Factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus

Keywords: Health Knowledge, Attitudes, Practice; Papillomavirus Vaccines; Adolescent Health.


Objective: to analyze factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus in large and medium-sized cities. Methods: cross-sectional analytical study conducted with 210 schoolgirls. The knowledge, attitude and practice survey was applied, and the vaccination scheme was verified. Association tests, prevalence ratio and Poisson regression with robust variance were used. Results: girls from the large metropolitan area had lower knowledge and practice (p=0.000). Adequacy of Knowledge in the big metropolis among white and catholic girls was higher, as well as that of Attitude. Family income of up to two thousand reais revealed lower adequacy of Attitude and Practice, and age below 12 years was lower for Attitude. Conclusion: factors associated with adequate knowledge about the vaccine against Human Papillomavirus were race and religion; to adequate attitude, were age, race, and income; and to adequate practice, was income. Contributions to practice: enable reflection and awareness about the importance of vaccination against Human Papillomavirus among schoolgirls as well as stimulate the planning of more effective strategies, to incite individuals to establish information exchanges on sexual and reproductive health, considering the social space of each municipality.


Rodriguez SA, Mullen PD, Lopez DM, Savas LS, Fernández ME. Factors associated with adolescent HPV vaccination in the U.S.: a systematic review of reviews and multilevel framework to inform intervention development. Prev Med. 2020;131:105968. doi: https://dx.doi.org/10.1016/j.ypmed.2019.105968

Dong L, Nygård M, Hansen BT. Sociodemographic correlates of Human Papillomavirus vaccine uptake: opportunistic and catch-up vaccination in Norway. Cancers (Basel). 2021;13(14):3483. doi: https://doi.org/10.3390/cancers13143483

Moura LL, Codeço CT, Luz PM. Human Papillomavirus (HPV) vaccination coverage in Brazil: spatial and age cohort heterogeneity. Rev Bras Epidemiol. 2021;24:e210001. doi: https://dx.doi.org/10.1590/1980-549720210001

Santos ACS, Silva NNT, Carneiro CM, Coura-Vital W, Lima AA. Knowledge about cervical cancer and HPV immunization dropout rate among Brazilian adolescent girls and their guardians. BMC Public Health. 2020;20:301. doi: https://dx.doi.org/10.1186/s12889-020-8410-9

Tanaka EZ, Kamizaki SS, Quintana SM, Pacagnella RC, Surita FG. Knowledge of pregnant adolescents about Human Papillomavirus. Rev Bras Ginecol Obstet. 2019;41(5):291-7. doi: https://dx.doi.org/10.1055/s-0039-1688708

Nascimento P. Transparência nos municípios brasileiros: as dimensões porte populacional e região importam? Rev Sul-Am Ciênc Política. 2021;7(2):137-56. doi: http://doi.org/10.15210/rsulacp.v7i2.20440

Pereira RGV, Machado JLM, Machado VM, Mutran TJ, Santos LS, Oliveira, et al. The influence of the knowledge towards the vaccine against Human Papillomavirus: a randomized clinical trial. ABCS Health Sci. 2016;41(2):78-83. doi: https://doi.org/10.7322/abcshs.v41i2.873

Silva GS, Alves CRL. Lindgren evaluating the degree of implementation of primary health care attributes as an indicator of quality of care provided to children. Cad Saúde Pública. 2019;35(2):e00095418. doi: http://dx.doi.org/10.1590/0102-311X00095418

Miclos PV, Calvo MCM, Colussi CF. Evaluation of the performance of actions and outcomes in primary health care. Rev Saúde Pública. 2017;51:86. doi:http://dx.doi.org/10.11606/S1518-8787.2017051006831

Gentil DF, Cordeiro MJJA. Programa Saúde na Escola: a vacinação contra o HPV na percepção de gestores escolares. Interfaces Educ. 2020;11(31):550-81. doi: http://doi.org/10.26514/inter.v11i31.4194

Do EK, Rossi B, Miller CA, Ksinan AJ, Wheeler DC, ChukmaitovA, et al. Area-level variation and Human Papillomavirus vaccination among adolescents and young adults in the United States: a systematic review. Cancer Epidemiol Biomarkers Prev. 2021;30(1):13-21. doi: https://doi.org/10.1158/1055-9965.EPI-20-0617

Swiecki-Sikora AL, Henry KA, Kepka D. HPV vaccination coverage among us teens across the rural-urban continuum. J Rural Health. 2019;35(4):506-17. doi: https://doi.org/10.1111/jrh.12353

Tsai Y, Lindley MC, Zhou F, Stokley S. Urban-rural disparities in vaccination service use among low-income adolescents. J Adolesc Health. 2021;69(1):114-20. doi: https://dx.doi.org/10.1016/j.jadohealth.2020.10.021

Henry KA, Swiecki-Sikora AL, Stroup AM, Warner EL, Kepka D. Area-based socioeconomic factors and Human Papillomavirus (HPV) vaccination among teen boys in the United States. BMC Public Health. 2017;18(1):19. doi: https://doi.org/10.1186/s12889-017-4567-2

Brito AC, Costa WDC, Carbonell RCC, Ferreira AIC, Ribeiro LB, Nakashima F, et al. Avaliação da aceitação, crenças, percepção e nível de conhecimento parental acerca da vacina do Papilomavírus Humano. Rev Eletr Acervo Saúde. 2021; 13(3):e6718. doi: https://doi.org/10.25248/reas.e6718.2021

Lismidiati W, Ova E, Widyawati. Factors related to parental willingness to obtain Human Papillomavirus (HPV) vaccine for adolescents. Enferm Clin. 2020; 30:20-5. doi: https://doi.org/10.1016/j.enfcli.2020.07.004

Lee M, Gerend MA, Boakye EA. Rural-urban differences in Human Papillomavirus vaccination among young adults in 8 U.S. States. Am J Prev Med. 2021;60(2):298-9. doi: https://dx.doi.org/10.1016/j.amepre.2020.07.023

Ojeaga A, Alema-Mensah E, Rivers D, Azonobi I, Rivers B. Racial disparities in HPV-related knowledge, attitudes, and beliefs among African American and white women in the USA. J Cancer Educ. 2019;34(1):66-72. doi: https://doi.org/10.1007/s13187-017-1268-6

Walker TY, Elam-Evans LD, Williams CL, Fredua B, Yankey D, Markowitz LE, et al. Trends in human papillomavirus (HPV) vaccination initiation among adolescents aged 13–17 by metropolitan statistical area (MSA) status, National Immunization Survey–Teen, 2013–2017. Hum Vaccin Immunother. 2020;16(3):554-61. doi: https://dx.doi.org/10.1080/21645515.2019.1671765

Williams CL, Walker TY, Elam-Evans LD, Yankey D, Fredua B, Saraiya M, et al. Factors associated with not receiving HPV vaccine among adolescents by metropolitan statistical area status, United States, National Immunization Survey–Teen, 2016–2017. Hum Vaccin Immunother. 2020;16(3):562-72. doi: https://doi.org/10.1080/21645515.2019.1670036

How to Cite
Ferreira, H. L. O. C., Siqueira, C. M., Costa, N. da, Pereira, E. da C., Fiúza, A. de A., Ribeiro, S. G., & Pinheiro, A. K. B. (2022). Factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus. Rev Rene, 23, e78179. https://doi.org/10.15253/2175-6783.20222378179
Research Article