Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Knowledge about Cervical Cancer Early Warning Signs and Symptoms, Risk Factors and Vaccination among Students at a Medical School in Al-Ahsa, Kingdom of Saudi Arabia

  • Published : 2014.03.30
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Abstract

Background: Cervical cancer is the second most common cancer among females and also the most preventable. In the literature there is abundant evidence that awareness regarding cervical cancer and its prevention is low in the developing countries. Medical students are the future health professionals and can play an important role in increasing awareness among the general population. To assess the knowledge regarding symptoms, risk factors and prevention of cervical carcinoma among medical students in th Kingdom of Saudi Arabia, the present study was planned. Materials and Methods: This cross-sectional study was conducted using a self-administered questionnaire with students at the College of Medicine, King Faisal University, Al-Ahsa, KSA, from December 2012 to May 2013. Results: The responses of 188 students (males 111, females 77) in their second, third, fourth, and fifth years were recorded and used in the data analysis. The majority of the students were not aware of the early warning signs, symptoms and risk factors. On average, only 43.7% males and 56% of females were aware about the early signs and symptoms whereas 51.4% males and 57.8% females had knowledge about the risk factors of cervical cancers. Some 55% males and 46.8% females were unable to select the correct answer regarding human papilloma virus (HPV) infection as the cause of cervical cancer. Majority of the students (67%) were not aware about the availability of vaccine against HPV. Conclusions: Lack of knowledge regarding early signs and symptoms, risk factors and prevention of cervical cancer was observed in the present study.

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References

  1. Al-Naggar RA, Isa ZM (2010). Perception and opinion of medical students about Pap smear test: a qualitative study. Asian Pac J Cancer Prev, 11, 435-40.
  2. Arbyn M, Castellsague X, de Sanjose S, et al (2011). Worldwide burden of cervical cancer in 2008. Ann Oncol, 22, 2675-86. https://doi.org/10.1093/annonc/mdr015
  3. Berraho M, Fakir SE, Abda N, et al (2013). HPV and cervical cancer: knowledge and practices of physicians in Fez. Sante Publique, 25, 351-7.
  4. Bosch FX, Lorincz A, Munoz N, et al (2002). The causal relation between human papillomavirus and cervical cancer. J Clin Pathol, 55, 244-65. https://doi.org/10.1136/jcp.55.4.244
  5. Donders GG, Gabrovska M, Bellen G, et al (2008). Knowledge of cervix cancer, human papilloma virus (HPV) and HPV vaccination at the moment of introduction of the vaccine in women in Belgium. Arch Gynecol Obstet, 277, 291-8. https://doi.org/10.1007/s00404-007-0487-1
  6. Dursun P, Altuntas B, Kuscu E, Ayhan A (2009). Women's knowledge about human papillomavirus and their acceptance of HPV vaccine. Aust N Z J Obstet Gynaecol, 49, 202-6. https://doi.org/10.1111/j.1479-828X.2009.00947.x
  7. Harper DM, Franco EL, Wheeler CM, et al (2006). HPV Vaccine Study group. Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and 18: follow-up from a randomized control trial. Lancet, 367, 1247-55. https://doi.org/10.1016/S0140-6736(06)68439-0
  8. Ilter E, Celik A, Haliloglu B, et al (2010). Women's knowledge of Pap smear test and human papillomavirus acceptance of HPV vaccination to themselves and their daughters in an Islamic society. Int J Gynecol Cancer, 20, 1058-62. https://doi.org/10.1111/IGC.0b013e3181dda2b9
  9. Khan S, Jaffer NN, Khan MN, et al (2007). Human papillomavirus subtype 16 is common in Pakistaniwomen with cervical carcinoma. Int J Infect Dis, 11, 313-17. https://doi.org/10.1016/j.ijid.2006.06.007
  10. Manji M (2000). Cervical cancer screening program in Saudi Arabia: action is overdue. Ann Saudi Med, 20, 355-7.
  11. Makoha FW, Raheem MA (2008). Gynecological cancer incidence in a hospital population in Saudi Arabia: the effect of foreign immigration over two decades. J Obstet Gynaecol Res, 34, 538-42. https://doi.org/10.1111/j.1447-0756.2008.00735.x
  12. McCusker SM, Macqueen I, Lough G, et al (2013). Gaps in detailed knowledge of human papillomavirus (HPV) and the HPV vaccine among medical students in Scotland. BMC Public Health, 13, 264. https://doi.org/10.1186/1471-2458-13-264
  13. Munoz N, Bosch FX, de Sanjose S, et al (2003). Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med, 348, 518-27. https://doi.org/10.1056/NEJMoa021641
  14. Mutyaba T, Mmiro FA, Weiderpass E (2006). Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Med Educ, 1, 6-13.
  15. Newman PA, Logie CH, Doukas N, et al (2013). HPV vaccine acceptability among men: a systematic review and metaanalysis. Sex Transm Infect, 89, 568-74. https://doi.org/10.1136/sextrans-2012-050980
  16. Ortashi O, Raheel H, Shalal M, Osman N, et al (2013). Awareness and knowledge about human papillomavirus infection and vaccination among women in UAE. Asian Pac J Cancer Prev, 14, 6077-80. https://doi.org/10.7314/APJCP.2013.14.10.6077
  17. Pandey D, Vanya V, Bhagat S, et al (2012). Awareness and attitude towards human papillomavirus (HPV) vaccine among medical students in a premier medical school in India. PLoS One, 7, 40619. https://doi.org/10.1371/journal.pone.0040619
  18. Rashwan HH, Saat NZ, Abd Manan DN (2012). Knowledge, attitude and practice of Malaysian medical and pharmacy students towards human papillomavirus vaccination. Asian Pac J Cancer Prev, 13, 2279-83 https://doi.org/10.7314/APJCP.2012.13.5.2279
  19. Roteli-Martins C, Naud P, de Borba P, et al (2012). Sustained immunogenicity and efficacy of the HPV-16/18 AS04- adjuvanted vaccine: up to 8.4 years of follow-up. Hum Vaccine Immunother, 8, 390-97. https://doi.org/10.4161/hv.18865
  20. Sait KH (2009), Attitudes, knowledge, and practices in relation to cervical cancer and its screening among women in Saudi Arabia. Saudi Med J, 30, 1208-12.
  21. Stanley M (2010). Pathology and epidemiology of HPV infection in females. Gynecol Oncol, 117, 5-10. https://doi.org/10.1016/j.ygyno.2010.01.024
  22. Teresa J, Brijesh S, Chacchu B, et al (2011). Awareness of cervix cancer risk factors in educated youth: A cross-sectional, questionnaire based survey in India, Nepal, and Sri Lanka. Asian Pacific J Cancer Prev, 12, 1707-12.
  23. The Future II Study Group (2007). Quadrivalent vaccine against human papillomavirus to prevent high-grade cervical lesions. N Engl J Med, 356, 1915-27. https://doi.org/10.1056/NEJMoa061741
  24. Villa LL, Costa RL, Petta CA, et al (2005). Prophylactic quadrivalent human papillomavirus (types 6, 11, 16 & 18) L1 virus-like particle vaccine in young women: a randomized double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol, 6, 271-78. https://doi.org/10.1016/S1470-2045(05)70101-7
  25. Walboomers JM, Jacobs MV, Manos MM, et al (1999). Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol, 189, 12-9. https://doi.org/10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F
  26. Zhao FH, Tiggelaar SM, Hu SY, et al (2012). A multi-center survey of HPV knowledge and attitudes toward HPV vaccination among women, government officials, and medical personnel in China. Asian Pac J Cancer Prev, 13, 2369-78. https://doi.org/10.7314/APJCP.2012.13.5.2369

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