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Human Papilloma Virus Infection and Vaccination: Pre-Post Intervention Analysis on Knowledge, Attitudes and Willingness to Vaccinate Among Preadolescents Attending Secondary Schools of Palermo, Sicily

Author

Listed:
  • Claudio Costantino

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Emanuele Amodio

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Francesco Vitale

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Cecilia Trucchi

    (A.Li.Sa. Liguria Health Authority, 16100 Genoa, Italy
    IRCCS San Martino Hospital, 16100 Genoa, Italy)

  • Carmelo Massimo Maida

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Stefania Enza Bono

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Francesca Caracci

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Claudia Emilia Sannasardo

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Francesco Scarpitta

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Carlotta Vella

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Gianmarco Ventura

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Giancarlo Icardi

    (IRCCS San Martino Hospital, 16100 Genoa, Italy
    Department of Health Sciences, University of Genoa, 16100 Genoa, Italy)

  • Alessandra Casuccio

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

  • Vincenzo Restivo

    (Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy)

Abstract

In recent years, vaccination coverage rates against Human Papilloma Virus (HPV) in Europe have shown a decreasing trend and remain below the required standard. The present study aims to assess knowledge and attitudes regarding HPV infection and vaccination among a representative sample of preadolescents of Palermo, Italy. A survey was carried out throughout two questionnaires, before and after carrying out an educational intervention scheduled during school hours. A total of 1702 students attending first-grade secondary schools of the province of Palermo were enrolled (response rate 68.9%). Students attending third classes (adj OR = 1.18; CI 95% 1.03–1.36), being of higher socioeconomic status (adj OR = 1.35; CI 95% 1.05–1.73), who had previously received information about sexually transmitted diseases (STDs) at home (adj OR = 1.62; CI 95% 1.27–2.07) or at school (adj OR = 2.15; CI 95% 1.70–2.71) and who had ever heard in the past about HPV (adj OR = 1.80; CI 95% 1.42–2.29) showed a significantly higher baseline level of knowledge regarding HPV. Willingness to receive HPV vaccination, in a 10-point Likert scale, significantly increased between the pre- (8.51; SD ± 1.79) and post- (9.01 SD ± 1.52) intervention questionnaires ( p < 0.001). A total of 188 out of 272 (69.1%) preadolescents attending five out eighteen schools involved in the project, who had not previously received the HPV vaccine, were vaccinated. During past years, education campaigns on HPV were mainly dedicated to adult women, excluding teenagers and omitting young males. It should therefore be of primary importance that school-based education and vaccination programmes be standardized.

Suggested Citation

  • Claudio Costantino & Emanuele Amodio & Francesco Vitale & Cecilia Trucchi & Carmelo Massimo Maida & Stefania Enza Bono & Francesca Caracci & Claudia Emilia Sannasardo & Francesco Scarpitta & Carlotta , 2020. "Human Papilloma Virus Infection and Vaccination: Pre-Post Intervention Analysis on Knowledge, Attitudes and Willingness to Vaccinate Among Preadolescents Attending Secondary Schools of Palermo, Sicily," IJERPH, MDPI, vol. 17(15), pages 1-11, July.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5362-:d:389802
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    References listed on IDEAS

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    1. Vincenzo Restivo & Claudio Costantino & Tiziana Francesca Fazio & Nicolò Casuccio & Claudio D’Angelo & Francesco Vitale & Alessandra Casuccio, 2018. "Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation," IJERPH, MDPI, vol. 15(4), pages 1-12, April.
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    Cited by:

    1. Marco Palella & Chiara Copat & Alfina Grasso & Antonio Cristaldi & Gea Oliveri Conti & Margherita Ferrante & Maria Fiore, 2022. "Healthcare University Courses Fail to Improve Opinions, Knowledge, and Attitudes toward Vaccines among Healthcare Students: A Southern Italy Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    2. Claudio Costantino & Alessandra Casuccio & Vincenzo Restivo, 2020. "Potential Risks and Factors of Women’s Health Promotion," IJERPH, MDPI, vol. 17(24), pages 1-7, December.

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