Awareness and knowledge of HPV, cervical cancer, and vaccines in young women after first delivery in São Paulo, Brazil - a cross-sectional studyReportar como inadecuado

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BMC Women-s Health

, 10:35

First Online: 22 December 2010Received: 11 June 2010Accepted: 22 December 2010


BackgroundThe success of HPV vaccination programs will require awareness regarding HPV associated diseases and the benefits of HPV vaccination for the general population. The aim of this study was to assess the level of awareness and knowledge of human papillomavirus HPV infection, cervical cancer prevention, vaccines, and factors associated with HPV awareness among young women after birth of the first child.

MethodsThis analysis is part of a cross-sectional study carried out at Hospital Maternidade Leonor Mendes de Barros, a large public maternity hospital in Sao Paulo. Primiparous women 15-24 years who gave birth in that maternity hospital were included. A questionnaire that included questions concerning knowledge of HPV, cervical cancer, and vaccines was applied. To estimate the association of HPV awareness with selected factors, prevalence ratios PR were estimated using a generalized linear model GLM.

ResultsThree hundred and one primiparous women were included; 37% of them reported that they -had ever heard about HPV-, but only 19% and 7%, respectively, knew that HPV is a sexually transmitted infection STI and that it can cause cervical cancer. Seventy-four percent of interviewees mentioned the preventive character of vaccines and all participants affirmed that they would accept HPV vaccination after delivery. In the multivariate analysis, only increasing age P for trend = 0.021 and previous STI P < 0.001 were factors independently associated with HPV awareness -had ever heard about HPV-.

ConclusionsThis survey indicated that knowledge about the association between HPV and cervical cancer among primiparous young women is low. Therefore, these young low-income primiparous women could benefit greatly from educational interventions to encourage primary and secondary cervical cancer prevention programs.

List of abbreviations usedCIConfidence Intervals

GLMGeneralized Linear Model

HPVHuman Papillomavirus

PRPrevalence Ratios

STISexually Transmitted Infection.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6874-10-35 contains supplementary material, which is available to authorized users.

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Autor: Cristina H Rama - Luisa L Villa - Sonia Pagliusi - Maria A Andreoli - Maria C Costa - Aline L Aoki - Adhemar Longatto-


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