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Lack of knowledge about the human papillomavirus vaccine among Brazilian adolescents: A cross-sectional study.

Title: Lack of knowledge about the human papillomavirus vaccine among Brazilian adolescents: A cross-sectional study.
Authors: Silva TMRD; Department of Maternal and Child Nursing and Public Health, School of Nursing of Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.; Sá ACMGN; Department of Maternal and Child Nursing and Public Health, School of Nursing of Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.; Carrato BA; School of Nursing at the Federal University of Minas Gerais, Belo Horizonte, Brasil.; Siqueira Costa Schreck R; Department of Maternal and Child Nursing and Public Health, School of Nursing of Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.; Prates EJS; School of Nursing at the Federal University of Minas Gerais, Belo Horizonte, Brasil.; Oliveira SR; Department of Maternal and Child Nursing and Public Health, School of Nursing of Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.; Malta DC; Department of Maternal and Child Nursing and Public Health, School of Nursing of Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brasil.
Source: Public health nursing (Boston, Mass.) [Public Health Nurs] 2024 Nov-Dec; Vol. 41 (6), pp. 1453-1465. Date of Electronic Publication: 2024 Aug 01.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Blackwell Scientific Publications Country of Publication: United States NLM ID: 8501498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-1446 (Electronic) Linking ISSN: 07371209 NLM ISO Abbreviation: Public Health Nurs Subsets: MEDLINE
Imprint Name(s): Original Publication: [Boston, MA] : Blackwell Scientific Publications, [c1984-
MeSH Terms: Papillomavirus Vaccines*/administration & dosage ; Papillomavirus Infections*/prevention & control ; Health Knowledge, Attitudes, Practice*; Students/psychology ; Students/statistics & numerical data ; Humans ; Adolescent ; Cross-Sectional Studies ; Brazil ; Female ; Male ; Surveys and Questionnaires ; Schools
Abstract: To analyze the distribution and factors associated with lack of knowledge about the human papillomavirus (HPV) vaccine among Brazilian adolescents.Cross-sectional study using the 2019 National School Health Survey among 17,805 Brazilian students of public and private schools, aged 13-17 years. The outcome variable was "lack of knowledge about the HPV vaccine" and the explanatory variables were sociodemographic, behaviors, knowledge, and health conditions. Logistic regression model was used to calculate Odds Ratio (OR) and 95% confidence intervals (95%CI). Spatial analysis techniques were used to determine the formation of clusters in the federated units with similar proportions of adolescents who were unaware of the vaccine. The lack of knowledge about the HPV vaccine was reported by 45.54% of Brazilian students. There was a higher chance of lack of knowledge having had sexual intercourse (OR 1.43; 95% CI 1.20-1.70); attending public school (OR 1.72; 95%CI 1.47-2.02) and located in the Northeast Region (OR 1.35; 95%CI 1.08-1.69). The lower chance of lack of knowledge were female gender (OR 0.41; 95% CI 0.35-0.48), higher maternal education (OR 0.62; 95% CI 0.50-0.77) self-rated health as Poor/very poor (OR 0.64; 95% CI 0.49-0.86) and receiving contraceptive counseling (OR 0.77; 95% CI 0.65-0.91). The proportion of lack of knowledge about the HPV vaccine was higher with the formation of High-High spatial clusters in the states of Maranhão, Piauí, and Pernambuco. Sociodemographic, health, and behavioral conditions and knowledge of students, as well as school characteristics, were associated with lack of knowledge about the HPV vaccine. A higher frequency of lack of knowledge about the HPV vaccine among adolescents was found in the states of the Northeastern Region.; (© 2024 Wiley Periodicals LLC.)
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Grant Information: EJSP
Contributed Indexing: Keywords: Brazil; adolescent health; health surveys; papillomavirus vaccines; prevalence
Substance Nomenclature: 0 (Papillomavirus Vaccines)
Entry Date(s): Date Created: 20240801 Date Completed: 20241104 Latest Revision: 20241104
Update Code: 20260130
DOI: 10.1111/phn.13375
PMID: 39087950
Database: MEDLINE

Journal Article