Changes in knowledge of cervical cancer following introduction of human papillomavirus vaccine among women at high risk for cervical cancer

L. Stewart Massad, Charlesnika T. Evans, Kathleen M. Weber, Gypsyamber D'Souza, Nancy A. Hessol, Rodney L. Wright, Christine Colie, Howard D. Strickler, Tracey E. Wilson

Research output: Contribution to journalArticle

Abstract

Purpose: To describe changes in knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination among women at high risk for cervical cancer in the first five years after introduction of HPV vaccination. Methods: In 2007, 2008-9, and 2011, women in a multicenter U.S. cohort study completed 44-item self-report questionnaires assessing knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results across time were assessed for individuals, and three study enrollment cohorts were compared. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Associations were assessed in multivariable models. Results: In all, 974 women completed three serial questionnaires; most were minority, low income, and current or former smokers. The group included 652 (67%) HIV infected and 322 (33%) uninfected. Summary knowledge scores (possible range 0-24) increased from 2007 (12.8, S.D. 5.8) to 2008-9 (13.9, S.D. 5.3, P <0.001) and to 2011 (14.3, S.D. 5.2, P <0.0001 vs 2007 and <0.04 vs 2008-9). Higher knowledge scores at first and follow-up administration of questionnaires, higher income, and higher education level were associated with improved knowledge score at third administration. Women not previously surveyed had scores similar to those of the longitudinal group at baseline. Conclusion: Substantial gaps in understanding of HPV and cervical cancer prevention exist despite years of health education. While more effective educational interventions may help, optimal cancer prevention may require opt-out vaccination programs that do not require nuanced understanding.

Original languageEnglish (US)
Pages (from-to)37-40
Number of pages4
JournalGynecologic Oncology Case Reports
Volume12
DOIs
StatePublished - Apr 1 2015

Fingerprint

Papillomavirus Vaccines
Uterine Cervical Neoplasms
Vaccination
Cohort Studies
Medical Education
Health Education
Self Report
Demography
HIV
Education
Surveys and Questionnaires
Neoplasms

Keywords

  • Cervical cancer prevention
  • Health education
  • Human immunodeficiency virus in women
  • Human papillomavirus
  • Pap test

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology

Cite this

Changes in knowledge of cervical cancer following introduction of human papillomavirus vaccine among women at high risk for cervical cancer. / Stewart Massad, L.; Evans, Charlesnika T.; Weber, Kathleen M.; D'Souza, Gypsyamber; Hessol, Nancy A.; Wright, Rodney L.; Colie, Christine; Strickler, Howard D.; Wilson, Tracey E.

In: Gynecologic Oncology Case Reports, Vol. 12, 01.04.2015, p. 37-40.

Research output: Contribution to journalArticle

Stewart Massad, L. ; Evans, Charlesnika T. ; Weber, Kathleen M. ; D'Souza, Gypsyamber ; Hessol, Nancy A. ; Wright, Rodney L. ; Colie, Christine ; Strickler, Howard D. ; Wilson, Tracey E. / Changes in knowledge of cervical cancer following introduction of human papillomavirus vaccine among women at high risk for cervical cancer. In: Gynecologic Oncology Case Reports. 2015 ; Vol. 12. pp. 37-40.
@article{49229dcd2b394af0bf573c4346ccf8f9,
title = "Changes in knowledge of cervical cancer following introduction of human papillomavirus vaccine among women at high risk for cervical cancer",
abstract = "Purpose: To describe changes in knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination among women at high risk for cervical cancer in the first five years after introduction of HPV vaccination. Methods: In 2007, 2008-9, and 2011, women in a multicenter U.S. cohort study completed 44-item self-report questionnaires assessing knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results across time were assessed for individuals, and three study enrollment cohorts were compared. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Associations were assessed in multivariable models. Results: In all, 974 women completed three serial questionnaires; most were minority, low income, and current or former smokers. The group included 652 (67{\%}) HIV infected and 322 (33{\%}) uninfected. Summary knowledge scores (possible range 0-24) increased from 2007 (12.8, S.D. 5.8) to 2008-9 (13.9, S.D. 5.3, P <0.001) and to 2011 (14.3, S.D. 5.2, P <0.0001 vs 2007 and <0.04 vs 2008-9). Higher knowledge scores at first and follow-up administration of questionnaires, higher income, and higher education level were associated with improved knowledge score at third administration. Women not previously surveyed had scores similar to those of the longitudinal group at baseline. Conclusion: Substantial gaps in understanding of HPV and cervical cancer prevention exist despite years of health education. While more effective educational interventions may help, optimal cancer prevention may require opt-out vaccination programs that do not require nuanced understanding.",
keywords = "Cervical cancer prevention, Health education, Human immunodeficiency virus in women, Human papillomavirus, Pap test",
author = "{Stewart Massad}, L. and Evans, {Charlesnika T.} and Weber, {Kathleen M.} and Gypsyamber D'Souza and Hessol, {Nancy A.} and Wright, {Rodney L.} and Christine Colie and Strickler, {Howard D.} and Wilson, {Tracey E.}",
year = "2015",
month = "4",
day = "1",
doi = "10.1016/j.gore.2015.02.007",
language = "English (US)",
volume = "12",
pages = "37--40",
journal = "Gynecologic Oncology Case Reports",
issn = "2211-338X",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Changes in knowledge of cervical cancer following introduction of human papillomavirus vaccine among women at high risk for cervical cancer

AU - Stewart Massad, L.

AU - Evans, Charlesnika T.

AU - Weber, Kathleen M.

AU - D'Souza, Gypsyamber

AU - Hessol, Nancy A.

AU - Wright, Rodney L.

AU - Colie, Christine

AU - Strickler, Howard D.

AU - Wilson, Tracey E.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Purpose: To describe changes in knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination among women at high risk for cervical cancer in the first five years after introduction of HPV vaccination. Methods: In 2007, 2008-9, and 2011, women in a multicenter U.S. cohort study completed 44-item self-report questionnaires assessing knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results across time were assessed for individuals, and three study enrollment cohorts were compared. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Associations were assessed in multivariable models. Results: In all, 974 women completed three serial questionnaires; most were minority, low income, and current or former smokers. The group included 652 (67%) HIV infected and 322 (33%) uninfected. Summary knowledge scores (possible range 0-24) increased from 2007 (12.8, S.D. 5.8) to 2008-9 (13.9, S.D. 5.3, P <0.001) and to 2011 (14.3, S.D. 5.2, P <0.0001 vs 2007 and <0.04 vs 2008-9). Higher knowledge scores at first and follow-up administration of questionnaires, higher income, and higher education level were associated with improved knowledge score at third administration. Women not previously surveyed had scores similar to those of the longitudinal group at baseline. Conclusion: Substantial gaps in understanding of HPV and cervical cancer prevention exist despite years of health education. While more effective educational interventions may help, optimal cancer prevention may require opt-out vaccination programs that do not require nuanced understanding.

AB - Purpose: To describe changes in knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination among women at high risk for cervical cancer in the first five years after introduction of HPV vaccination. Methods: In 2007, 2008-9, and 2011, women in a multicenter U.S. cohort study completed 44-item self-report questionnaires assessing knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results across time were assessed for individuals, and three study enrollment cohorts were compared. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Associations were assessed in multivariable models. Results: In all, 974 women completed three serial questionnaires; most were minority, low income, and current or former smokers. The group included 652 (67%) HIV infected and 322 (33%) uninfected. Summary knowledge scores (possible range 0-24) increased from 2007 (12.8, S.D. 5.8) to 2008-9 (13.9, S.D. 5.3, P <0.001) and to 2011 (14.3, S.D. 5.2, P <0.0001 vs 2007 and <0.04 vs 2008-9). Higher knowledge scores at first and follow-up administration of questionnaires, higher income, and higher education level were associated with improved knowledge score at third administration. Women not previously surveyed had scores similar to those of the longitudinal group at baseline. Conclusion: Substantial gaps in understanding of HPV and cervical cancer prevention exist despite years of health education. While more effective educational interventions may help, optimal cancer prevention may require opt-out vaccination programs that do not require nuanced understanding.

KW - Cervical cancer prevention

KW - Health education

KW - Human immunodeficiency virus in women

KW - Human papillomavirus

KW - Pap test

UR - http://www.scopus.com/inward/record.url?scp=84964860918&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964860918&partnerID=8YFLogxK

U2 - 10.1016/j.gore.2015.02.007

DO - 10.1016/j.gore.2015.02.007

M3 - Article

VL - 12

SP - 37

EP - 40

JO - Gynecologic Oncology Case Reports

JF - Gynecologic Oncology Case Reports

SN - 2211-338X

ER -