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The Knowledge, Attitudes and Practices (KAP) Regarding Human Papilloma Virus (HPV) Among Women in Karachi, Pakistan

Received: 15 April 2017     Accepted: 12 May 2017     Published: 18 July 2017
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Abstract

Background: The burden of STIs in Pakistan is much larger than reported. Various research studies indicate that the knowledge of sexually transmitted infections (STIs) and Human Papilloma Virus (HPV) in the women is low. The objective of this study is to assess the knowledge, attitudes and practice regarding STIs, HPV and sexual behaviors of contraceptive practice among women in Karachi, Pakistan. Methods: The current study was conducted in a tertiary care hospital in Karachi from Aug 2014- Aug 2015, including 600 women (aged 19-50 years) by convenience sampling technique from waiting areas of out-patient clinics. Results: The mean age of participants was 39.5 ± 10.7 years. Eighty eight percent women (n = 529) were married, 8% (n = 50) female were unmarried and around 3% (n = 19) female were divorced, separated or widowed. Participants with no knowledge about STIs and viruses causing some cancers were 57% (n = 341) and 70% (n = 418) respectively. There was no knowledge about Pap smear in 80% (n = 479) of study population and the proportion of women not attending the annual gynecological examination were 88% (n = 525). Vaccine acceptability was found to be as low as 38% (n = 225). A similar trend 12% (n = 71) was seen in the response about willing to pay by themselves for the vaccination cost. Conclusion: The current study highlights inadequate knowledge about STDS, HPV, cervical cancer and its screening among women. Public health awareness programs should be raised at community level in order to increase the health seeking behavior of women.

Published in American Journal of Biomedical and Life Sciences (Volume 5, Issue 4)
DOI 10.11648/j.ajbls.20170504.12
Page(s) 69-72
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Sexually Transmitted Infections, Human Papillomavirus (HPV), HPV Vaccine

References
[1] Smith J S, Melendy A, Rana R K, Pimenta J M. Age-specific prevalence of infection with human papillomavirus in females: a global review. J Adolesc Health. 2008, 43 (4 Suppl): S5-S25.
[2] Schiffman M, Castle PE, Jeronimo J, Rodriguez AC, Wacholder S. Human papillomavirus and cervical cancer. Lancet. 2007, 370: 890-907.
[3] Luque A E, Hitti J, Mwachari C, Lane C, Messing S, Cohn SE, Adler D, Rose R, Coombs R. Prevalence of human papillomavirus genotypes in HIV-1-infected women in Seattle, USA and Nairobi, Kenya: results from the Women’s HIV Interdisciplinary Network (WHIN). Int J Infect Dis. 2010, 14: 810-14.10.
[4] Aziz Z, Sana S, Saeed S, Akram M. Institution based tumor registry from Punjab: five year data based analysis. J Pak Med Assoc. 2003; 53: 350–353.
[5] Badar F, Anwar N, Meerza F, Sultan F. Cervical carcinoma in a Muslim community. Asian Pac J Cancer Prev. 2007 Jan-Mar; 8 (1): 24-6.
[6] Bhurgri Y, Nazir K, Shaheen Y, Usman A, Faridi N, et al. Patho-epidemiology of Cancer Cervix in Karachi South. Asian Pac J Cancer Prev. 2007; 8: 357- 62.
[7] Imam S Z, Rehman F, Zeeshan M M, Maqsood B, Asrar S, et al. Perceptions and practices of a pakistani population regarding cervical cancer screening. Asian Pac J Cancer Prev. 2008; 9: 42–44.
[8] Oh J K, Lim M K, Yun E H, Lee E H, Shin H R. Awareness of and attitude towards human papillomavirus infection and vaccination for cervical cancer prevention among adult males and females in Korea: a nationwide interview survey. Vaccine. 2010; 28 (7): 1854–60.
[9] Xu C, Zhang W, Wu M, Zhang S. Knowledge of cervical cancer among 25-54-year-old women in Beijing. J Cancer Educ. 2011; 26 (3): 555-9.
[10] Mary B, D’Sa J L. Evaluation of an educational program on cervical cancer for rural women in Mangalore, Southern India. Asian Pac J Cancer Prev. 2014; 15 (16): 6603–8.
[11] Basu P, Hassan S, Fileeshia F, Mohamed S, Nahoodha A, Shiuna A, et al. Knowledge, attitude and practices of women in Maldives related to the risk factors, prevention and early detection of cervical cancer. Asian Pac J Cancer Prev. 2014; 15 (16): 6691–5.
[12] Vanslyke J G, Baum J, Plaza V, Otero M, Wheeler C, et al. HPV and cervical cancer testing and prevention: knowledge, beliefs, and attitudes among Hispanic women. Qual Health Res. 2008 May; 18: 584–596.
[13] Stark A, Gregoire L, Pilarski R, Zarbo A, Gaba A, et al. Human papillomavirus, cervical cancer and women's knowledge. Cancer Detect Prev. 2008; 32 (1): 15–22.
[14] Yaren A, Ozkilinc O G, Guler A, et al. Awareness of breast and cervical cancer risk factors and screening behaviours among nurses in rural region of Turkey. Eur J Cancer Care. 2008 May; 17 (3): 278-84.
[15] Mutyaba T, Mmiro F A, Weiderpass E. Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Medical Education. 2006; 6: 13. doi: 10.1186/1472-6920-6-13.
[16] Nganwai P, Truadpon P, Inpa C, Sangpetngam B, Mekjarasnapa M, et al. Knowledge, Attitudes and Practices vis-a-vis Cervical Cancer among Registered Nurses at the Faculty of Medicine, Khon Kaen University, Thailand. Asian Pac J Cancer Prev. 2008; 9: 15-18.
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  • APA Style

    Humera Ismail, Dur-e-shahwar, Muhammad Noman Rashid. (2017). The Knowledge, Attitudes and Practices (KAP) Regarding Human Papilloma Virus (HPV) Among Women in Karachi, Pakistan. American Journal of Biomedical and Life Sciences, 5(4), 69-72. https://doi.org/10.11648/j.ajbls.20170504.12

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    ACS Style

    Humera Ismail; Dur-e-shahwar; Muhammad Noman Rashid. The Knowledge, Attitudes and Practices (KAP) Regarding Human Papilloma Virus (HPV) Among Women in Karachi, Pakistan. Am. J. Biomed. Life Sci. 2017, 5(4), 69-72. doi: 10.11648/j.ajbls.20170504.12

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    AMA Style

    Humera Ismail, Dur-e-shahwar, Muhammad Noman Rashid. The Knowledge, Attitudes and Practices (KAP) Regarding Human Papilloma Virus (HPV) Among Women in Karachi, Pakistan. Am J Biomed Life Sci. 2017;5(4):69-72. doi: 10.11648/j.ajbls.20170504.12

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  • @article{10.11648/j.ajbls.20170504.12,
      author = {Humera Ismail and Dur-e-shahwar and Muhammad Noman Rashid},
      title = {The Knowledge, Attitudes and Practices (KAP) Regarding Human Papilloma Virus (HPV) Among Women in Karachi, Pakistan},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {5},
      number = {4},
      pages = {69-72},
      doi = {10.11648/j.ajbls.20170504.12},
      url = {https://doi.org/10.11648/j.ajbls.20170504.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20170504.12},
      abstract = {Background: The burden of STIs in Pakistan is much larger than reported. Various research studies indicate that the knowledge of sexually transmitted infections (STIs) and Human Papilloma Virus (HPV) in the women is low. The objective of this study is to assess the knowledge, attitudes and practice regarding STIs, HPV and sexual behaviors of contraceptive practice among women in Karachi, Pakistan. Methods: The current study was conducted in a tertiary care hospital in Karachi from Aug 2014- Aug 2015, including 600 women (aged 19-50 years) by convenience sampling technique from waiting areas of out-patient clinics. Results: The mean age of participants was 39.5 ± 10.7 years. Eighty eight percent women (n = 529) were married, 8% (n = 50) female were unmarried and around 3% (n = 19) female were divorced, separated or widowed. Participants with no knowledge about STIs and viruses causing some cancers were 57% (n = 341) and 70% (n = 418) respectively. There was no knowledge about Pap smear in 80% (n = 479) of study population and the proportion of women not attending the annual gynecological examination were 88% (n = 525). Vaccine acceptability was found to be as low as 38% (n = 225). A similar trend 12% (n = 71) was seen in the response about willing to pay by themselves for the vaccination cost. Conclusion: The current study highlights inadequate knowledge about STDS, HPV, cervical cancer and its screening among women. Public health awareness programs should be raised at community level in order to increase the health seeking behavior of women.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - The Knowledge, Attitudes and Practices (KAP) Regarding Human Papilloma Virus (HPV) Among Women in Karachi, Pakistan
    AU  - Humera Ismail
    AU  - Dur-e-shahwar
    AU  - Muhammad Noman Rashid
    Y1  - 2017/07/18
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    N1  - https://doi.org/10.11648/j.ajbls.20170504.12
    DO  - 10.11648/j.ajbls.20170504.12
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 69
    EP  - 72
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20170504.12
    AB  - Background: The burden of STIs in Pakistan is much larger than reported. Various research studies indicate that the knowledge of sexually transmitted infections (STIs) and Human Papilloma Virus (HPV) in the women is low. The objective of this study is to assess the knowledge, attitudes and practice regarding STIs, HPV and sexual behaviors of contraceptive practice among women in Karachi, Pakistan. Methods: The current study was conducted in a tertiary care hospital in Karachi from Aug 2014- Aug 2015, including 600 women (aged 19-50 years) by convenience sampling technique from waiting areas of out-patient clinics. Results: The mean age of participants was 39.5 ± 10.7 years. Eighty eight percent women (n = 529) were married, 8% (n = 50) female were unmarried and around 3% (n = 19) female were divorced, separated or widowed. Participants with no knowledge about STIs and viruses causing some cancers were 57% (n = 341) and 70% (n = 418) respectively. There was no knowledge about Pap smear in 80% (n = 479) of study population and the proportion of women not attending the annual gynecological examination were 88% (n = 525). Vaccine acceptability was found to be as low as 38% (n = 225). A similar trend 12% (n = 71) was seen in the response about willing to pay by themselves for the vaccination cost. Conclusion: The current study highlights inadequate knowledge about STDS, HPV, cervical cancer and its screening among women. Public health awareness programs should be raised at community level in order to increase the health seeking behavior of women.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, Pakistan

  • Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, Pakistan

  • Department of Physiology, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, Pakistan

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