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The document reviews various studies on HPV vaccination, focusing on knowledge, attitudes, and factors influencing vaccine uptake among different populations. Key findings include the effectiveness of educational interventions, the impact of socio-economic and cultural factors on vaccine acceptance, and the importance of digital health strategies to enhance awareness and vaccination rates. The studies highlight the need for tailored public health initiatives to address barriers and improve HPV vaccination coverage globally.

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0% found this document useful (0 votes)
17 views11 pages

Rol 1

The document reviews various studies on HPV vaccination, focusing on knowledge, attitudes, and factors influencing vaccine uptake among different populations. Key findings include the effectiveness of educational interventions, the impact of socio-economic and cultural factors on vaccine acceptance, and the importance of digital health strategies to enhance awareness and vaccination rates. The studies highlight the need for tailored public health initiatives to address barriers and improve HPV vaccination coverage globally.

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© © All Rights Reserved
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REVIEW OF LITERATURE

JORNALS

1. Verma I, Bajpai R, Arjaria V, Garg L, et.al 2024 May 8; did a descriptive study
on,A Study to Assess the Impact of Education on the Knowledge and Attitude
Toward Cervical Cancer and HPV (Human Papillomavirus) Vaccination Among
Female Healthcare Students”. On HPV type 16 and 18 an interventional study was
carried out among the following age group between 19 to 25 years old group
particularly on the females the included almost 500 females out of which 489
female students gave concern for the study who were working under the health
care organization. Both pre-test and post-test was given to the students after
giving subjective information about the cervical cancer and HPV vaccination, pap
smear.Data was collected from various branches of health care stream which
included MBBS (Bachelor of Medicine, Bachelor of Surgery), BAMS (Bachelor
of Ayurvedic Medicine and Surgery), BHMS (Bachelor of Homoeopathic
Medicine and Surgery), paramedical, Nursing students participated. Among all the
female students on result it was seen 46 female did not heard about cervical
cancer, 5 females did not know that cervical cancer is caused by the virus, 1
student did not knew about cervical cancer and HPV vaccination rest all had
minimal knowledge about HPV vaccination.

2. Olubodun T, Ogunsola EA, Coker MO, Olayinka SA, et.al did a study on
4/Dec/2024. HPV vaccine knowledge, attitude, and programme satisfaction
among parents and caregivers of vaccine recipients which was the cross sectional
study on the campaign which was held for 5 days the whole study was done on the
1012 number of people who resided in that community the overall data was
collected in the form of interviewer-administered questionnaires .All participants
had positive attitude towards HPV vaccination On result it was seen many of the
participant did knew about the HPV vaccination during the data collection. Most
of the respondents had good knowledge of HPV vaccine (82.4%) and 47.7% had
good knowledge of cervical cancer. Most of the participants were satisfied with
HPV vaccination program. During camp it was seen among many of the parents
that the got vaccination as the camp was free of cost about HPV vaccination there
was no conflicts on this study and consent was taken from all the participants
during the study.
3. Anni NS, Rehman N, Nyambi A, Musiwa A,et.al. did a systemic study on
Knowledge, attitudes, and practices towards Human Papilloma Virus and uptake
of HPV vaccine on NOV/24 among the following age group from 16 and above
the study conduct a systematic review of observational study that report data on
HPV and vaccination among people the researcher used the random-effects model
to collect the following data. During this study sub groups were also used as this
wss the secondary used data the ethical approval was not taken at the time of data
collection at the end of the study authors declared that there is no any competing
interests exist

4. Sandi YDL, Yang LY, Andarini E, Maryam D, et.al a study on Effectiveness of


Digital Education on Human Papillomavirus Knowledge, Vaccination Intent and
Completion Rates in Adolescents and Young Adults was done on 28 October
2024 the researcher used the digital educational teaching method during the
research study A systematic review and meta-analysis on total 4925
participants ,they was studied randomised controlled trials and assessed digital
HPV educational interventions on individuals and age group 9-26 years. The
result impacted that after the digital intervention of HPV vaccination it requires 7
months to follow up. The researcher found the digital education was beneficial for
improving the HPV knowledge, vaccination in adolescents and young adults.
Among male and females comparatively males sub group was formulated and the
vaccination rate on male was significantly greater than females.

5. Kemin L, Mengpei Z, Jing Z, Rutie Y.2023 Sep did a study on Different dose
series of human papillomavirus vaccine in young females: a pair-wise meta-
analysis and network meta-analysis from randomized controlled trials, they did
investigative study on different HPV vaccination dose and their values among the
females was the objective of the study the study was done on the women of age
group of 25 years and uses a randomized control study and trials were made to see
the effect of single dose, two dose and three dose. More than 10 publications were
involved and on the result it was seen that the single dose HPV vaccination
worked better than the double dose or triple dose series the significance of HPV
vaccination of low dose was less but it did reduce the risk of infection related to
HPV.The authors declare that the research was conducted in the absence of any
commercial or financial relationships that could be construed as a potential
conflict of interest.

6. Deema I Fallatah, Mohammad Adnan Khalil , Samar Abd ElHafeez, Salma Gouda
et.al 2024 Oct did a cross-sectional study on Factors influencing human
papillomavirus vaccine uptake among parents and teachers of schoolgirls in Saudi
Arabia during this cross sectional study total 927 participants which was 94%
were selected among which they divided sub group into 373 teachers and 356
parents and the questionnaire was given to the participants to collect the data to
understand the following knowledge, attitude, and factors influencing cervical
cancer, HPV and , HPV vaccine .The researcher used both univariate and
multivariate analysis during the study and the end result showed the attitude score
was almost 49 which was increased after giving health education the overall study
depicted awareness of cervical cancer and initiating vaccine in Saudi Arabia .The
authors declare that the research was conducted in the absence of any commercial
or financial relationships that could be construed as a potential conflict of interest.

7. The article by Josephat JN et al. (2024) examines the factors that affect the
acceptance of the Human Papillomavirus (HPV) vaccine among teenage girls who
are 14 years old in Hai District, Kilimanjaro Region, Northern Tanzania.The
research emphasizes the significance of vaccination in preventing HPV-related
cancers, especially cervical cancer, which poses a major health issue in sub-
Saharan Africa. By conducting a thorough analysis of existing literature, the
authors pinpoint various factors that influence vaccine acceptance, such as socio-
economic background, cultural beliefs, understanding and awareness of HPV and
its related dangers, and access to healthcare services. The review indicates that
false information and misunderstandings about the vaccine, including worries
about infertility or incorrect safety beliefs, serve as common obstacles. Moreover,
gender inequality and the need for parental consent have been highlighted as
major challenges, as many girls need permission from guardians prior to getting
vaccinated. Additionally, the research emphasizes the crucial role of education and
community involvement to enhance understanding and lessen the stigma
surrounding the HPV vaccine. Policy and structural actions, like increasing
vaccine accessibility and incorporating vaccinations into school health initiatives,
are also stressed as essential approaches to boost acceptance. This thorough
review highlights the complex nature of vaccine hesitancy and points out the
necessity for customized actions to tackle local cultural and social challenges to
vaccine acceptance.

8. The study by Kechagias et al. (2022) provides a comprehensive systematic review


and meta-analysis that evaluates the role of human papillomavirus (HPV)
vaccination in preventing HPV infection and the recurrence of HPV-related
diseases after local surgical treatment. This study highlights the significant
benefits of HPV vaccination in reducing the risk of persistent HPV infections and
the recurrence of HPV-related diseases, such as cervical dysplasia, following
treatment.The authors synthesized data from multiple studies to assess the efficacy
of vaccination in individuals who have undergone surgical procedures like
conization or excision for HPV-related lesions. The analysis revealed that HPV
vaccination is associated with a lower risk of reinfection and recurrence of
cervical lesions caused by the same or different HPV types. This supports the
notion that HPV vaccination is not only preventive but also therapeutic in the
context of HPV-related diseases, potentially reducing the need for repeated
treatments.The review underscores the importance of HPV vaccination in clinical
settings, particularly in post-treatment scenarios, suggesting that it could play a
key role in reducing the long-term burden of HPV-related diseases, including
cancer. These findings reinforce the global health recommendations for HPV
vaccination as a crucial strategy in the fight against HPV-associated cancers.

9. The study by Bruni et al. (2023) provides a comprehensive global and regional
estimate of genital human papillomavirus (HPV) prevalence among men through a
systematic review and meta-analysis. It aims to update the understanding of HPV
prevalence in males, an important topic given the role of HPV in the development
of genital cancers and other diseases. The authors performed a rigorous review of
the literature, analyzing data from various populations across different regions to
produce global and regional estimates. Their findings reveal significant variation
in HPV prevalence, with higher rates observed in certain regions and demographic
groups. The study highlights the underreporting of HPV prevalence in men and
the need for more targeted research to understand the full impact of the virus. The
analysis also discusses the implications of the data in terms of public health,
particularly in relation to HPV vaccination and prevention strategies that primarily
target females but are increasingly recognizing the importance of male
vaccination. Overall, this meta-analysis contributes crucial data for the global
fight against HPV-related diseases, providing evidence for policy-making and
future research directions.

10. The article "Epidemiology and Molecular Biology of HPV Variants in Cervical
Cancer: The State of the Art in Mexico" by Munoz-Bello et al. (2022) provides a
comprehensive review of the role of Human Papillomavirus (HPV) variants in the
pathogenesis of cervical cancer in Mexico. The authors discuss the prevalence and
distribution of various HPV types in the country, highlighting the predominance of
high-risk HPV types, particularly HPV 16 and 18, which are most commonly
associated with cervical carcinogenesis. They also explore the molecular biology
behind HPV-induced cancer, including the role of viral variants in modulating
disease progression and immune evasion. The review emphasizes the need for
further research into the molecular characteristics of HPV variants in the Mexican
population, as these may influence the effectiveness of vaccination and screening
strategies. Additionally, the authors stress the importance of improving HPV-
related cancer prevention programs to reduce the incidence of cervical cancer in
Mexico. This work underscores the critical role of understanding HPV
epidemiology and molecular mechanisms in tailoring effective public health
intervention.

11. The study on HPV vaccination in Kenya, led by Umutesi et al. (2023), aims to
explore the perspectives of stakeholders on the implementation drivers and the
acceptability of a reduced-dose vaccination strategy. Literature on HPV
vaccination highlights the critical role of public health campaigns, provider
education, and community engagement in improving vaccine uptake. Evidence
suggests that HPV vaccination is a highly effective prevention measure for
cervical cancer, but its implementation is often hindered by barriers such as
vaccine hesitancy, lack of awareness, and logistical challenges. In sub-Saharan
Africa, including Kenya, there is a need to address these barriers to increase
coverage. Additionally, the reduced-dose strategy, which has shown promising
results in other contexts, could provide a feasible solution to overcome barriers
related to vaccine accessibility and cost. Studies in other countries have found that
simplified vaccination schedules can improve compliance without compromising
efficacy. However, there is limited data on its acceptability among healthcare
providers in Kenya, which this study aims to address.

12. The study by Ford et al. (2020) assesses an intervention aimed at increasing
knowledge related to cervical cancer and the HPV vaccine. In their review of
literature, the authors employ a systematic methodology to gather and synthesize
previous research on the topic. This includes identifying studies that investigate
the effectiveness of interventions in promoting awareness and understanding of
cervical cancer and the HPV vaccine, as well as exploring factors influencing
HPV vaccine uptake. The literature review incorporates both qualitative and
quantitative studies, focusing on educational interventions, public health
campaigns, and health behavior theories. The authors utilized a structured
approach to search for relevant studies in databases such as PubMed and Google
Scholar, filtering based on criteria like publication date, relevance, and study
design. They analyzed findings from diverse populations, including various age
groups, gender, and cultural backgrounds, to assess the effectiveness of different
strategies in enhancing knowledge and encouraging vaccine uptake. Through this
comprehensive review, the authors aimed to identify key knowledge gaps and
highlight best practices for designing future interventions aimed at increasing
awareness and acceptance of the HPV vaccine.

13. The systematic review conducted by Choi et al. (2023) investigates digital health
interventions aimed at increasing HPV vaccination rates among adolescents. The
authors implemented a thorough search strategy across various databases,
including PubMed and Scopus, to identify pertinent studies published until 2022.
The review concentrated on digital resources such as mobile applications, text
messaging, and websites that promote HPV vaccination. Studies were chosen
based on established inclusion and exclusion criteria, and their quality was
evaluated according to standard methodological frameworks. This review
consolidates evidence from a range of digital interventions, evaluating their
effectiveness in enhancing vaccine knowledge, vaccination rates, and behavioral
intentions among adolescents. A significant finding was that digital interventions,
especially reminder systems, educational materials, and interactive platforms,
positively influenced vaccination uptake. Nonetheless, the authors observed
considerable variability in study designs, intervention types, and outcomes,
underscoring the necessity for more rigorous research. Regarding methodology,
the review followed systematic review protocols, encompassing study selection,
data extraction, and quality assessment, which ensured the reliability and
comprehensiveness of the findings. The authors advocate for further research into
interventions specifically designed for distinct adolescent subgroups to effectively
enhance vaccine uptake.

14. The research conducted by Dickinson et al. (2023), entitled "An Exploratory
Study of Rural Parents' Knowledge and Attitudes About HPV Vaccination
Following a Healthcare Visit With Their Child's Primary Care Provider," aims to
explore the awareness and perceptions of rural parents concerning the HPV
vaccine after interactions with their child's primary care provider. The literature
review reveals a significant disparity in HPV vaccination rates, especially in rural
regions, where access to healthcare information and resources is often restricted.
Prior research has highlighted the critical role that healthcare providers play in
influencing vaccine-related decisions and the importance of education in
enhancing vaccine uptake. Additionally, the literature addresses various barriers to
vaccination, including misinformation, insufficient knowledge, and cultural or
socioeconomic factors that may uniquely impact rural populations compared to
their urban counterparts. In terms of methodology, the study utilized a qualitative
exploratory framework. Researchers carried out semi-structured interviews with
rural parents to evaluate their knowledge and attitudes towards the HPV vaccine.
The data collected were subjected to thematic analysis, enabling the identification
of significant themes related to parents' perceptions and the factors that influence
their decisions regarding vaccination. This methodological approach effectively
captured the nuanced perspectives of rural communities, offering valuable insights
for the enhancement of vaccination initiatives in these underserved areas.

15. The study by Sadikovic et al. (2020) investigates the prevalence of high-risk HPV
infection and cervical cytology abnormalities in women up to age 40 in Tuzla
Canton, Bosnia and Herzegovina. The literature review in the study likely
highlights the established link between high-risk HPV types (especially HPV-16
and HPV-18) and cervical cancer, emphasizing the global and regional importance
of HPV screening. The review would also cover the prevalence of HPV and
related cervical abnormalities in different populations, noting that Eastern
European countries often face challenges in screening and vaccination coverage,
which may influence HPV-related cancer rates. Key studies on Pap smear
cytology and HPV genotyping would provide context for the study's relevance.
They used a methodology or the study used a cross-sectional design, recruiting
women up to age 40 from Tuzla Canton. Participants were tested for high-risk
HPV using PCR-based techniques or other molecular assays, and Pap smears were
performed to detect cervical abnormalities. Data were analyzed using descriptive
statistics and likely chi-square tests to assess the association between demographic
factors and HPV prevalence or cytological abnormalities. The study aimed to
provide insights into the HPV burden in this specific population and inform local
public health strategies.

16. The research conducted by Harrison et al. (2021) sought to investigate the
connections between awareness and vaccine uptake by utilizing the Human
Papillomavirus Knowledge Questionnaire (HPV-KQ). The researchers
implemented a cross-sectional survey to evaluate the correlation between
individuals' understanding of HPV and its vaccine as well as their vaccination
likelihood. The approach included administering the HPV-KQ to a specific sample
group, collecting information on participants' knowledge regarding HPV, the
vaccine, and their vaccination history or intentions. The review of existing
literature pinpointed significant factors that affect vaccine uptake, including
perceived risk, advantages of vaccination, and obstacles (e. g. , misinformation or
lack of knowledge). Earlier research referenced in the paper indicates that
enhancing awareness of HPV and its vaccines is vital for boosting vaccine
uptake. The authors also pointed out deficiencies in current interventions and
urged for more effectively targeted educational campaigns. The literature review
emphasized the necessity of customized health communications to raise awareness
and tackle knowledge gaps. The findings were analyzed within the framework of
established health behavior theories, highlighting the contribution of knowledge in
influencing health choices.

17. The research conducted by Harrell et al. (2024) investigates young adult men's
views on risk messages related to HPV-linked oropharyngeal cancer. It is
anticipated that health communication strategies will be examined, concentrating
on the methods by which risk messages about HPV are conveyed to and perceived
by at-risk populations. Prior studies regarding men's health behaviors, the uptake
of HPV vaccinations, and perceived obstacles to preventive health initiatives will
also be mentioned. In particular, the review may emphasize gender-specific
differences in health messaging, and how masculinity or societal norms shape.
The research used a mixed-methods design. It likely incorporates qualitative
techniques, such as focus groups or semi-structured interviews, to investigate
participants’ perspectives and beliefs regarding HPV and risk messages related to
cancer. Surveys or questionnaires might be utilized alongside these qualitative
methods to measure knowledge and attitudes. The analysis of data would probably
entail thematic analysis for qualitative information and descriptive statistics for
survey findings. This methodology facilitates a thorough comprehension of
perceptions and has the potential to inform more effective health communication
strategies for this demographic.
18. The study by Shah et al. (2021) explores the challenges to Human Papillomavirus
(HPV) vaccine acceptability among women in South India it discusses various
factors influencing vaccine uptake, such as socio-cultural beliefs, misinformation,
lack of awareness, and perceived risks. It highlights the global burden of cervical
cancer and the importance of vaccination in preventing HPV infections, but also
emphasizes that vaccine acceptance in low- and middle-income countries like
India is hindered by various barriers. The study employs a qualitative research
methodology to explore these barriers. Data were collected through in-depth
interviews with women from different socio-economic backgrounds. This
approach allowed the researchers to gather rich, contextual insights into the
personal, cultural, and societal factors that shape vaccine acceptance. The analysis
was carried out using a thematic approach, which helped identify recurring themes
related to vaccine hesitancy, knowledge gaps, and cultural perceptions of
vaccination. The findings reveal that misinformation, fear of side effects, and
cultural norms around sexual health significantly affect vaccine acceptability. The
authors suggest tailored educational interventions to improve awareness and
overcome these challenges.

19. The study "The level of medical students' knowledge regarding the prevention of
cervical cancer" by Shrateh et al. (2024) examines the awareness of medical
students about cervical cancer prevention. The literature review likely highlights
previous studies on cervical cancer prevention methods, including HPV
vaccination and screening techniques like Pap smears.. The authors used a cross-
sectional survey methodology to assess students' knowledge. A structured
questionnaire was administered to a sample of medical students, covering topics
such as HPV vaccination, risk factors, and current screening guidelines. The study
employed quantitative analysis, using statistical methods (e.g., descriptive
statistics, chi-square tests) to evaluate knowledge levels and identify factors
influencing awareness. Demographic variables such as year of study, gender, and
prior training were likely analyzed for correlations with knowledge levels. The
study's findings could help highlight gaps in medical education regarding cervical
cancer prevention and suggest areas for curriculum improvement.

20. The research by Imoto, Honda, and Llamas-Clark (2020) evaluates the critical gap
in awareness about Human Papillomavirus (HPV) and cervical cancer in rural
communities, especially in low-resource settings such as the Philippines. The
literature review underscores the connection between HPV infection and cervical
cancer, noting that many women in rural areas have limited knowledge about this
relationship. It also addresses barriers to cervical cancer screening, including
cultural, educational, and logistical challenges, which can deter women from
seeking preventative care. Previous studies referenced in the review suggest that
health education programs and community-based interventions are essential to
improve awareness and encourage screening. The study utilized a cross-sectional
survey methodology, conducted in a rural Philippine community. Data were
collected through face-to-face interviews using a structured questionnaire to
assess participants' knowledge, attitudes, and screening behaviors related to HPV
and cervical cancer. Descriptive statistics were employed to analyze the data,
providing insights into the awareness and screening practices of the local
population. The study aimed to identify deficiencies in knowledge and inform
public health strategies to enhance cervical cancer prevention in rural areas.

1. Verma I, Bajpai R, Arjaria V, Garg L, et.al A Study to Assess the Impact of Education
on the Knowledge and Attitude Toward Cervical Cancer and HPV (Human
Papillomavirus) Vaccination Among Female Healthcare Students. Cureus. 2024 May
8;16(5).

2. Olubodun T, Ogunsola EA, Coker MO, Olayinka SA, et.al ,A. HPV vaccine
knowledge, attitude, and programme satisfaction among parents and caregivers of
vaccine recipients in Ogun state Nigeria. Reprod Health. 2024 Dec 4;21(1).

3. Anni NS, Rehman N, Nyambi A, Musiwa A,et.al. Knowledge, attitudes, and practices
towards Human Papilloma Virus and uptake of HPV vaccine: A protocol for a
systematic review. PLoS One. 2024 Nov 26;19(11).

4. Sandi YDL, Yang LY, Andarini E, Maryam D,et.al . Effectiveness of Digital


Education on Human Papillomavirus Knowledge, Vaccination Intent and Completion
Rates in Adolescents and Young Adults: A Meta-Analysis. J Adv Nurs. 2024 Oct 28.
doi: 10.1111/jan.16575.
5. Kemin L, Mengpei Z, Jing Z, Rutie Y. Different dose series of human papillomavirus
vaccine in young females: a pair-wise meta-analysis and network meta-analysis from
randomized controlled trials. Front Public Health. 2023 Sep 21;11.

6. Fallatah DI, Khalil MA, Abd ElHafeez S, Gouda S, Alshanbari HM, Awadalla M,
Ahram M, Alosaimi B. Factors influencing human papillomavirus vaccine uptake
among parents and teachers of schoolgirls in Saudi Arabia: a cross-sectional study.
Front Public Health. 2024 Oct 16;12.

7. Josephat JN, Halama RB, Makiriye HF, Farah A, Haule I, Kirumbuyo M, Amour C,
Msuya SE. Factors Associated with the Uptake of Human Papilloma Virus Vaccine
Among Adolescent Girls Aged 14 Old in Hai District of Kilimanjaro Region in
Northern Tanzania. East Afr Health Res J. 2024;8(2):264-270.

8. Kechagias KS, Kalliala I, Bowden SJ, Athanasiou A, Paraskevaidi M, Paraskevaidis


E, Dillner J, Nieminen P, Strander B, Sasieni P, Veroniki AA, Kyrgiou M. Role of
human papillomavirus (HPV) vaccination on HPV infection and recurrence of HPV
related disease after local surgical treatment: systematic review and meta-analysis.
BMJ. 2022 Aug3;378.

9. Bruni L, Albero G, Rowley J, Alemany L, et.al Global and regional estimates of


genital human papillomavirus prevalence among men: a systematic review and meta-
analysis. Lancet Glob Health. 2023 Sep;11(9):e1345-e1362.

10. Munoz-Bello JO, Carrillo-García A, Lizano M. Epidemiology and Molecular Biology


of HPV Variants in Cervical Cancer: The State of the Art in Mexico. Int J Mol Sci.
2022 Aug 2;23(15):8566.

11. Umutesi G, Oluoch L, Weiner BJ, Bukusi E, et.al HPV vaccination in Kenya: a study
protocol to assess stakeholders' perspectives on implementation drivers of HPV
vaccination and the acceptability of the reduced dose strategy among providers. Front
Health Serv. 2023 Aug 2;3.

12. Ford ME, Cannady K, Nahhas GJ, Knight KD,et.al. Assessing an intervention to
increase knowledge related to cervical cancer and the HPV vaccine. Adv Cancer Res.
2020;146:115-137.
13. Choi J, Tami-Maury I, Cuccaro P, Kim S, Markham C. Digital Health Interventions to
Improve Adolescent HPV Vaccination: A Systematic Review. Vaccines (Basel). 2023
Jan 22;11(2):249.

14. Dickinson C, Bumatay S, Valenzuela S, Hatch BA, et.al. An Exploratory Study of


Rural Parents' Knowledge and Attitudes About HPV Vaccination Following a
Healthcare Visit With Their Child's Primary Care Provider. J Prim Care Community
Health. 2023 Jan-Dec;14.

15. Sadiković A, Iljazovic E, Konrad Custovic M, Karasalihović Z,et.al. Prevalence of


high-risk human papillomavirus infection and cervical cytology abnormalities among
women up to age 40 in the Tuzla Canton, Bosnia and Herzegovina. Acta
Dermatovenerol Alp Pannonica Adriat. 2020 Dec;29(4):175-179.

16. Harrison SE, Yelverton V, Wang Y, Ostermann J et.al. Examining Associations


between Knowledge and Vaccine Uptake Using the Human Papillomavirus
Knowledge Questionnaire (HPV-KQ). Am J Health Behav. 2021 Sep 30;45(5):810-
827.

17. Harrell AH, Kueppers GC, Vanderpool RC, Dean D Jr, et.al. Perceptions of HPV-
Linked Oropharyngeal Cancer Risk Messages Among a Sample of Young Adult Men
in the US: A Pilot Study. Am J Mens Health. 2024 May-Jun;18(3).

18. Shah P, Shetty V, Ganesh M, Shetty AK. Challenges to Human Papillomavirus


Vaccine Acceptability among Women in South India: An Exploratory Study. Am J
Trop Med Hyg. 2021 Aug 9;105(4):966-973.

19. Shrateh ON, Habib A, Jalamneh B, Omar BMM, et.al. The level of medical students'
knowledge regarding the prevention of cervical cancer. Ann Med Surg (Lond). 2024
Mar 18;86(5), 2591-2597.

20. Imoto A, Honda S, Llamas-Clark EF. Human Papillomavirus and Cervical Cancer
Knowledge, Perceptions, and Screening Behavior: A Cross-Sectional Community-
Based Survey in Rural Philippines. Asian Pac J Cancer Prev. 2020 Nov
1;21(11):3145-3151.
.

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