title: High HPV vaccine acceptance despite low awareness among Swedish upper secondary school students.
abstract: OBJECTIVE
  To investigate knowledge of human papillomavirus (HPV) and attitudes to HPV vaccination and condom use among Swedish first year upper secondary school students.
  
  
  METHODS
  Classroom questionnaire filled in by 608 students from a strategic sample of seven upper secondary schools in Sweden.
  
  
  RESULTS
  Only 13.5% (n = 82) of the students had heard about HPV and 6% (n = 35) were aware of HPV vaccination. As many as 84% (n = 508) would like to be vaccinated against HPV. The high cost of vaccination was the greatest obstacle (total group 37%, n = 227); among girls the second major hindrance was the fear of needles (19%, n = 65). Before considering an HPV vaccination 73% (n = 443) wanted more information and 36% (n = 220) would like to receive such information from the school nurse. The students considered it less likely that they would use a condom when having intercourse with a new partner if they were vaccinated than if they were not (p < 0.001).
  
  
  CONCLUSIONS
  Despite intensive marketing directed at potential vaccine consumers, knowledge of HPV and of HPV vaccines was very low among first year upper secondary school students. Their attitude towards vaccination was positive but most of them wanted more information before considering vaccination.
authors.affiliation: Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. maria.gottvall@pubcare.uu.se
authors.forename: Maria
authors.initials: M
authors.lastname: Gottvall
authors.forename: Margareta
authors.initials: M
authors.lastname: Larsson
authors.forename: Anna T
authors.initials: AT
authors.lastname: Höglund
authors.forename: Tanja
authors.initials: T
authors.lastname: Tydén
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control* / Q000635:transmission; D053918:Papillomavirus Vaccines / Q000008:administration & dosage; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D012572:School Health Services / Q000458:organization & administration; D012737:Sex Factors; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000635:transmission; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines