Barnard M, George P, Perryman ML, Wolff LA. Human papillomavirus (HPV) vaccine knowledge, attitudes, and uptake in college students: Implications from the Precaution Adoption Process Model. PLoS One 2017;12(8):e0182266.
- Dönmez S, Öztürk R, Kısa S, Karaoz Weller B, Zeyneloğlu S. Knowledge and perception of female nursing students about human papillomavirus (HPV), cervical cancer, and attitudes toward HPV vaccination. J Am Coll Health 2019;67(5):410-7.
- Bal Yılmaz H, Koniak Griffin D. Knowledge, behaviors, and attitudes about human papilloma virus among nursing students in Izmir, Turkey. J Canc Educ 2018;33:814–20.
- Farsi NJ, Baharoonb AH, Jiffri AE, Marzoukic HZ, Merdadc MA, Merdada LA. Human papillomavirus knowledge and vaccine acceptability among male medical students in Saudi Arabia. Hum Vaccin Immunother 2021; 17(7):1968-74.
- Dodd RH, McCaffery KJ, Marlow LAV, et al. Knowledge of human papillomavirus (HPV) testing in the USA, the UK and Australia: an international survey. Sexual Transm Infect. 2014;90:201-7.
- Nur Eke R, Atsız Sezik H, Öze M. Are female doctors aware of cervical cancer? Anatol Jour Med 2016;26(1):53-7.
- Medical Faculty - National Core Curriculum. Tıp Eğitimi Dünyası 2020;19(57-1):1-146.
- Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10 to 15-year-old adolescents. Obstet Gynecol Surv 2004;59:820-2.
- Erdem HA, Işıkgöz Taşbakan M, Şanlıdağ G, Kanpak EC, Pullukçu H. We Get vaccinated, but do we really know why?: Evaluation of knowledge on HPV infection and vaccination in medical school students with HPV vaccine. FLORA 2020;25(1):62-8.
- Daniel CL, McLendon L, Green CL, Anderson KJ, Pierce JY, Perkins A et al. HPV and HPV vaccination knowledge and attitudes among medical students in Alabama. Jour of Can Edu 2021;36:168–77.
- Çeşmeci Y, Köylü B, Sulaiman J, Sancak E, Şenel S, Baki HE et al. HPV infection and HPV vaccine through the eyes of interns. Türk Jin Onkol Derg 2015;18(3):85-92.
- Waller J, Ostini R, Marlow LA, McCaffery K, Zimet G. Validation of a measure of knowledge about human papillomavirus (HPV) using item response theory and classical test theory. Prev Med 2013;56(1):35-40.
- Demir F. Human papilloma virüsü (HPV) bilgi ölçeğinin Türkçe geçerlik ve güvenirliği. Sağlık Bilimleri Üniversitesi Gülhane Sağlık Bilimleri Enstitüsü Halk Sağlığı Hemşireliği Anabilim Dalı Yüksek Lisans Tezi; 2019.
- Tabachnick BG, Fidell LS. Using multivariate statistics. (sixth ed.) Boston: Pearson, 2013.
- Sherman SM, Bartholomew K, Denison HJ, Patel H, Moss EL, Douwes J et al. Knowledge, attitudes and awareness of the human papillomavirus among health professionals in New Zealand. PLoS One 2018;13:e0197648.
- Yıldırım M, Düzovalı Ö, Kanık A, Kırık Ö. Knowledge and Attitudes of The Pediatricians in Turkey Regarding Human Papillomavirus (HPV) Vaccine. J Pediatr Inf 2009;3:62-8.
- Turkey drug depot price list. https://www.selcukecza.com.tr/sayfa/ilac-fiyat-ve-barkod-arama/ilac-ve-barkod arama?barcode=&firma=0&ilacname=gardasil&kdv=0&gun=01&ay=01&yil=2018 Accessed 18 August 2021.
- Aras S, Orcin E, Ozan S, Semin S. Sexual behaviours and contraception among university students in Turkey. Jour of Bio Sci 2007;39(1):121.
- Yaşan A, Essizoglu A, Yildirim EA. Predictor factors associated with premarital sexual behaviors among university students in an Islamic culture. Inter Jour of Sexual Health 2009;21(3):145-52.
- Topçu S, Ulukol B, Emüler DS, Topçu HO, Ceyhun Peker G, Dökmeci F et al. Awareness of human papillomavirus and acceptability of human papillomavirus vaccine: a survey of Turkish university students. J Clin Anal Med 2017;8(suppl 4):292-5.
- Özçelik S, Kılıc FA. Human papillomavirus vaccination: review of the current evidence. Mucosa 2019;2(4):8
Knowledge, Attitudes, and Behaviors of Medical School Students about Human Papilloma Virus (HPV) And HPV Vaccine
Öz
Objective: The objective of the study was to measure the knowledge, attitudes and behaviors about Human Papilloma Virus (HPV) and HPV vaccine and to detect the HPV vaccination status of medical school students.
Materials and Methods: This descriptive cross-sectional study was conducted on students in a medical school. A sociodemographic data form and HPV Knowledge Scale were used in the study. A p-value of less than 0.05 was considered statistical significance, with a 95% CI.
Results: Of the 518 students who participated in the study, 57.9% were female, and 61.6% were preclinical students. Rates of smoking (p=0.018) and alcohol consumption (p=0.001) and sexual activity status (p<0.001) were significantly higher in male than in female students. Only 2.3% of participants reported having received the HPV vaccination. Age (p<0.001), gender (p=0.017), and nationality (p=0.045) were found to have a significant effect on student receipt of HPV vaccine. HPV knowledge level was higher among those who were female (p=0.004), studied in a clinical class (p<0.001), were sexually active (p<0.001), could easily talk about sexuality in the family (p=0.027), and had obtained their knowledge from medical school (p<0.001) and medical professionals outside of school (p<0.001).
Conclusion: The HPV knowledge level of medical students was moderate compared to the literature. Increasing the knowledge level of medical students is crucial as they can influence other peers through peer education. Therefore, efforts should be made to improve the knowledge level and vaccination rate in medical schools, both in the curriculum and in extracurricular activities.
Anahtar Kelimeler
Human Papillomavirus Vaccines Medical Student Knowledge Attitude Sexual Behavior
Kaynakça
- Cubie HA. Diseases associated with human papillomavirus infection. Virology 2013;445(1-2):21-34.
- Schiffman M, Doorbar J, Wentzensen N, de Sanjosé S, Fakhry C, Monk BJ et al. Carcinogenic human papillomavirus infection. Nat Rev Dis Primers 2016;2:16086.
- St Laurent J, Luckett R, Feldman S. HPV vaccination and the effects on rates of HPV-related cancers. Curr Probl Cancer. 2018;42(5):493-506.
- T.C. Ministry of Health. Turkey cancer statistics 2017. Ankara: Ministry of Health Publishing; 2021.
- WHO. International agency for research on cancer. Global cancer statistics. 2020. https://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf Accessed 17 August 2021. Brotherton JML, Bloem PN. Population-based HPV vaccination programmes are safe and effective: 2017 update and the impetus for achieving better global coverage. Best Prac & Rese Clin Obst and Gyn. 2018;47(3):42-58.
- Dikbaş L. Human papilloma virus vaccines: Current controversies. Duzce Med Jour 2017;19(3):81-5.
- Emre N, Özşahin A, Edirne T. Pamukkale University Medical Faculty students' knowledge level of human papilloma virus ınfection and vaccine. Euras J Fam Med 2020;9(1):42-50.
- Özsaran Z, Demirci S, Aras AB. Tıp fakültesi öğrencileri arasında HPV aşısı bilgi düzeyini değerlendiren anket çalışması. Türk Ji Onkol Derg 2011;14(2):40-4.
- Albright AE, Allen RS. HPV misconceptions among college students: The role of health literacy. J Com Health 2018;43(6):1192-1200.
- Aslan G, Bakan AB. Identification of the knowledge level of students receiving health education about the human papilloma virus, screening tests, and human papilloma virus vaccination. J Com Health 2021;46(2):428-33.
- Villanueva S, Mosteiro-Miguéns DG, Domínguez-Martís EM, López-Ares D, Novío S. Knowledge, attitudes, and intentions towards human papillomavirus vaccination among nursing students in Spain. Int J Environ Res Public Health 2019;16:4507.
- Barnard M, George P, Perryman ML, Wolff LA. Human papillomavirus (HPV) vaccine knowledge, attitudes, and uptake in college students: Implications from the Precaution Adoption Process Model. PLoS One 2017;12(8):e0182266.
- Dönmez S, Öztürk R, Kısa S, Karaoz Weller B, Zeyneloğlu S. Knowledge and perception of female nursing students about human papillomavirus (HPV), cervical cancer, and attitudes toward HPV vaccination. J Am Coll Health 2019;67(5):410-7.
- Bal Yılmaz H, Koniak Griffin D. Knowledge, behaviors, and attitudes about human papilloma virus among nursing students in Izmir, Turkey. J Canc Educ 2018;33:814–20.
- Farsi NJ, Baharoonb AH, Jiffri AE, Marzoukic HZ, Merdadc MA, Merdada LA. Human papillomavirus knowledge and vaccine acceptability among male medical students in Saudi Arabia. Hum Vaccin Immunother 2021; 17(7):1968-74.
- Dodd RH, McCaffery KJ, Marlow LAV, et al. Knowledge of human papillomavirus (HPV) testing in the USA, the UK and Australia: an international survey. Sexual Transm Infect. 2014;90:201-7.
- Nur Eke R, Atsız Sezik H, Öze M. Are female doctors aware of cervical cancer? Anatol Jour Med 2016;26(1):53-7.
- Medical Faculty - National Core Curriculum. Tıp Eğitimi Dünyası 2020;19(57-1):1-146.
- Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10 to 15-year-old adolescents. Obstet Gynecol Surv 2004;59:820-2.
- Erdem HA, Işıkgöz Taşbakan M, Şanlıdağ G, Kanpak EC, Pullukçu H. We Get vaccinated, but do we really know why?: Evaluation of knowledge on HPV infection and vaccination in medical school students with HPV vaccine. FLORA 2020;25(1):62-8.
- Daniel CL, McLendon L, Green CL, Anderson KJ, Pierce JY, Perkins A et al. HPV and HPV vaccination knowledge and attitudes among medical students in Alabama. Jour of Can Edu 2021;36:168–77.
- Çeşmeci Y, Köylü B, Sulaiman J, Sancak E, Şenel S, Baki HE et al. HPV infection and HPV vaccine through the eyes of interns. Türk Jin Onkol Derg 2015;18(3):85-92.
- Waller J, Ostini R, Marlow LA, McCaffery K, Zimet G. Validation of a measure of knowledge about human papillomavirus (HPV) using item response theory and classical test theory. Prev Med 2013;56(1):35-40.
- Demir F. Human papilloma virüsü (HPV) bilgi ölçeğinin Türkçe geçerlik ve güvenirliği. Sağlık Bilimleri Üniversitesi Gülhane Sağlık Bilimleri Enstitüsü Halk Sağlığı Hemşireliği Anabilim Dalı Yüksek Lisans Tezi; 2019.
- Tabachnick BG, Fidell LS. Using multivariate statistics. (sixth ed.) Boston: Pearson, 2013.
- Sherman SM, Bartholomew K, Denison HJ, Patel H, Moss EL, Douwes J et al. Knowledge, attitudes and awareness of the human papillomavirus among health professionals in New Zealand. PLoS One 2018;13:e0197648.
- Yıldırım M, Düzovalı Ö, Kanık A, Kırık Ö. Knowledge and Attitudes of The Pediatricians in Turkey Regarding Human Papillomavirus (HPV) Vaccine. J Pediatr Inf 2009;3:62-8.
- Turkey drug depot price list. https://www.selcukecza.com.tr/sayfa/ilac-fiyat-ve-barkod-arama/ilac-ve-barkod arama?barcode=&firma=0&ilacname=gardasil&kdv=0&gun=01&ay=01&yil=2018 Accessed 18 August 2021.
- Aras S, Orcin E, Ozan S, Semin S. Sexual behaviours and contraception among university students in Turkey. Jour of Bio Sci 2007;39(1):121.
- Yaşan A, Essizoglu A, Yildirim EA. Predictor factors associated with premarital sexual behaviors among university students in an Islamic culture. Inter Jour of Sexual Health 2009;21(3):145-52.
- Topçu S, Ulukol B, Emüler DS, Topçu HO, Ceyhun Peker G, Dökmeci F et al. Awareness of human papillomavirus and acceptability of human papillomavirus vaccine: a survey of Turkish university students. J Clin Anal Med 2017;8(suppl 4):292-5.
- Özçelik S, Kılıc FA. Human papillomavirus vaccination: review of the current evidence. Mucosa 2019;2(4):8
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 10 Kasım 2023 |
| Yayımlanma Tarihi | 20 Kasım 2023 |
| Gönderilme Tarihi | 24 Ağustos 2022 |
| Kabul Tarihi | 1 Kasım 2022 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 18 Sayı: 3 |
