Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination.

BackgroundFew studies explored Indonesian understanding of cervical cancer (CC) and the human papillomavirus (HPV) vaccination. We aimed to investigate the association between knowledge, attitudes, and practices (KAP) and socio-demographical influences related to HPV, CC, and vaccination among Indonesian urban citizens.MethodsWe conducted an online survey during March 2020-August 2021 using the Snowball sampling technique. The socio-demographic characteristic and KAP responses were collected via Google Forms from 400 respondents in Jakarta. The knowledge and attitudes were divided into HPV and CC (aspect 1) and HPV vaccination (aspect 2). Correlation between KAP scores was performed using Spearman's test, and multiple logistic regression analyses were conducted to determine KAP predictors.ResultsIndonesian urban citizens in Jakarta were found to have poor knowledge in individual aspects of the inquiry but moderate knowledge overall, good attitude in inquiry both in each aspect and overall, and unsatisfying practices. Overall, in the general population, men, and women respectively: 50.8%, 32.4%, and 53.6% had good knowledge; 82.0%, 75.2%, and 84.4% expressed positive attitude; and 30.3%, 15.2%, and 35.6% applied favorable practice regarding questions inquired. Knowledge was weakly correlated towards attitude (ρ = 0.385) but moderately correlated with practice (ρ = 0.485); attitude was moderately correlated with practice (ρ = 0.577), all results: pConclusionsKAP had inter-association to successful CC and HPV prevention programs, and socio-demographical characteristics are critical to influencing better KAP

Patients’ Perception Using Digital Documentation In Visual Inspection With Acetic Acid For Cervical Cancer Screening

Background: Digital images of the cervix with or without magnification can be used for better visualization of cervix so that it can improve the accuracy at the time of examination. This study aims to determine the patients’ perception using digital documentation in VIA for cervical cancer screening. Methods: The cross-sectional study was conducted in Dr. Cipto Mangunkusumo General Hospital Jakarta from October to November 2021 to determine the patients’ perception after using digital documentation in VIA. A validated questionnaire was given to subjects before and after digital documentation for cervical cancer screening. The data were distributed descriptively for characteristic demography and paired T-test was used for the ordinal variables in the pre- and post- IVA screening questionnaires. All p-values were 2-tailed, and the significance level was set to <0.05. Results: The 958 participants were included as the sample. There were significant improvements observed on patients’ perceptions after seeing digital documentation during visual acetic acid inspection. Most subjects never had previous cervical cancer screening because they did not know about cervical cancer screening. Conclusion: With the documented VIA, subjects’ perception toward cervical cancer screening is increasing in good manner. The most frequent causes of subjects did not undergo cervical cancer screening due to unknown information about cervical cancer screening, do not know the location of cervical cancer screening place, and do not know the benefit of cervical cancer screening