title: Knowledge about human papillomavirus among adolescents.
abstract: OBJECTIVE
  To assess knowledge of human papillomavirus (HPV) among high school-aged adolescents.
  
  
  METHODS
  We administered written surveys to 523 inner-city high school students in Toronto, Canada, that asked about HPV, other sexually transmitted diseases (STDs), and Papanicolaou testing. We also asked them to report doctor or clinic visits and whether they received sexual health information at those visits. The predictor variables used in analysis were gender and sexual experience.
  
  
  RESULTS
  Eighty-seven percent of our population [95% confidence interval (CI) 84%, 89%) had not heard of HPV. Although adolescent women were more knowledgeable about Papanicolaou testing than adolescent men, only 39% of sexually experienced adolescent women knew who should get a Papanicolaou test. Sexually experienced and inexperienced adolescents failed to identify correctly their STD risk. Both genders showed greater knowledge about human immunodeficiency virus (HIV) than other diseases. Among adolescent women, 85% had visited a doctor or clinic within the past year, but only 29% had talked about sexual health.
  
  
  CONCLUSIONS
  Knowledge of HPV infection and cervical cancer screening was low in this urban adolescent population. Improved efforts are needed for prevention of HPV infection and HPV-related cervical changes. Programs modeled after HIV-education programs might be effective. Doctors' offices and clinics providing health care to adolescents should take greater responsibility in sexual health education.
authors.affiliation: Duke University Medical Center, Durham, North Carolina, USA. dell0001@mc.duke.edu
authors.forename: D L
authors.initials: DL
authors.lastname: Dell
authors.forename: H
authors.initials: H
authors.lastname: Chen
authors.forename: F
authors.initials: F
authors.lastname: Ahmad
authors.forename: D E
authors.initials: DE
authors.lastname: Stewart
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009864:Ontario; D065006:Papanicolaou Test; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000517:prevention & control*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D014412:Tumor Virus Infections / Q000517:prevention & control*; D014504:Urban Health; D014626:Vaginal Smears