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Dr. Florentino B. Herrera, Jr. Medical Library

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Dr. Florentino B. Herrera, Jr. Medical Library

College of Medicine
University of the Philippines Manila

The Health Sciences Center

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  210     00$aA hospital-based study on the knowledge and attitude of mothers of adolescents in the Philippine General Hospital regarding human papillomavirus infection and its potential vaccine.
  100     00$aZalameda-Castro CR
  100     00$aDomingo EJ
  490     00$aPhilipp J Gynecol Oncol$d2007 Jan-Jun$p4(1):1-6
  800     00$aLorna
  007     00$aPR
  011     00$aAR
  012     00$aEn
  620     00$aADOLESCENT
  620     00$aVAGINAL SMEARS
  630     00$a
  600     00$aCervical cancer remains to be the second leading cancer and the leading cause of cancer-related deaths among Filipino women despite the development of the Papanicolaou testing. Epidemiologic research strongly implicates human papillomavirus as the major risk factor of cervical cancer. Given the substantial disease and death associated with HPV and cervical cancer, vaccine development and immunologic-based therapeutics for HPV infection are currently exciting and are rapidly progressing. However, before an HPV vaccination program is successfully implemented, social, cultural and political issues will need to be addressed. Acceptance of a potential HPV vaccine will depend highly on the knowledge and attitude of people with regards the risks associated with HPV infection, as well as, the benefits of the vaccine against it. One scenario that has to be addressed is the parents’ acceptability of administering the vaccines among their teenage daughters. A survey was carried out in a sample of 195 mothers with daughters aged 12 to 15 years who consulted at the Philippine General Hospital OB-GYN Clinic and Gynecologic Cancer Clinic at the Cancer Institute for the month of July, 2006. These women were made to answer a self-administered questionnaire that includes sociodemographic, Reproductive and sexual history variables, vaccine usefulness and knowledge of cervical cancer etiology. The possible acceptability of an HPV vaccine for their teenaged daughters was assessed in association with these sociodemographic and reproductive factors. The respondents had little knowledge regarding human papillomavirus. Only 14.4 percent has heard of HPV prior to this study and most of them got their information from the television, followed by the doctors. Only 31.8 percent has identified HPV as a specific risk factor for the development of cervical cancer although more than 56.4 percent think that it is caused by an infection that is sexually transmitted. Acceptability of a potential HPV vaccine in this study population was high at 75.4 percent. The main factor associated with the acceptance of such vaccine was the knowledge of the general usefulness of vaccines in preventing illnesses, in this case, the cervical cancer. Fifty-five percent of those who accept the HPV vaccine think that it should be given at any age prior to any sexual activity while 27 percent think that it should be given between 12 to 15 years of age. The main reason for non-acceptance of the vaccine is its prohibitive cost, although most of them explained that if only their resources would allow it, they would be willing to have their children vaccinated. Another reason for non-acceptance is that it might promote or encourage unsafe sexual behavior among the adolescents. Majority of the respondents think that men should also be vaccinated against HPV in order to protect their partners from the contracting the infection. Increased education of Filipino women regarding HPV and its association with cervical cancer is needed. Initiation of an immunization campaign that targets adolescents who are not sexually active might be quite difficult and should include educational programs aimed at mothers of these individuals. Knowledge of the benefits of a preventive vaccine should be emphasized. Inclusion into widespread government immunization programs should also be targeted for it to be successful. (Auth)
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