title: Knowledge, Awareness and Attitude on HPV, HPV Vaccine and Cervical Cancer among the College Students in India.
abstract: BACKGROUND
  Infection of specific high risk Human papillomaviruses (HPVs) is known to cause cervical cancer and two prophylactic vaccines have been developed against two major high risk HPV types 16 and 18 for prevention of cervical cancer. Because of societal, religious and ethical issues associated with the vaccination of adolescent girls in India together with lack of awareness about HPV and HPV vaccines, no successful HPV immunization program has been employed in India.
  
  
  OBJECTIVE
  To determine knowledge, awareness and attitude of college students on HPV, HPV vaccine and cervical cancer.
  
  
  METHODS
  A questionnaire-based survey was conducted in a total of 1580 undergraduate students between the age group 16-26 years comprising 684 girls and 876 boys.
  
  
  RESULTS
  Out of a total of 1580 students, girls had more knowledge about cervical cancer (82.45%, p<0.001), HPV (45.61%, p<0.001) and HPV vaccines (44%, p<0.001) when compared to those in boys. However, knowledge about the types of HPV and vaccines was poor. Interestingly, students from biology-major had more knowledge and awareness about cervical cancer (81.89%, p<0.001) and HPV (46.58%, <0.001) when compared to non-biology students. Girls from both biology and non-biology group had higher awareness compared to boys. Analysis of odds ratio (ORs) along with 95% CI showed older girls with 1.2 to 3 fold (p<0.05) higher knowledge than boys. All students agreed that girls should get vaccinated against HPV (p<0.001).
  
  
  CONCLUSIONS
  It is suggested that there is a need for educational intervention and awareness campaigns to augment HPV immunization program for control of cervical cancer in India.
authors.affiliation: Amity Institute of Biotechnology, Amity University Uttar Pradesh, Noida, India.
authors.forename: Shazia
authors.initials: S
authors.lastname: Rashid
authors.affiliation: Department of Epidemiology and Biostatistics, Institute of Cytology and Preventive Oncology (ICPO), Uttar Pradesh, Noida, India.
authors.forename: Satyanarayana
authors.initials: S
authors.lastname: Labani
authors.affiliation: Stem Cell & Cancer Research Lab, Amity Institute of Molecular Medicine & Stem Cell Research (AIMMSCR), Amity University Uttar Pradesh, Noida, India.
authors.forename: Bhudev C
authors.initials: BC
authors.lastname: Das
mesh_terms: D000293:Adolescent; D000328:Adult; D001364:Awareness; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D016017:Odds Ratio; D030361:Papillomavirus Infections / Q000150:complications* / Q000453:epidemiology / Q000517:prevention & control* / Q000821:virology; D053918:Papillomavirus Vaccines / Q000276:immunology; D012307:Risk Factors; D013334:Students; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines