Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination
Few studies explored Indonesian understanding of cervical cancer (CC) and the human papillomavirus (HPV) vaccination. We aimed to investigate the association between knowledge, attitudes, and practices (KAP) and socio-demographical influences related to HPV, CC, and vaccination among Indonesian urba...
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| Veröffentlicht in: | PloS one 2022-05, Vol.17 (5), p.e0266139-e0266139 |
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| creator | Winarto, Hariyono Habiburrahman, Muhammad Dorothea, Maya Wijaya, Andrew Nuryanto, Kartiwa Hadi Kusuma, Fitriyadi Utami, Tofan Widya Anggraeni, Tricia Dewi |
| description | Few studies explored Indonesian understanding of cervical cancer (CC) and the human papillomavirus (HPV) vaccination. We aimed to investigate the association between knowledge, attitudes, and practices (KAP) and socio-demographical influences related to HPV, CC, and vaccination among Indonesian urban citizens.
We conducted an online survey during March 2020-August 2021 using the Snowball sampling technique. The socio-demographic characteristic and KAP responses were collected via Google Forms from 400 respondents in Jakarta. The knowledge and attitudes were divided into HPV and CC (aspect 1) and HPV vaccination (aspect 2). Correlation between KAP scores was performed using Spearman's test, and multiple logistic regression analyses were conducted to determine KAP predictors.
Indonesian urban citizens in Jakarta were found to have poor knowledge in individual aspects of the inquiry but moderate knowledge overall, good attitude in inquiry both in each aspect and overall, and unsatisfying practices. Overall, in the general population, men, and women respectively: 50.8%, 32.4%, and 53.6% had good knowledge; 82.0%, 75.2%, and 84.4% expressed positive attitude; and 30.3%, 15.2%, and 35.6% applied favorable practice regarding questions inquired. Knowledge was weakly correlated towards attitude (ρ = 0.385) but moderately correlated with practice (ρ = 0.485); attitude was moderately correlated with practice (ρ = 0.577), all results: p |
| doi_str_mv | 10.1371/journal.pone.0266139 |
| format | Article |
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We conducted an online survey during March 2020-August 2021 using the Snowball sampling technique. The socio-demographic characteristic and KAP responses were collected via Google Forms from 400 respondents in Jakarta. The knowledge and attitudes were divided into HPV and CC (aspect 1) and HPV vaccination (aspect 2). Correlation between KAP scores was performed using Spearman's test, and multiple logistic regression analyses were conducted to determine KAP predictors.
Indonesian urban citizens in Jakarta were found to have poor knowledge in individual aspects of the inquiry but moderate knowledge overall, good attitude in inquiry both in each aspect and overall, and unsatisfying practices. Overall, in the general population, men, and women respectively: 50.8%, 32.4%, and 53.6% had good knowledge; 82.0%, 75.2%, and 84.4% expressed positive attitude; and 30.3%, 15.2%, and 35.6% applied favorable practice regarding questions inquired. Knowledge was weakly correlated towards attitude (ρ = 0.385) but moderately correlated with practice (ρ = 0.485); attitude was moderately correlated with practice (ρ = 0.577), all results: p<0.001. Significant odds ratio (OR) for predictors to good knowledge were female sex (OR = 2.99), higher education (OR = 2.91), and higher mother's education (OR = 2.15). Factors related to positive attitudes were higher mother's education (OR = 4.13), younger age (OR = 1.86), and better results in the knowledge inquiries (OR = 2.96). Factors that suggested better practices were female sex (OR = 2.33), being employed (OR = 1.68), excellent knowledge scores (OR = 4.56), and positive attitudes expressions (OR = 8.05). Having done one vaccination dose and intention to receive vaccines were significantly influenced by good KAP.
KAP had inter-association to successful CC and HPV prevention programs, and socio-demographical characteristics are critical to influencing better KAP.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0266139</identifier><identifier>PMID: 35552546</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Attitudes ; Biology and Life Sciences ; Cancer ; Care and treatment ; Cervical cancer ; Cervix ; Diagnosis ; Education ; Female ; Health Knowledge, Attitudes, Practice ; Human papillomavirus ; Humans ; Immunization ; Indonesia - epidemiology ; Male ; Medicine and Health Sciences ; Papillomavirus infections ; Papillomavirus Infections - drug therapy ; Papillomavirus Infections - epidemiology ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - therapeutic use ; People and Places ; Prostate cancer ; Regression analysis ; Sampling techniques ; Sex ; Social Sciences ; Surveys and Questionnaires ; Urban areas ; Uterine Cervical Neoplasms ; Vaccination ; Vaccines ; Womens health</subject><ispartof>PloS one, 2022-05, Vol.17 (5), p.e0266139-e0266139</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Winarto et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Winarto et al 2022 Winarto et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-e0dfa50f03a3bc3b896037fde60fb87b91f43f10220d41fa33433caf9a3ec52b3</citedby><cites>FETCH-LOGICAL-c692t-e0dfa50f03a3bc3b896037fde60fb87b91f43f10220d41fa33433caf9a3ec52b3</cites><orcidid>0000-0001-6372-8240 ; 0000-0002-2081-9238</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098048/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098048/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35552546$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Sabol, Ivan</contributor><creatorcontrib>Winarto, Hariyono</creatorcontrib><creatorcontrib>Habiburrahman, Muhammad</creatorcontrib><creatorcontrib>Dorothea, Maya</creatorcontrib><creatorcontrib>Wijaya, Andrew</creatorcontrib><creatorcontrib>Nuryanto, Kartiwa Hadi</creatorcontrib><creatorcontrib>Kusuma, Fitriyadi</creatorcontrib><creatorcontrib>Utami, Tofan Widya</creatorcontrib><creatorcontrib>Anggraeni, Tricia Dewi</creatorcontrib><title>Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Few studies explored Indonesian understanding of cervical cancer (CC) and the human papillomavirus (HPV) vaccination. We aimed to investigate the association between knowledge, attitudes, and practices (KAP) and socio-demographical influences related to HPV, CC, and vaccination among Indonesian urban citizens.
We conducted an online survey during March 2020-August 2021 using the Snowball sampling technique. The socio-demographic characteristic and KAP responses were collected via Google Forms from 400 respondents in Jakarta. The knowledge and attitudes were divided into HPV and CC (aspect 1) and HPV vaccination (aspect 2). Correlation between KAP scores was performed using Spearman's test, and multiple logistic regression analyses were conducted to determine KAP predictors.
Indonesian urban citizens in Jakarta were found to have poor knowledge in individual aspects of the inquiry but moderate knowledge overall, good attitude in inquiry both in each aspect and overall, and unsatisfying practices. Overall, in the general population, men, and women respectively: 50.8%, 32.4%, and 53.6% had good knowledge; 82.0%, 75.2%, and 84.4% expressed positive attitude; and 30.3%, 15.2%, and 35.6% applied favorable practice regarding questions inquired. Knowledge was weakly correlated towards attitude (ρ = 0.385) but moderately correlated with practice (ρ = 0.485); attitude was moderately correlated with practice (ρ = 0.577), all results: p<0.001. Significant odds ratio (OR) for predictors to good knowledge were female sex (OR = 2.99), higher education (OR = 2.91), and higher mother's education (OR = 2.15). Factors related to positive attitudes were higher mother's education (OR = 4.13), younger age (OR = 1.86), and better results in the knowledge inquiries (OR = 2.96). Factors that suggested better practices were female sex (OR = 2.33), being employed (OR = 1.68), excellent knowledge scores (OR = 4.56), and positive attitudes expressions (OR = 8.05). Having done one vaccination dose and intention to receive vaccines were significantly influenced by good KAP.
KAP had inter-association to successful CC and HPV prevention programs, and socio-demographical characteristics are critical to influencing better KAP.</description><subject>Attitudes</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Diagnosis</subject><subject>Education</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Indonesia - epidemiology</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Papillomavirus infections</subject><subject>Papillomavirus Infections - drug therapy</subject><subject>Papillomavirus Infections - epidemiology</subject><subject>Papillomavirus Infections - prevention & control</subject><subject>Papillomavirus Vaccines - therapeutic use</subject><subject>People and Places</subject><subject>Prostate cancer</subject><subject>Regression analysis</subject><subject>Sampling techniques</subject><subject>Sex</subject><subject>Social Sciences</subject><subject>Surveys and Questionnaires</subject><subject>Urban areas</subject><subject>Uterine Cervical Neoplasms</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Womens 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winarto, Hariyono</au><au>Habiburrahman, Muhammad</au><au>Dorothea, Maya</au><au>Wijaya, Andrew</au><au>Nuryanto, Kartiwa Hadi</au><au>Kusuma, Fitriyadi</au><au>Utami, Tofan Widya</au><au>Anggraeni, Tricia Dewi</au><au>Sabol, Ivan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-05-12</date><risdate>2022</risdate><volume>17</volume><issue>5</issue><spage>e0266139</spage><epage>e0266139</epage><pages>e0266139-e0266139</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Few studies explored Indonesian understanding of cervical cancer (CC) and the human papillomavirus (HPV) vaccination. We aimed to investigate the association between knowledge, attitudes, and practices (KAP) and socio-demographical influences related to HPV, CC, and vaccination among Indonesian urban citizens.
We conducted an online survey during March 2020-August 2021 using the Snowball sampling technique. The socio-demographic characteristic and KAP responses were collected via Google Forms from 400 respondents in Jakarta. The knowledge and attitudes were divided into HPV and CC (aspect 1) and HPV vaccination (aspect 2). Correlation between KAP scores was performed using Spearman's test, and multiple logistic regression analyses were conducted to determine KAP predictors.
Indonesian urban citizens in Jakarta were found to have poor knowledge in individual aspects of the inquiry but moderate knowledge overall, good attitude in inquiry both in each aspect and overall, and unsatisfying practices. Overall, in the general population, men, and women respectively: 50.8%, 32.4%, and 53.6% had good knowledge; 82.0%, 75.2%, and 84.4% expressed positive attitude; and 30.3%, 15.2%, and 35.6% applied favorable practice regarding questions inquired. Knowledge was weakly correlated towards attitude (ρ = 0.385) but moderately correlated with practice (ρ = 0.485); attitude was moderately correlated with practice (ρ = 0.577), all results: p<0.001. Significant odds ratio (OR) for predictors to good knowledge were female sex (OR = 2.99), higher education (OR = 2.91), and higher mother's education (OR = 2.15). Factors related to positive attitudes were higher mother's education (OR = 4.13), younger age (OR = 1.86), and better results in the knowledge inquiries (OR = 2.96). Factors that suggested better practices were female sex (OR = 2.33), being employed (OR = 1.68), excellent knowledge scores (OR = 4.56), and positive attitudes expressions (OR = 8.05). Having done one vaccination dose and intention to receive vaccines were significantly influenced by good KAP.
KAP had inter-association to successful CC and HPV prevention programs, and socio-demographical characteristics are critical to influencing better KAP.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35552546</pmid><doi>10.1371/journal.pone.0266139</doi><tpages>e0266139</tpages><orcidid>https://orcid.org/0000-0001-6372-8240</orcidid><orcidid>https://orcid.org/0000-0002-2081-9238</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_plos_journals_2686246357 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Attitudes Biology and Life Sciences Cancer Care and treatment Cervical cancer Cervix Diagnosis Education Female Health Knowledge, Attitudes, Practice Human papillomavirus Humans Immunization Indonesia - epidemiology Male Medicine and Health Sciences Papillomavirus infections Papillomavirus Infections - drug therapy Papillomavirus Infections - epidemiology Papillomavirus Infections - prevention & control Papillomavirus Vaccines - therapeutic use People and Places Prostate cancer Regression analysis Sampling techniques Sex Social Sciences Surveys and Questionnaires Urban areas Uterine Cervical Neoplasms Vaccination Vaccines Womens health |
| title | Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T19%3A37%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Knowledge,%20attitudes,%20and%20practices%20among%20Indonesian%20urban%20communities%20regarding%20HPV%20infection,%20cervical%20cancer,%20and%20HPV%20vaccination&rft.jtitle=PloS%20one&rft.au=Winarto,%20Hariyono&rft.date=2022-05-12&rft.volume=17&rft.issue=5&rft.spage=e0266139&rft.epage=e0266139&rft.pages=e0266139-e0266139&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0266139&rft_dat=%3Cgale_plos_%3EA703449198%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2686246357&rft_id=info:pmid/35552546&rft_galeid=A703449198&rft_doaj_id=oai_doaj_org_article_e46bbd14d4e04e12a0040efafeb407b2&rfr_iscdi=true |