Knowledge and acceptance of HPV vaccine among adolescents, parents and health professionals: Construct development for collection and database composition

Carregando...
Imagem de Miniatura
Citações na Scopus
19
Tipo de produção
article
Data de publicação
2018
Título da Revista
ISSN da Revista
Título do Volume
Editora
CENTRO DE ESTUDOS DE CRESCIMENTO E DESENVOLVIMENTO DO SER HUMANO
Autores
SOUSA, P. D. Leite e
ABREU, L. C. de
Citação
JOURNAL OF HUMAN GROWTH AND DEVELOPMENT, v.28, n.1, p.58-68, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: The human papillomavirus (HPV) is a prevalent viral infection in the sexually active population, which can be oncogenic and non-oncogenic. Educational efforts by health professionals, aimed at adolescents and their parents, help decision-making on human papillomavirus vaccination, benefiting the implantation process and vaccine coverage. Objective: To describe the data collection constructs about knowledge and acceptability of HPV vaccine among adolescents, parents and health professionals. Methods: Study of construct elaboration based on an empirical review of the literature with a qualitative focus on PubMed database, from 2007 to 2014, using the following keywords: Papillomaviridae AND Papillomavirus Vaccines AND Knowledge AND Community Health Services. A total of 31 questions were divided into six categories. In the internal validation, the final construct was applied in 390 subjects (adolescents, parents/guardians and health professionals) in the period of 2014. The proportion of assertive responses and respective 95% confidence interval (CI) were used to describe each question. Results: Three articles on the subject were found in the databases consulted that served as the basis for the elaboration of the questionnaire. There was a lower proportion of correct answers among adolescents about knowledge of HPV. Adolescents, parents, and carers showed a low proportion of correctness about the safety and efficacy of the vaccine. The three groups did not show any barriers to vaccine acceptability. Conclusion: The instrument was adequate to measure knowledge about HPV, its repercussions and its vaccine among adolescents, parents/guardians and health professionals, as well as measuring the acceptability of the human papillomavirus vaccine. © The authors (2018).
Introdução: O papilomavírus humano (HPV) é infecção viral prevalente na população sexualmente ativa, podendo ser oncogênico e não oncogênico. Esforços educacionais realizados por profissionais de saúde, voltados para adolescentes e seus pais auxiliam a tomada de decisão sobre a vacinação para o papilomavírus humano, beneficiando o processo de implantação e cobertura vacinal. Objetivo: Descrever constructo de coleta de dados sobre conhecimento e aceitabilidade da vacina para o HPV entre adolescentes, pais e profissionais de saúde. Método: Estudo de elaboração de constructo a partir de revisão de base empírica da literatura com enfoque qualitativo em base de dados do PubMed, no período de 2007 a 2014, com a utilização das palavras-chave: Papillomaviridae AND Papillomavirus Vaccines AND knowledge AND Community Health Services. Elaborou-se 31 questões divididas em seis categorias. Na validação interna foi aplicado o constructo final em 390 indivíduos (adolescentes, pais/responsáveis e profissionais de saúde) no período de 2014. A proporção de acerto das respostas e respectivo intervalo de confiança de 95% foram utilizados para descrever cada questão. Resultados: Foram encontrados três artigos sobre a temática nas bases de dados consultadas que serviram como base para elaboração do questionário. Verificou-se menor proporção de acerto entre adolescentes sobre o conhecimento do HPV. Adolescentes, pais e responsáveis mostraram-se com baixa proporção de acerto sobre a segurança e eficácia da vacina. Os três grupos não mostraram barreiras de aceitabilidade à vacina. Conclusão: O instrumento mostrou-se adequado para mensurar o conhecimento sobre o HPV, suas repercussões e sua vacina entre os adolescentes, pais/responsáveis e profissionais de saúde, bem como sobre a aceitabilidade da vacina para o papilomavírus humano.
Palavras-chave
Adolescent, Health-care professional, HPV, Knowledge, Papillomavirus vaccines, Parents, Surveys and questionnaires, HPV, vacinas contra papilomavirus, conhecimento, adolescente, pais, profissional de saúde, inquéritos e questionários
Referências
  1. Forman, D., Martel, C., Lacey, C.J., Soerjomataram, I., Lortet-Tieulent, J., Bruni, L., Global burden of human papillomavirus and related diseases (2012) Vaccine, 30, pp. F12-F23
  2. (2014) Wkly Epidemiol Rec, 89 (43), pp. 465-491. , October 2014
  3. http://www.inca.gov.br/estimativa/2016/estimativa-2016-v11.pdf, Ministério da Saúde. Incidência de câncer no Brasil: estimativa/2016. Brasília: Instituto Nacional do Câncer. [cited 2017 oct 16]
  4. Dillner, J., Kjaer, S.K., Wheeler, C.M., Sigurdsson, K., Iversen, O.E., Hernandez-Avila, M., Four year efficacy of prophylactic human papillomavirus quadrivalent vaccine against low grade cervical, vulvar, and vaginal intraepithelial neoplasia and anogenital warts: randomised controlled trial (2010) BMJ, 341
  5. (2015) Secretaria de Vigilância em Saúde, , Departamento de Vigilância de Doenças Transmissíveis. Coordenação-Geral do Programa Nacional de Imunizações. Informe Técnico da vacina Papiloma vírus humano 6, 11, 16 e 18 (recombinante). Brasília: Ministério da Saúde
  6. Kilic, A., Seven, M., Guvenc, G., Akyuz, A., Ciftci, S., Acceptance of human papillomavirus vaccine by adolescent girls and their parents in Turkey (2012) Asian Pac J Cancer Prev, 13 (9), pp. 4267-4272
  7. Phan, D.P., Pham, Q.T., Strobel, M., Tran, D.S., Tran, T.L., Buisson, Y., Acceptability of vaccination against Human Papillomavirus (HPV) by pediatricians, mothers and young women in Ho Chi Minh City, Vietnam (2012) Rev Epidemiol Sante Publique, 60 (6), pp. 437-446
  8. Kwan, T.T., Chan, K.K., Yip, A.M., Tam, K.F., Cheung, A.N., Young, P.M., Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: a qualitative-quantitative study (2008) Sex Transm Infect, 84 (3), pp. 227-232
  9. Kornfeld, J., Byrne, M.M., Vanderpool, R., Shin, S., Kobetz, E., HPV knowledge and vaccine acceptability among Hispanic fathers (2013) J Prim Prev, 34, pp. 59-69
  10. Figueroa-Downing, D., Baggio, M., Baker, M.L., Chiang, E.D.O., Villa, L.L., Eluf Neto, J., Factors influencing HPV vaccine delivery by healthcare professionals at public health posts in São Paulo, Brazil (2017) Int J Gynaecol Obstet, 136 (1), pp. 33-39
  11. Osis, M.J.D., Duarte, G.A., de Sousa, M.H., Conhecimento e atitude de usuários do SUS sobre o HPV e as vacinas disponíveis no Brasil (2014) Rev Saúde Pública, 48 (1), pp. 123-133
  12. Colucci, M.Z.O., Alexandre, N.M.C., Milani, D., Construção de instrumentos de medida na área da saúde (2015) Ciênc Saúde Coletiva, 20 (3), pp. 925-936
  13. Merriam, S.B., (1998) Qualitative research and case study applications in education, p. 179. , San Francisco (USA): Jossey-Bass
  14. Yin, R.K., (2005) Estudo de caso: planejamento e métodos, p. 212. , 3ed. Porto Alegre: Bookman
  15. (1986) Young people's health-a challenge for society, , Geneva: WHO
  16. Giambi, C., D'Ancona, F., Del Manso, M., De Mei, B., Giovannelli, I., Cattaneo, C., Exploring reasons for non-vaccination against human papillomavirus in Italy (2014) BMC Infect Dis, 14, p. 545
  17. Fu, C.J., Pan, X.F., Zhao, Z.M., Saheb-Kashaf, M., Chen, F., Wen, Y., Knowledge, perceptions and acceptability of HPV vaccination among medical students in Chongqing, China (2014) Asian Pac J Cancer Prev, 15 (15), pp. 6187-6193
  18. Rosberger, Z., Krawczyk, A., Stephenson, E., Lau, S., HPV vaccine education: enhancing knowledge and attitudes of community counselors and educators (2014) J Cancer Educ, 29 (3), pp. 473-477
  19. Mazzadi, A., Paolino, M., Arrossi, S., HPV vaccine acceptability and knowledge among gynecologists in Argentina (2012) Salud Publica Mex, 54 (5), pp. 515-522
  20. Poole, D.N., Tracy, J.K., Levitz, L., Rochas, M., Sangare, K., Yekta, S., A cross-sectional study to assess hpv knowledge and HPV vaccine acceptability in mali (2013) PLoS One, 8 (2)
  21. Maia, T.Q., Soares, L.O., Valle, P.A.S.S., Medeiros, V.M.G., Educação para sexualidade de adolescentes: experiência de graduandas (2016) Nexus Rev Extensão IFAM, 2 (2), pp. 71-78
  22. Domingues, C.M.A.S., Alvarenga, A.T., Identidade e sexualidade no discurso adolescente (1997) Rev Bras Cresc Desenvolv Hum, 7 (2), pp. 36-63
  23. De Groot, A.S., Tounkara, K., Rochas, M., Beseme, S., Yekta, S., Diallo, F.S., Knowledge, attitudes, practices and willingness to vaccinate in preparation for the introduction of HPV vaccines in Bamako, Mali (2017) PloS One, 12 (2)
  24. Zouheir, Y., Daouam, S., Hamdi, S., Alaoui, A., Fechtali, T., Knowledge of human papillomavirus and acceptability to vaccinate in adolescents and young adults of the Moroccan population (2016) J Pediatr Adolesc Gynecol, 29 (3), pp. 292-298
  25. (2017) Monitoring tobacco use and prevention policies, , Report on the global tobacco epidemic, 2017. Geneva: World Health Organization
  26. Appleby, P., Beral, V., González, A.B., Colin, D., Franceschi, S., Carcinoma of the cervix and tobacco smoking: collaborative reanalysis of individual data on 13, 541 women with carcinoma of the cervix and 23, 017 women without carcinoma of the cervix from 23 epidemiological studies (2006) Int J Cancer, 118 (6), pp. 1481-1495
  27. Read, D.S., Joseph, M.A., Polishchuk, V., Suss, A.L., Attitudes and perceptions of the HPV vaccine in Caribbean and African-American adolescent girls and their parents (2010) J Pediatr Adolesc Gynecol, 23 (4), pp. 242-245
  28. Wang, L.D.L., Lam, W.W.T., Fielding, R., Determinants of human papillomavirus vaccination uptake among adolescent girls: A theory-based longitudinal study among Hong Kong Chinese parents (2017) Prev Med, 102, pp. 24-30
  29. Reiter, P.L., Brewer, N.T., Gottlieb, S.L., McRee, A.L., Smith, J.S., Parents' health beliefs and HPV vaccination of their adolescent daughters (2009) Soc Sci Med, 69 (3), pp. 475-480
  30. Ogilvie, G.S., Remple, V.P., Marra, F., McNeil, S.A., Naus, M., Pielak, K.L., Ehlen, T.G., Patrick, D.M., Parental intention to have daughters receive the human papillomavirus vaccine (2007) CMAJ, 177 (12), pp. 1506-1512
  31. Chan, S.S.C., Ng, B.H.Y., Lo, W.K., Cheung, T.H., Chung, T.K.H., Adolescent girls' attitudes on human papillomavirus vaccination (2009) J Pediatr Adolesc Gynecol, 22 (2), pp. 85-90
  32. Markowitz, L.E., Tsu, V., Deeks, S.L., Cubie, H., Wang, S.A., Vicari, A.S., Human papillomavirus vaccine introduction-the first five years (2012) Vaccine, 30, pp. 139-148
  33. Chehuen Neto, J.A., Braga, N.A.C., Campos, J.D., Rodrigues, R.R., Guimarães, K.G., Sena, A.L.S., Atitudes dos pais diante da vacinação de suas filhas contra o HPV na prevenção do câncer de colo do útero (2016) Cad Saúde Coletiva, 24 (2), pp. 248-251
  34. Madhivanan, P., Krupp, K., Yashodha, M.N., Marlow, L., Klausner, J.D., Reingold, A.L., Attitudes toward HPV vaccination among parents of adolescent girls in Mysore, India (2009) Vaccine, 27 (38), pp. 5203-5208
  35. Grandahl, M., Tydén, T., Westerling, R., Nevéus, T., Rosenblad, A., Hedin, E., To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School-Based Vaccination Program in Sweden (2017) J Sch Health, 87 (1), pp. 62-70
  36. Albright, K., Barnard, J., O'Leary, S.T., Lockhart, S., Jimenez-Zambrano, A., Stokley, S., Noninitiation and Noncompletion of HPV Vaccine Among English-and Spanish-Speaking Parents of Adolescent Girls: A Qualitative Study (2017) Acad Pediatr, 17 (7), pp. 778-784
  37. Cheruvu, V.K., Bhatta, M.P., Drinkard, L.N., Factors associated with parental reasons for ""no-intent"" to vaccinate female adolescentes with human papillomavirus vaccine: National Immunization Survey Teen-2008-2012 (2017) BMC Pediatr, 17, p. 52
  38. McRee, A.L., Gilkey, M.B., Dempsey, A.F., HPV vaccine hesitancy: findings from a statewide survey of health care providers (2014) J Pediatr Health Care, 28 (6), pp. 541-549
  39. Nunes, C.B.L., Arruda, K.M., Pereira, T.N., Apresentação da eficácia da vacina HPV distribuída pelo sus a partir de 2014 com base nos Estudos Future I, Future II, e Villa et al (2015) Acta Biomed Brasiliensia, 6 (1), pp. 1-9
  40. Harper, D.M., DeMars, L.R., HPV vaccines-A review of the first decade (2017) Gynecol Oncol, 146 (1), pp. 196-204
  41. Head, K.J., Vanderpool, R.C., Mills, L.A., Health care providers' perspectives on low HPV vaccine uptake and adherence in Appalachian Kentucky (2013) Public Health Nurs, 30 (4), pp. 351-360
  42. Dochez, C., Bogers, J.J., Verhelst, R., Rees, H., HPV vaccines to prevent cervical cancer and genital warts: an update (2014) Vaccine, 32 (14), pp. 1595-1601
  43. Stormo, A.R., Moura, L., Saraiya, M., Cervical cancer-related knowledge, attitudes, and practices of health professionals working in brazil's network of primary care units (2014) Oncologist, 19 (4), pp. 375-382
  44. Bezerra, I.M.P., Sorpreso, I.C.E., Conceitos de saúde e movimentos de promoção da saúde em busca da reorientação de práticas (2016) J Hum Growth Dev, 26 (1), pp. 11-20
  45. Cunningham, M., Davison, C., Aronson, K., HPV vaccine acceptability in Africa: a systematic review (2014) Prev Med, 69, pp. 274-279
  46. Hendry, M., Lewis, R., Clements, A., Damery, S., Wilkinson, C., ""HPV? Never heard of it!"": a systematic review of girls' and parents' information needs, views and preferences about human papillomavirus vaccination (2013) Vaccine, 31 (45), pp. 5152-5167
  47. Braz, N.S., Lorenzi, N.P., Sorpreso, I.C.E., Aguiar, L.M., Baracat, E.C., Soares-Júnior, J.M., The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review (2017) Clinics (Sao Paulo), 72 (3), pp. 183-187