An Examination of Knowledge, Attitudes, and Intentions Related to Human Papillomavirus (HPV) Vaccination Among Undergraduate Students in Saint Lucia

对圣卢西亚大学本科生有关人乳头瘤病毒(HPV)疫苗接种的知识、态度和意愿的调查

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Abstract

OBJECTIVE:  In the Caribbean, cancer ranks as the second leading cause of mortality. Without interventions, the incidence is predicted to increase by 66% within the next decade, with over 56,000 women being diagnosed with cervical cancer annually and more than 28,000 succumbing to the disease. However, lifesaving prevention and treatment measures are available. This research sought to explore potential differences in knowledge, attitudes, and willingness to receive human papillomavirus (HPV) vaccinations among male and female undergraduate students at a chosen Community College in St. Lucia. METHODS:  This investigation utilized a descriptive, quantitative, and cross-sectional approach. Participants (n = 100) were chosen through random sampling and completed 59-item self-administered questionnaires addressing the targeted variables. Multivariable statistical techniques were employed to determine independent predictors of HPV vaccine acceptance among participants. RESULTS:  Despite recognizing the associated risks, the findings highlighted a substantial deficit in public health promotion efforts. First, although HPV is widespread in St. Lucia and causes cancer in both genders, there is insufficient awareness-raising about HPV. Second, the vaccine is not accessible in St. Lucia. Third, the high expenses associated with the vaccine ($500 US) and HPV test ($275 EC) hinder obtaining them. Finally, HPV vaccine uptake was minimal among participants; only seven out of 100 had been vaccinated and received it in the US. Despite low vaccine uptake, 53% acknowledged the urgent need for vaccination. CONCLUSIONS:  Integrating HPV vaccination within healthcare and HPV awareness initiatives can yield positive outcomes in mitigating cancer's long-term impact on St. Lucia's male and female populations. Educational programs could prove advantageous in enhancing knowledge about HPV and vaccinations.

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