Karicha Mairaing MD*, Komsun Suwannarurk MD*, Yudthadej Thaweekul MD*, Yenruedee Poomtavorn MD*
Affiliation : * Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
Objective : To compare the basic knowledge scores, attitudes and acceptability to HPV immunization before and after
acknowledge about HPV, cervical cancer and vaccine to study group.
Material and Method: An anonymous survey was applied to women attending the outpatient clinic, Thammasat University
Hospital from April 2010 to October 2010. Basic knowledge about cervical cancer, HPV, HPV vaccine, attitudes and
acceptability to HPV immunization were collected via a self administered questionnaire.
Results : A total of 173 mothers completed the survey, responses rate of 86.5% (173/200). There is no difference in characteristic
and lifestyles of the responders. The basic knowledge scores was higher in the subjects who had higher education level and
regular cervical screening history. Most of subjects (> 85%) recognized that HPV is associated with cervical cancer but more
than half of them confused about route of transmission. Basic knowledge scores is increased in all acceptability group
(strongly agree to strongly disagree) after be informed about HPV and vaccine was observed. Most subjects (78.6%) agree
to their daughters’ vaccination indicating the high vaccine acceptances. The leading factors to maternal acceptances were free
vaccination, negative attitudes such as sexual behavior of daughters and positive attitudes such as vaccine efficacy.
Discussion: HPV vaccine acceptance seems to be depended on cost and efficacy than maternal knowledge. The vaccine is not
widely used. The cost-effectiveness analysis should be provided by government. Education and communication in public
media are aimed for increasing coverage of vaccination in the future.
Conclusion : Maternal acceptances of vaccine depend on high efficacy and low cost.
Keywords : HPV vaccine, Maternal acceptance, Attitude and knowledge
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