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Pouvrasseau A, Jeannot E. Vaccine hesitancy among nursing and midwifery undergraduate students in Switzerland: protocol for an online national study. Front Public Health 2023; 11:1302676. [PMID: 38155889 PMCID: PMC10754524 DOI: 10.3389/fpubh.2023.1302676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 11/27/2023] [Indexed: 12/30/2023] Open
Abstract
Background Vaccine hesitancy is a persistent challenge in public health, exacerbated by the proliferation of anti-vaccine sentiments facilitated by social networks. The COVID-19 pandemic has underscored the importance of addressing vaccine hesitancy, designated by the WHO as a top global health threat. This study explores vaccine hesitancy among nursing and midwifery undergraduate students in Switzerland-a cohort crucial to public health given their future roles as healthcare professionals-with a particular emphasis on the HPV vaccine, which exhibits lower confidence levels compared to other vaccines. Methods This study will employ an online questionnaire distributed to nursing and midwifery undergraduate students from various healthcare universities. The questionnaire will collect data on vaccine hesitancy (general confidence in vaccines and specifically in the HPV vaccine), HPV vaccine coverage, socio-demographics, likelihood to recommend vaccines to patients, perception of vaccination education and interest in complementary medicine. Conclusion The study's findings will contribute to our understanding of vaccine hesitancy among nursing and midwifery undergraduate students, providing insights that can inform targeted interventions and education strategies to bolster vaccine confidence among future healthcare professionals, thereby enhancing public health efforts.
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Affiliation(s)
- Audrey Pouvrasseau
- Faculty of Medicine, Institute of Global Health, University of Geneva, Geneva, Switzerland
| | - Emilien Jeannot
- Faculty of Medicine, Institute of Global Health, University of Geneva, Geneva, Switzerland
- Department of Psychiatry, Center for Excessive Gambling, Addiction Medicine (Service), Lausanne University Hospital (CHUV), Lausanne, Switzerland
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Jäger L, Senn O, Rosemann T, Plate A. Assessment of Human Papillomavirus Vaccination in Primary Care Among Swiss University Students. JAMA Netw Open 2023; 6:e233949. [PMID: 36943263 PMCID: PMC10031396 DOI: 10.1001/jamanetworkopen.2023.3949] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/23/2023] Open
Abstract
IMPORTANCE Human papillomavirus vaccination coverage rates lie below desired thresholds in Switzerland. Because general practitioners are the main contact for the relatively rare health issues of many Swiss young adults, primary care offers an important opportunity to provide catch-up human papillomavirus vaccination. OBJECTIVE To examine the knowledge, experiences, and attitudes of Swiss university students in the context of receiving human papillomavirus vaccination during primary care visits. DESIGN, SETTING, AND PARTICIPANTS This self-administered, cross-sectional, web-based survey study was conducted among students of 3 universities and 1 educational institution for health professions in the Swiss Canton of Zurich. Specific questions about human papillomavirus vaccination experience were directed to respondents who had received at least 1 dose administered by a general practitioner. Responses were collected during 12-week intervals between November 11, 2020, and April 7, 2021, and data were analyzed from August 3 to August 30, 2022. MAIN OUTCOMES AND MEASURES The primary outcome was whether human papillomavirus vaccination had been administered on the patient's or the general practitioner's initiative. RESULTS The responses of 5524 participants (median [IQR] age, 23 [21-25] years; 3878 women [70.2%]) were analyzed. The survey completion rate was 90.9% (5524 of 6076 students who consented to participate). A total of 2029 respondents (1792 women [46.2%] and 237 men [14.6%]) reported having received at least 1 human papillomavirus vaccination dose, of whom 740 (36.5%) had received at least 1 dose administered by a general practitioner. Among these, 190 respondents (25.7%) reported that vaccine administration had occurred on their request rather than on their general practitioner's initiative. Among all respondents, 4778 (86.5%) wanted to obtain more information about human papillomavirus vaccination at a general practitioner's office, and 2569 (55.3%) rated acute consultations in general practice as inappropriate for addressing human papillomavirus vaccination. CONCLUSIONS AND RELEVANCE The findings of this survey study of Swiss university students suggest that primary care shows a high potential for increasing human papillomavirus vaccination coverage rates in Switzerland. However, there was room for improvement in the proactivity of general practitioners, especially with men, and in the attitudes of students toward the appropriateness of acute consultations in general practice for addressing human papillomavirus vaccination.
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Affiliation(s)
- Levy Jäger
- Institute of Primary Care, University Hospital and University of Zurich, Zurich, Switzerland
| | - Oliver Senn
- Institute of Primary Care, University Hospital and University of Zurich, Zurich, Switzerland
| | - Thomas Rosemann
- Institute of Primary Care, University Hospital and University of Zurich, Zurich, Switzerland
| | - Andreas Plate
- Institute of Primary Care, University Hospital and University of Zurich, Zurich, Switzerland
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Domínguez-Riscart J, Ariza-Jimenez AB, Baez-Castillo C, Mateo-Gavira I. Factors associated with knowledge and vaccination intention for human papillomavirus on trans girls by their main caregiver: A cross-sectional study. Front Immunol 2023; 14:1097449. [PMID: 37063882 PMCID: PMC10098167 DOI: 10.3389/fimmu.2023.1097449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 03/16/2023] [Indexed: 04/18/2023] Open
Abstract
Introduction Trans women are highly affected by the human papillomavirus (HPV) and are at risk of suffering from HPV-related diseases such as oropharyngeal, anal, penile, or neovaginal neoplasia. HPV vaccination seems to be a good strategy to reduce HPV-related diseases, mainly during the early age before the first sexual intercourse, but only cisgender girls are covered by the National Health Services, while some high-risk groups such as trans girls are not included. Achieving a high vaccination rate is important in the adolescent population, but there are many factors that could affect it, such as lack of knowledge about HPV or fear of side effects by patients and main caregivers. The aim of our study is to analyze the knowledge of trans girls' main caregivers about HPV-related diseases in the general population and, in particular, in trans women, as well as factors associated with HPV vaccination intention. Methods A cross-sectional study was performed with the collaboration of main caregivers of adolescent trans girls, between 9 and 16 years old, assisted in two reference centers' multidisciplinary Gender Diversity Units. Information was requested through a self-completed questionnaire: HPV-related diseases Knowledge Transwomen questionnaire (HPV-TQ) was elaborated based on a 19-item self-administered questionnaire and score was standardized from 0 to 19 points. Percentage of correct answers was calculated and defined by the group of high scores that showed over 70% correct answers. Results A total of 65 main caregivers were included. Almost all main caregivers were mothers with a Caucasian ethnicity. The HPV-TQ average score was 11 (3.7) with an average correct answer of 58.1% (19.6). Only 17/65 (26.1%) of main caregivers were highly knowledgeable in HPV. Of 65 trans girls, 14 were already vaccinated (29.8% of trans girls over 12 years old); 78.5% were not vaccinated and only 21.5% had intentions to be vaccinated. The group with a high score in HPV-TQ had a longer follow-up at the transgender unit, a higher maternal vaccination rate, and a positive family history of HPV-related disease, especially in mothers. Conclusion Adolescent trans girls attended to in our units had a low rate and a low intention of vaccination against HPV. Education on and promotion and prevention of transgender HPV-related diseases should probably be implemented to achieve a higher knowledge and vaccination coverage in adolescent trans girls.
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Affiliation(s)
- Jesus Domínguez-Riscart
- Pediatric Department, Hospital Universitario Puerta del Mar, Cádiz, Spain
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain
- *Correspondence: Jesus Domínguez-Riscart,
| | - Ana-Belen Ariza-Jimenez
- Pediatric Department, Hospital Universitario Reina Sofia, Córdoba, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
| | - Celia Baez-Castillo
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain
| | - Isabel Mateo-Gavira
- Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain
- Endocrinology and Nutrition Department, Hospital Universitario Puerta del Mar, Cádiz, Spain
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Wang C, Zheng L. AI-Based Publicity Strategies for Medical Colleges: A Case Study of Healthcare Analysis. Front Public Health 2022; 9:832568. [PMID: 35198536 PMCID: PMC8858836 DOI: 10.3389/fpubh.2021.832568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 12/20/2021] [Indexed: 11/27/2022] Open
Abstract
The health status and cognition of undergraduates, especially the scientific concept of healthcare, are particularly important for the overall development of society and themselves. The survey shows that there is a significant lack of knowledge about healthcare among undergraduates in medical college, even among medical undergraduates, not to mention non-medical undergraduates. Therefore, it is a good way to publicize healthcare lectures or electives for undergraduates in medical college, which can strengthen undergraduates' cognition of healthcare and strengthen the concept of healthcare. In addition, undergraduates' emotional and mental state in healthcare lectures or electives can be analyzed to determine whether undergraduates have hidden illnesses and how well they understand the healthcare content. In this study, at first, a mental state recognition method of undergraduates in medical college based on data mining technology is proposed. Then, the vision-based expression and posture are used for expanding the channels of emotion recognition, and a dual-channel emotion recognition model based on artificial intelligence (AI) during healthcare lectures or electives in a medical college is proposed. Finally, the simulation is driven by TensorFlow with respect to mental state recognition of undergraduates in medical college and emotion recognition. The simulation results show that the recognition accuracy of mental state recognition of undergraduates in a medical college is more than 92%, and the rejection rate and misrecognition rate are very low, and false match rate and false non-match rate of mental state recognition is significantly better than the other three benchmarks. The emotion recognition of the dual-channel emotion recognition method is over 96%, which effectively integrates the emotional information expressed by facial expressions and postures.
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Schwendener CL, Kiener LM, Jafflin K, Rouached S, Juillerat A, Meier V, Schärli Maurer S, Muggli F, Gültekin N, Baumann A, Debergh M, Gruillot C, Huber B, Merten S, Buhl A, Deml MJ, Tarr PE. HPV vaccine awareness, knowledge and information sources among youth in Switzerland: a mixed methods study. BMJ Open 2022; 12:e054419. [PMID: 35105636 PMCID: PMC8808397 DOI: 10.1136/bmjopen-2021-054419] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES We aimed to provide a detailed characterisation of human papillomavirus (HPV) vaccine awareness, knowledge and information sources in the HPV vaccine decision-making process of youth, both male and female, in Switzerland. DESIGN With a mixed-method study design, we conducted quantitative questionnaires and qualitative interviews, which lasted 20-45 min. SETTING AND PARTICIPANTS We recruited participants, 15-26 years of age, in physicians' offices, in a local sexual health clinic, and during military enlistment. We administered quantitative questionnaires to 997 youth participants (585 male, 412 female) and conducted qualitative interviews with 31 youth (17 male, 14 female). PRIMARY AND SECONDARY OUTCOME MEASURES We assessed HPV vaccine awareness, knowledge, information sources and vaccination status. RESULTS In the study's quantitative component, 108 (20%) male and 262 (65%) female participants had received ≥1 dose of HPV vaccine. 697 (70%) participants were knowledgeable about the HPV vaccine. Females were more likely to be knowledgeable than males (342/412 (83%) vs 355/585 (61%); p<0.01). Younger participants in the sample compared with older participants were more likely to be aware of HPV vaccine (135/148 (91%) vs 695/849 (82%); p<0.01). The three most mentioned information sources were school health programmes (442 (53%)), healthcare providers (190 (23%)) and participants' social networks (163 (20%)). Overall, 554/710 (78%) participants had a female-gendered perception of HPV vaccine, a finding which was further supported and explained by qualitative data. CONCLUSIONS Despite a male HPV vaccine recommendation being made >4 years prior to the data collection, HPV vaccine knowledge was higher among females than males, and a female-gendered perception of HPV vaccine remains prevalent. Internet and social media were minor HPV vaccine information sources. Study findings demonstrate that HPV knowledge matters for HPV vaccine uptake and suggest that we should improve HPV information quality and access for youth, particularly by tailoring knowledge campaigns to young men.
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Affiliation(s)
- Corina L Schwendener
- University Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Laura M Kiener
- University Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Kristen Jafflin
- University of Basel, Basel, Switzerland
- Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Sarah Rouached
- University Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Anna Juillerat
- University Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Vincent Meier
- University Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | | | - Franco Muggli
- Rekrutierungszentrum Monte Ceneri, Swiss Armed Forces, Bern, Switzerland
| | - Nejla Gültekin
- Eidgenössisches Departement für Verteidigung, Bevölkerungsschutz und Sport VBS Schweizer Armee, Swiss Armed Forces, Bern, Switzerland
| | - Aron Baumann
- Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Marlyse Debergh
- Institute of Sociological Research, University of Geneva, Geneva, Geneva, Switzerland
| | - Catherine Gruillot
- PROFA Consultation de santé sexuelle - planning familial, Renens, Switzerland
| | - Benedikt Huber
- Department of Pediatrics, HFR Fribourg Cantonal Hospital, Fribourg, Switzerland
| | - Sonja Merten
- University of Basel, Basel, Switzerland
- Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Andrea Buhl
- University of Basel, Basel, Switzerland
- Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Michael J Deml
- Institute of Sociological Research, University of Geneva, Geneva, Geneva, Switzerland
- Division of Social and Behavioural Sciences, School of Public Health & Family Medicine, University of Cape Town Faculty of Health Sciences, Cape Town, Western Cape, South Africa
| | - Philip E Tarr
- University Department of Medicine and Infectious Diseases Service, Kantonsspital Baselland, Basel, Switzerland
- University of Basel, Basel, Switzerland
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Grandahl M, Nevéus T. Barriers towards HPV Vaccinations for Boys and Young Men: A Narrative Review. Viruses 2021; 13:v13081644. [PMID: 34452508 PMCID: PMC8402923 DOI: 10.3390/v13081644] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 08/07/2021] [Accepted: 08/17/2021] [Indexed: 12/24/2022] Open
Abstract
Background: HPV vaccination of both girls and boys can protect against infection and eliminate the risk for HPV-associated cancer. Due to a common misconception that the virus only poses risks to women, vaccine coverage is suboptimal among men in many countries. It is urgent to identify barriers to vaccination of boys and men. Methods: We conducted a narrative review of publications examining attitudes and beliefs regarding HPV vaccination for boys and young men. The electronic databases searched were PubMed, PsychInfo and Scopus (December 2020; last update July 2021). A total of 103 original articles were included in the final analysis. Results: The central barriers against vaccination of boys and men are: (1) lack of knowledge, (2) vaccine hesitancy in general, (3) lack of recommendation from and/or discussions with healthcare providers, (4) cost and logistics, and (5) the idea that HPV vaccination may promote promiscuity. Men who have sex with men and families belonging to ethnic minorities express a need for information tailored to their situation. Conclusions: Boys should be included in national immunization programs and men should also be offered catch-up vaccinations. Future studies should focus on addressing vaccine hesitancy and developing interventions to promote pan-gender HPV vaccination.
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Tuells J, Egoavil CM, Morales-Moreno I, Fortes-Montoya E, Salazar-García C, Rodríguez-Blanco N. Knowledge, Attitudes, and Sources of Information on Vaccines in Spanish Nursing Students: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073356. [PMID: 33805085 PMCID: PMC8036398 DOI: 10.3390/ijerph18073356] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 03/13/2021] [Accepted: 03/18/2021] [Indexed: 12/25/2022]
Abstract
Health professionals are the most influential and main sources of information about vaccines for the general population, as they are regarded as role models by patients and society. The objective of the present study was to determine the knowledge and attitudes of a group of university Nursing students about vaccines, as well as their sources of information and their education needs. A cross-sectional study was performed through a questionnaire (55 items) provided to Nursing students at two Spanish universities. A total of 1122 students participated in the study. The mean score obtained for knowledge about vaccines was 44.6 ± 4.3, and for attitudes towards vaccines, it was 37.2 ± 3.9. Hepatitis B (94.7%) and the Flu (89%) are the two main vaccines they should receive as health workers. The main source of information was the family environment (65.6%). Most of them considered that post-graduate education about vaccines should be provided by academic entities (universities, 62.7%). Among the health professionals, Nurses (85.5%) must be better educated and trained on the subject of vaccines. It is therefore necessary to delve into and complete the nurses’ training on vaccines, to educate them about the risks at the individual level, and their decisive role as promoters of the vaccination strategy for the general population. Universities must become the leaders in vaccine education and training.
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Affiliation(s)
- José Tuells
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, San Vicente del Raspeig, 03690 Alicante, Spain;
- Correspondence: ; Tel.: +34-965-903838
| | - Cecilia M. Egoavil
- Unit of Clinical Pharmacology, Alicante University General Hospital, 03010 Alicante, Spain; (C.M.E.); (C.S.-G.)
| | - Isabel Morales-Moreno
- Department of Nursing, Universidad Católica San Antonio de Murcia (UCAM) Campus de los Jerónimos, N. 135 Guadalupe, 30107 Murcia, Spain;
| | - Elena Fortes-Montoya
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, San Vicente del Raspeig, 03690 Alicante, Spain;
| | - Carlos Salazar-García
- Unit of Clinical Pharmacology, Alicante University General Hospital, 03010 Alicante, Spain; (C.M.E.); (C.S.-G.)
| | - Noelia Rodríguez-Blanco
- Department of Obstetrics and Gynaecology, Marina Baixa University Hospital, Av. Alcalde En Jaume Botella Mayor, 7, 03570 Villajoyosa, Spain;
- Department of Nursing, Universidad Cardenal Herrera-CEU, Plaza Reyes Católicos, 19, 03204 Elche, Spain
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Chernyshov P, Semushyna T. Differences in human papilloma virus vaccination prevalence, testing, knowledge on vaccination, cancer awareness and sexual activities between male and female medical and non‐medical students. J Eur Acad Dermatol Venereol 2020; 34:2902-2906. [DOI: 10.1111/jdv.16845] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 07/21/2020] [Indexed: 12/12/2022]
Affiliation(s)
- P.V. Chernyshov
- Department of Dermatology and Venereology National Medical University Kiev Ukraine
| | - T. Semushyna
- Second Medical Faculty National Medical University Kiev Ukraine
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Šálek J, Čelko AM, Dáňová J. Vaccination Perception and Attitude among Undergraduate Medical and Teacher Education Students at Charles University, Prague, Czech Republic. Vaccines (Basel) 2020; 8:vaccines8010136. [PMID: 32204313 PMCID: PMC7157727 DOI: 10.3390/vaccines8010136] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 03/12/2020] [Accepted: 03/17/2020] [Indexed: 11/16/2022] Open
Abstract
This cross-sectional comparative study was designed to evaluate different opinions and their impact on vaccine confidence, as perceived by students of two different university programs (medicine and teacher education), as both of them play important roles in patient education, with the latter major shaping the skills of critical thinking. Multi-item, opinion-based, paper-and-pencil anonymous questionnaires were distributed among students of medicine and teacher education. Data were sorted and divided into two sets to be analyzed using logistic regression. Out of a total of 722 respondents, 386 were medical students and 336 were teacher education students. While most respondents said they were not in favor of alternative medicine, a significantly higher number of alternative medicine followers were teacher education students. The positive vaccination perception rate (PVPR) is not dependent on the behavioral factors of student respondents (irrespective of their major) but is largely affected by their attitude to alternative medicine. Fear of infection dramatically increased the PVPR (up to 6.7 times) in those who were versus were not afraid of getting infected or were not quite sure whether to fear it. Fear of side effects of vaccination clearly decreased the PVPR, by at least 84%.
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Assessment of Knowledge, Attitudes, and Propensity towards HPV Vaccine of Young Adult Students in Italy. Vaccines (Basel) 2020; 8:vaccines8010074. [PMID: 32046039 PMCID: PMC7157590 DOI: 10.3390/vaccines8010074] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 02/05/2020] [Accepted: 02/06/2020] [Indexed: 01/01/2023] Open
Abstract
Background: Human Papillomavirus (HPV) is a common sexually transmitted infection (STI), representing the main cause of genital warts and cervical cancer. This cross-sectional study evaluated knowledge and attitudes about HPV infection, related diseases, and prevention and propensity towards HPV vaccine among undergraduate students. Methods: An online and written survey about HPV and its prevention, targeted to young adults of both genders, was addressed to students attending health sciences and other schools at Universities of Genoa and Bari. Results: The overall median knowledge and attitude scores were 56.3% (25–75 p = 40–68.8%) and four out of five (25–75 p = 4–5), respectively. In the multivariate analysis, attending a health sciences university, using social networks ≤2 h a day, a history of STI, having heard about HPV and HPV vaccine previously resulted as predictors of higher knowledge scores. Having heard about HPV previously also predicted a high attitude score, together with a perceived economic status as good. Having Italian and healthcare worker parents, being employed, and following a specific diet, instead, predicted lower attitude score. Conclusions: Poor knowledge and good attitudes were found among undergraduates about HPV. In order to increase HPV vaccine compliance and the counselling skills of future healthcare workers, the improvement of training on HPV is needed.
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