Gynecological care knowledge and practices (female participants).

<p>Gynecological care knowledge and practices (female participants).</p

Knowledge about CC screening.

<p>Female participants (N = 149) were asked if they knew what CC screening was and about access to CC screening in Mali. Results are presented before and after the educational session for all female participants (Total, N = 149), female adults (Women, N = 75) and female adolescents (Girls, N = 74). * p<0.01 and ** p<0.05 when compare to answers before the educational session (McNemar test).</p

Knowledge of STIs, HPV, and CC.

<p>Participants were asked about STIs (A), HPV (B) and cervical cancer (C) before and after a brief educational session. Percentages of participants able to answer the question are reported in the graphs for all participants (Total, N = 301), female (N = 148), male (N = 152) and adolescents (N = 146). * p<0.01 when compared to answers before the educational session (McNemar test). Women reported much more extensive knowledge of STIs than HPV, and while a brief educational session improved knowledge, more needs to be done.</p

Characteristics of the study participants.

<p>Characteristics of the study participants.</p

Detection of HPV16/18 neutralizing antibodies.

<p>Presence of antibodies to HPV types 16 and 18 by a VLP-based competitive Luminex immunoassay (cLIA). Results are presented as percentage of total number of available blood samples (N = 160).</p

Attitudes about HPV vaccination and decision-making.

<p>Attitudes about HPV vaccination and decision-making.</p

Prevalence of HPV 16 and 18 in women with cervical cancer.

<p><b>A</b>. Percentage of positive samples for HPV 16 and 18 by PCR (n = 166). Untyped samples were negative for both HPV 16 and 18. <b>B</b>. Percentage of positive samples for HPV 16 only, HPV 18 only (mono-infection) or both HPV 16 and 18 (co-infection) by PCR (n = 135). <b>C</b>. Repartition into age groups of positive samples for HPV 16 or HPV 18 (mono-infection) or for both (co-infection) by PCR. For mono- and co-infections, lighter shades represent the percentage of infected women within the co- or mono-infected group aged 49 years or younger; darker shades represent the percentage of infected women aged 50 years or older.</p

Characteristics of the 235 women who agreed to participate in the structured interview.

<p>Characteristics of the 235 women who agreed to participate in the structured interview.</p

Willingness to be vaccinated against HPV and immunization preferences.

<p>A. Willingness to participate in a vaccine trial and to get vaccinated was assessed before and after the educational session for all participants (Total, N = 301), female (N = 149), male (N = 152) and adolescents (N = 146). * p<0.01 and ** p<0.05 when compare to answers before the educational session (McNemar test). B, C: The preferred location to get the vaccine and the preferred method of contact for booster was assessed among participants who would choose to get vaccinated (Total, N = 253; Female, N = 113; Male, N = 140, Adolescents, N = 110). Interest in vaccination was high, two locations were preferred (local clinics (CsCOMS) and at home), and home visits rather than phone messages were preferred for reminders.</p

Willingness to participate and who would give permission for participation in a HPV vaccine trial.

<p>The percentage of women willing to participate in a HPV vaccine trial is represented by age group with the line. The bars represent the number of women answering the question who would give permission to participate to a HPV vaccine trial per age group. The answers were myself only (dark blue), husband and myself (purple), husband only (pink), father, husband and myself (light blue), parents, husband and myself (light green), mother only (dark green), or no answer (grey). In the oldest age group, the * asterix indicates data that only includes 3 patients.</p