Awareness and attitude regarding human papilloma virus, its vaccine and HPV vaccination acceptability among medical undergraduate students in Central India

Priyanka Shegokar; Ujwala Ukey; Uday  Narlawar; Shamvel Barela

doi:10.18203/2394-6040.ijcmph20253268

Authors

Priyanka Shegokar Department of Community Medicine, Government Medical College, Nagpur, Maharashtra, India
Ujwala Ukey Department of Community Medicine, Government Medical College, Nagpur, Maharashtra, India
Uday Narlawar Department of Community Medicine, Government Medical College, Nagpur, Maharashtra, India
Shamvel Barela Department of Community Medicine, Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20253268

Keywords:

HPV vaccination, Cervical cancer, Human papilloma virus, Medical undergraduate

Abstract

Background: India is a major contributor to the global burden of human papilloma virus infection. Cervical cancer is the leading cause of death globally as well as in India. Highest prevalence observed among adolescents and young adults. Vaccination against HPV is an important mode of primary prevention against cervical cancer. As future healthcare providers, medical students can significantly influence community perspectives and HPV vaccine adoption; thus, cultivating the right mindset in them is essential to expedite its implementation for societal benefit.

Methods: A cross-sectional study was conducted among 524 medical undergraduate students in government medical college. Data was collected using a pre-designed semi-structured self- administered questionnaire, entered into Microsoft Excel, and analysed.

Results: The study of 524 medical undergraduates in central India found that while most participants (75.95%) were aged 19-24 and predominantly female (58.78%), awareness of HPV and its vaccine was moderate. Although cervical cancer and genital warts were commonly recognized as HPV-related, knowledge of other associated cancers was limited. Nearly 29% were unaware of any HPV vaccine. High vaccine cost (50%) and limited awareness (20%) were key barriers to uptake, highlighting the need for improved education and affordable access.

Conclusions: This study found moderate but insufficient awareness of HPV and its vaccine among medical students in Central India. Many lacked knowledge of HPV-related cancers and vaccines like Gardasil-9, with cost and access as major vaccination barriers. Strengthening education is essential to improve vaccine uptake and reduce HPV-related disease burden.

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References

Pandey D, Vanya V, Bhagat S, Vs B, Shetty J. Awareness and attitude towards human papillomavirus (HPV) vaccine among medical students in a premier medical school in India. PLoS One. 2012;7(7):40619. DOI: https://doi.org/10.1371/journal.pone.0040619

Rashid S, Labani S, Das BC. Knowledge, awareness and attitude on HPV, HPV vaccine and cervical cancer among the college students in India. PLoS One. 2016;11(11):166713. DOI: https://doi.org/10.1371/journal.pone.0166713

Balaji M, Panwar A, Kudva MA, Ballal NV, Keluskar V. Awareness and knowledge among dental and medical undergraduate students regarding human papilloma virus and its available preventive measures. Ann Glob Health. 2020;86(1):150. DOI: https://doi.org/10.5334/aogh.2826

Das BC, Gopalkrishna V, Hedau S, Katiyar S. Cancer of the uterine cervix and human papillomavirus infection. Curr Sci. 2000:52-63.

Challa N, Madras V, Challa S. Awareness and attitude regarding human papilloma virus and its vaccine among medical students in a medical school in India. Int J Res Med Sci. 2014;2(4):1607. DOI: https://doi.org/10.5455/2320-6012.ijrms20141168

Goldie SJ, O’Shea M, Diaz M, Kim SY. Benefits, cost requirements and cost-effectiveness of the HPV16, 18 vaccines for cervical cancer prevention in developing countries: policy implications. Reproductive health matters. 2008;16(32):86-96. DOI: https://doi.org/10.1016/S0968-8080(08)32409-4

Prinja S, Bahuguna P, Faujdar DS, Jyani G, Srinivasan R, Ghoshal S, et al. Cost‐ effectiveness of human papillomavirus vaccination for adolescent girls in Punjab state: Implications for India’s universal immunization program. Cancer. 2017;123(17):3253-60. DOI: https://doi.org/10.1002/cncr.30734

Radhika M, Sadiqunissa S, Ahmed M. Awareness and knowledge of human papilloma virus (HPV) vaccine in prevention of cervical cancer among medical students. Int J Reprod Contracept Obstet Gynecol. 2018;7(12):5026. DOI: https://doi.org/10.18203/2320-1770.ijrcog20184960

Shetty S, Prabhu S, Shetty V, Shetty AK. Knowledge, attitudes and factors associated with acceptability of human papillomavirus vaccination among undergraduate medical, dental and nursing students in south India. Hum Vaccines Immunother. 2019;15(7-8):1656-65. DOI: https://doi.org/10.1080/21645515.2019.1565260

Kamini S, Bhimarasetty DM. Awareness about human papilloma virus vaccine among medical students. Asian J Med Sci. 2016;7(4):64-7. DOI: https://doi.org/10.3126/ajms.v7i4.14613

Mehta S, Rajaram S, Goel G, Goel N. Awareness about human papilloma virus and its vaccine among medical students. Indian J Community Med. 2013;38(2):92. DOI: https://doi.org/10.4103/0970-0218.112438

Swarnapriya K, Kavitha D, Reddy GMM. Knowledge, attitude and practices regarding hpv vaccination among medical and para medical in students, India: a cross sectional study. Asian Pac J Cancer Prev. 2016;16(18):8473-7. DOI: https://doi.org/10.7314/APJCP.2015.16.18.8473

Padmanabha N, Kini JR, Alwani AA, Sardesai A. Acceptability of human papillomavirus vaccination among medical students in Mangalore, India. Vaccine. 2019;37(9):1174-81. DOI: https://doi.org/10.1016/j.vaccine.2019.01.032

Gupta RK, Singh P, Langer B, Kumari R, Sharma P, Gupta R. Cervical cancer: a hospital based KAP study among women aged 18 years and above in Northern India. Int J Community Med Public Health. 2019;6(4):1628. DOI: https://doi.org/10.18203/2394-6040.ijcmph20191396

Rashwan HH, Saat NZNM, Manan DNA. Knowledge, attitude and practice of malaysian medical and pharmacy students towards human papillomavirus vaccination. Asian Pac J Cancer Prev. 2012;13(5):2279-83. DOI: https://doi.org/10.7314/APJCP.2012.13.5.2279

Cheung T, Lau JTF, Wang JZ, Mo PKH, Ho YS. Acceptability of HPV vaccines and associations with perceptions related to HPV and HPV vaccines among male baccalaureate students in Hong Kong. Borrow R, editor. PLoS One. 2018;13(6):e0198615. DOI: https://doi.org/10.1371/journal.pone.0198615

The Indian Express. Delhi first state to launch HPV vaccine as public health programme in schools. 2016. Available from: https://indianexpress.com/ article/cities/delhi/delhi-first-state-to-launch-hpv-vaccine-as-public-health-programme-in-schools/. Accessed on 28 September 2018.

World Health Organization. Punjab launches HPV vaccine with WHO support. Available from: http://www.searo.who.int/india/mediacentre/events/ 2016/Punjab_HPV_vaccine/en/. Accessed on 28 September 2018.

WHO. Human papillomavirus (HPV), 2022. Available at: https://www.who.int/teams/immunization-vaccines-and-biologicals/diseases/human-papillomavirus-vaccines-(HPV). Accessed on 1 July 2025.