The level of awareness of cervical cancer and its prevention among adolescents of public high schools in a high risk Nigerian population
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Abstract
Background: Globally, cervical cancer is a major public health problem. The high prevalence of cervical cancer, especially among women in developing nations, has a strong link with their reproductive health status in adolescence. Thus, it is in order to carry out studies that would assess the awareness of cervical cancer and its prevention among this highly susceptible adolescent age group.
Objective: This study aimed at assessing the awareness of cervical cancer, HPV infection and anticipated improved acceptance of HPV vaccination for cervical cancer prevention among adolescents in southwest Nigeria.
Materia and Methods: This was a cross-sectional cohort study involving 192 senior public high students across all the 16 local government areas in Ekiti State, Nigeria. Self-administered structured questionnaires were used to obtain data from participants during a summer youth camp in August, 2019. The questionnaire assessed their knowledge on sexual history; cervical cancer, its preventive measures including the HPV vaccination.
Results: Majority (83.9%) had never had sex before; while 16.1% had sex before the age of 10years with peno-vaginal sex commoner with a frequency of 87.1%. More than 70% of the respondents believed cervical cancer was linked to multiple sexual partners and that it could kill. Majority (83.3%) of the respondents believed that human papillomavirus was a cause of cervical cancer. However, only 6.3% of the adolescents had had HPV vaccination despite the fact that majority (84.9%) had the knowledge of HPV vaccination.
Conclusion: The result of this study showed a good understanding of health implication of cervical cancer and HPV, its mode of transmission and prevention. However, uptake of HPV vaccination among the respondents was low. It is suggested that there is a need to include HPV vaccines not only in the National Programme on Immunization (NPI) but also mount strategies that will increase its coverage and acceptance in the environment of study.
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