Human Papilloma Virus Awareness Among Hispanic Females with Inflammatory Bowel Disease

Autor: Maysabel Aponte, Ana P. Ortiz, Esther A. Torres, Jose E. Rivera-Acosta, Irene Villamil, Josefina Romaguera
Rok vydání: 2015
Předmět:
Adult
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Health (social science)
Sociology and Political Science
Cross-sectional study
Population
Uterine Cervical Neoplasms
Human papilloma virus
HPV vaccines
Article
Inflammatory bowel disease
03 medical and health sciences
0302 clinical medicine
Risk Factors
Internal medicine
Epidemiology
medicine
Humans
Papillomavirus Vaccines
030212 general & internal medicine
education
HPV vaccine
Cervical cancer
education.field_of_study
business.industry
Health Policy
Papillomavirus Infections
Puerto Rico
Public Health
Environmental and Occupational Health
HPV infection
virus diseases
Hispanic or Latino
Inflammatory Bowel Diseases
medicine.disease
3. Good health
Vaccination
Exact test
Cross-Sectional Studies
Anthropology
Immunology
Female
030211 gastroenterology & hepatology
business
Zdroj: Journal of Racial and Ethnic Health Disparities
ISSN: 2196-8837
2197-3792
DOI: 10.1007/s40615-015-0112-0
Popis: Women with inflammatory bowel disease (IBD) may be at increased risk of human papilloma virus (HPV) infection and HPV-related malignancies, as many are immunocompromised secondary to the use of immunosuppressant agents. Several studies have addressed the knowledge about cervical cancer risk factors in different populations, particularly HPV infection and its association with cervical malignancies; most of these studies show poor patient knowledge. The purpose of this study is to describe the knowledge of females with IBD about HPV infection and the HPV vaccine. We performed a cross-sectional study in 147 consecutive patients attending the clinics of the University of Puerto Rico Center for IBD from 2009 to 2010. An interviewer-administered questionnaire was used to collect information on demographics, lifestyles, and HPV-related knowledge of participants. Bivariate analysis using the chi-square statistics and Fisher’s exact test was used to examine factors associated with HPV awareness. The mean age of participants was 36.6 years (SD = 13.91 years). Three fourth (77 %) of women had awareness of the existence of HPV, and 58 % did know about the existence of HPV vaccines. Among those who had heard about HPV, 79.6 % knew that HPV can cause cervical cancer, and 57.5 % knew that the virus is sexually transmitted. Among those who knew of the vaccine, 75.3 % learned about its existence through the media, while only 15.3 %, through their health-care provider. Only three women within recommended ages (2 %) had been vaccinated against HPV, although 50 % of participants indicated that they would definitely/probably vaccinate against HPV in the future. A significant trend was observed, where more educated women were more likely to have heard of HPV (p for trend = 0.0017). Women who were high school graduates/some college (OR = 6.63, 95 % CI = 1.71–25.66) and those with at least an associate degree (OR = 11.69, 95 % CI = 3.05–45.89) were more likely to be aware of the HPV vaccine than women without a high school degree. Our study documents poor knowledge of HPV and HPV vaccine in this population of IBD patients in Puerto Rico. Although vaccination coverage is low in this population, women are receptive to the possibility of vaccination in the future. Given that this population may be at an increased risk of HPV infection and related morbidities, education and vaccination programs should be promoted among them.
Databáze: OpenAIRE
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