title: Knowledge of cervical cancer and HPV vaccine post- vaccination among mothers and daughters in Vietnam.
abstract: BACKGROUND
  Limited human papillomavirus (HPV) related knowledge might be a barrier to future vaccine acceptance. From 2008-2010, PATH conducted an HPV vaccination demonstration project in partnership with the government immunization program in Vietnam, which included awareness campaigns prior to vaccination.
  
  
  OBJECTIVE
  To assess and compare knowledge and attitudes about cervical cancer and HPV vaccines between mothers and daughters, and whether knowledge was associated with vaccination status.
  
  
  METHODS
  We analyzed HPV-related knowledge and attitude data from mother-daughter paired responses to a cross-sectional household survey. After parents completed the survey, daughters were asked the same questions. We calculated the frequency of responses for each question and devised a scaled composite measure for knowledge.
  
  
  RESULTS
  Participants believed they had received enough information about cervical cancer and HPV vaccines and it was sufficient to make a decision about vaccination. Fifty percent of the participants knew HPV causes cervical cancer and 80% knew the HPV vaccine prevented cervical cancer. Mothers had more knowledge about cervical cancer and HPV infection (p<0.01), compared to daughters, who had more vaccine specific knowledge (p<0.01). However, the total mean knowledge score was similar for the groups. Girls not fully vaccinated had a lower mean knowledge score than fully vaccinated girls (p<0.001).
  
  
  CONCLUSIONS
  Our results suggest that the purpose of the HPV vaccine was clearly messaged; however, some misconceptions about cervical cancer and HPV still exist. Limited knowledge about the magnitude of cervical cancer, HPV as a cause of cervical cancer, and HPV vaccines may have contributed to incomplete vaccination.
authors.affiliation: University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
authors.forename: Proma
authors.initials: P
authors.lastname: Paul
authors.forename: D Scott
authors.initials: DS
authors.lastname: LaMontagne
authors.forename: Nga Thi
authors.initials: NT
authors.lastname: Le
mesh_terms: D052685:Alphapapillomavirus; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009035:Mothers; D009679:Nuclear Family; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014611:Vaccination; D014744:Vietnam
chemical_list: D053918:Papillomavirus Vaccines