Ethnic Variations in Perception of Human Papillomavirus and its Vaccination among Young Women in Nepal

  • Brijesh Sathian Manipal College of Medical Sciences, Pokhara
  • MG Ramesh Babu Melaka Manipal Medical College, Manipal University
  • Edwin R van Teijlingen Bournemouth University, Bournemouth
  • Indrajit Banerjee Chitwan Medical College and Teaching Hospital, Chitwan
  • Bedanta Roy Manipal College of Medical Sciences, Pokhara
  • Supram Hosuru Subramanya Manipal College of Medical Sciences, Pokhara
  • Elayedath Rajesh Mahatma Gandhi University
  • Suresh Devkota Manipal College of Medical Sciences, Pokhara
Keywords: Human papillomavirus, HPV vaccination, HPV awareness, cervical cancer, Youth

Abstract

Background: The Human Papillomavirus (HPV) is strongly associated with cervical and other cancers. In women, cervical cancer is the third most common cancer. HPV infection can be largely prevented through vaccination of (adolescent) girls. At the same time, Nepal is a low-income country experiencing a cultural change in attitudes towards sex and sexual behaviour. However, in the adolescent population knowledge about HPV, factors associated with an increased risk of HPV and the existence of the vaccination is often low.

Materials and Methods: This was a cross-sectional study with female students enrolled in health and non-health science courses in Pokhara, Nepal. The questionnaire included demographic details, knowledge and attitude questions related to HPV, associated risk behaviour and its vaccination. Descriptive statistics, including Chi-Square test, were used to identify statistically significant relationships. Ethical approval was granted by the relevant authority in Nepal.

Results: Hindu religion (75.0 %; 95% CI: 70.9, 78.6) and Newari caste (75.5%; CI: 61.1, 86.7) were more aware about HPV, HPV vaccination. Hindus religion (55.6%; 95% CI: 51.2, 60.0) and Dalit caste (61.6%, 95% CI: 53.3, 69.4) more willing to be vaccinated than other religions and other castes, respectively. Not unsurprisingly, students on health-related courses had a greater awareness of HPV, HPV vaccination and were more willing to be vaccinated than students on other courses. Similar patterns of association arose for knowledge related to those sexually active at an early age; HPV risk and multiple sex partners; and fact that condoms cannot fully prevent the transmission of HPV.

Conclusion: Knowledge about the link between HPV and (a) early sexual initiation, (b) having multiple sexual partners, and (c) the limited protection of condoms and other birth control measures was poor in our study compared to similar research conducted in other parts of the world. One key implication is the need for education campaigns in Nepal to educate young women and their parents about HPV, its risk factors and the benefits of vaccination.

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Author Biographies

Brijesh Sathian, Manipal College of Medical Sciences, Pokhara
Assistant Professor, Department of Community Medicine
MG Ramesh Babu, Melaka Manipal Medical College, Manipal University
Senior Lecturer, Department of Physiology
Edwin R van Teijlingen, Bournemouth University, Bournemouth
Professor, School of Health & Social Care
Indrajit Banerjee, Chitwan Medical College and Teaching Hospital, Chitwan
Associate Professor,Department of Pharmacology,
Bedanta Roy, Manipal College of Medical Sciences, Pokhara
Assistant Professor, Department of Physiology
Supram Hosuru Subramanya, Manipal College of Medical Sciences, Pokhara
Assistant Professor, Department of Microbiology
Elayedath Rajesh, Mahatma Gandhi University
Assistant Professor, School of Behavioural Sciences,
Suresh Devkota, Manipal College of Medical Sciences, Pokhara
Lecturer, Department of Community Medicine
Published
2017-07-13
How to Cite
Sathian, B., Babu, M., van Teijlingen, E., Banerjee, I., Roy, B., Subramanya, S., Rajesh, E., & Devkota, S. (2017). Ethnic Variations in Perception of Human Papillomavirus and its Vaccination among Young Women in Nepal. Nepal Journal of Epidemiology, 7(1), 647-658. https://doi.org/10.3126/nje.v7i1.17757
Section
Original Articles