title: Knowledge, attitudes and practices regarding human papillomavirus vaccination among young women attending a tertiary institution in Singapore.
abstract: BACKGROUND
  This study aimed to describe the knowledge, attitudes and practices of young women regarding human papillomavirus (HPV) vaccination.
  
  
  METHODS
  We conducted a descriptive, cross-sectional, questionnaire-based study among female students at a tertiary institute in Singapore.
  
  
  RESULTS
  A total of 255 questionnaires were completed and formed the basis of the analysis. 244 (95.7%) of the total participants were of the age group 15-22 years. 252 (98.8%) participants were unmarried and 240 (94.1%) had never had sexual intercourse. Only 25 (9.8%) women had received vaccination. Among the unvaccinated participants, 96 (41.7%) had no intention to receive HPV vaccination and 62 of them cited lack of information as a major barrier to HPV vaccination. Knowledge of cervical cancer and HPV vaccination was also assessed and graded via a point system, with a maximum score of 14. Knowledge was found to be low, with a median score of 7. There was a significant association between HPV vaccination uptake and the source from which they first heard about the vaccine (p = 0.007). Vaccinated respondents tended to first hear about it from their relatives and friends, as compared to unvaccinated respondents (60.0% vs. 27.0%).
  
  
  CONCLUSIONS
  There is poor uptake of HPV vaccination amongst Singapore's susceptible youth as well as poor knowledge of cervical cancer and HPV vaccination. Public health education regarding cervical cancer and HPV vaccination is still needed and has to be targeted at not only respondents, but also their family and friends.
authors.affiliation: Division of Palliative Medicine, National Cancer Centre Singapore, Singapore.
authors.forename: Qing Yuan
authors.initials: QY
authors.lastname: Zhuang
authors.affiliation: Division of Radiation Oncology, National Cancer Centre Singapore, Singapore.
authors.forename: Ru Xin
authors.initials: RX
authors.lastname: Wong
authors.affiliation: SingHealth Polyclinics, Singapore.
authors.forename: Wei Ming Darren
authors.initials: WM
authors.lastname: Chen
authors.affiliation: SingHealth Polyclinics, Singapore.
authors.forename: Xiao Xuan
authors.initials: XX
authors.lastname: Guo
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012846:Singapore; D013334:Students / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: cervical cancer; primary care; vaccination