Knowledge of human papillomavirus and vaccination attitudes among female university students in Turkey: A cross-sectional study
Abstract
Full Text:
PDFReferences
World Health Organization. Global strategy to accelerate the elimination of cervical cancer [Internet]. Geneva: WHO; 2024 [accessed 2025 Nov 28]. Available from: https://www.who.int/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical-cancer
T.C. Sağlık Bakanlığı. Türkiye kanser istatistikleri 2025 [Internet]. Ankara: Sağlık Bakanlığı; 2025 [accessed 2025 Nov 25]. Available from: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/Dokumanlar/Istatistikler/Turkiye_Kanser_Istatistikleri_2020.pdf
Athanasiou A, Bowden S, Paraskevaidi M, Fotopoulou C, Martin-Hirsch P, Paraskevaidis E, and Kyrgiou M. HPV vaccination and cancer prevention. Best Pract Res Clin Obstet Gynaecol. 2020;65:109-24. doi:10.1016/j.bpobgyn.2020.02.009.
Falcaro M, Soldan K, Ndlela B, and Sasieni P. Effect of the HPV vaccination programme on incidence of cervical cancer and grade 3 cervical intraepithelial neoplasia by socioeconomic deprivation in England: population-based observational study. BMJ. 2024;385:e077341. doi:10.1136/bmj-2023-077341
Şahin HÖ, Özerdoğan Ö and Duran MN. Knowledge, attitudes, and behaviors of medical students regarding HPV and HPV vaccine. Fam Pract Palliat Care. 2020;5(3):69–75.
Kitur H, Horowitz AM, Beck K, and Wang MQ. HPV knowledge, vaccine status, and health literacy among university students. J Cancer Educ. 2022;37(6):1606–1613. doi:10.1007/s13187-021-01997-1.
Galvin AM, Garg A, Griner SB, Moore JD, and Thompson EL. Health literacy correlates to HPV vaccination among US adults ages 27–45. J Cancer Educ. 2023;38(1):349–356. doi:10.1007/s13187-021-02123-x.
Wang S, Ren W, Zhang B, Chen M, Liu S, Zhu Y, Wu A, Bao Y, Zhao F, and Qiao Y. Knowledge, attitude, and uptake of human papillomavirus (HPV) vaccination among Chinese female adults: a national cross-sectional web-based survey based on a large e-commerce platform. Matern Child Health J. 2024;28(4):746-57. doi:10.1007/s10995-023-03888-x
Centers for Disease Control and Prevention. Genital HPV infection—fact sheet [Internet]. 2024 [cited 2025 Nov 25]. Available from: https://www.cdc.gov/vaccines/vpd/hpv/hcp/recommendations.html
Brewer NT, Chapman GB, Rothman AJ, Leask J, and Kempe A. Increasing vaccination: putting psychological science into action. Psychol Sci Public Interest. 2017;18(3):149–207. doi:10.1177/15291006187605.
Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, and Bonaccorsi G. Health literacy and vaccination: a systematic review. Hum Vaccin Immunother. 2018;14(2):478–488. doi:10.1080/21645515.2017.1392423.
Betsch C, Böhm R, and Chapman GB. Using behavioral insights to increase vaccination policy effectiveness. Policy Insights Behav Brain Sci. 2015;2(1):61–73. doi:10.1177/2372732215600716.
Roozenbeek J, Schneider CR, Dryhurst S, Kerr J, Freeman ALJ, Recchia G, and van der Linden S. Susceptibility to misinformation about COVID-19 around the world. R Soc Open Sci. 2020;7(10):201199. doi:10.1098/rsos.201199.
Champion VL and Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008. p. 45-65.
Gautreaux J, Pittman E, LaPorte K, Yang J, and Barnard M. Graduate and health professional student knowledge, attitudes, beliefs, and behavior related to HPV vaccination: a scoping review. Vaccines (Basel). 2024;12(5):507. doi:10.3390/vaccines12050507.
Özsaran Z, Demirci S and Aras AB. Tıp fakültesi öğrencileri arasında HPV aşısı bilgi düzeyini değerlendiren anket çalışması. Turk J Gynecol Oncol. 2011;14(2):40–44.
Dönmez E, Temiz G, Dülger Z, Üngör S, Kenan B, and Ahmadi N. Evaluation of university students’ HPV knowledge level, perception, and attitudes. Gumushane Univ J Health Sci. 2024;13(4):1751–1766.
Şanlı S. Sampling methods and appropriate sample size determination: a concise overview. Pamukkale Univ J Soc Sci Inst. 2023;56:357–375.
Türkoğlu N and Ay SA. Human papillomavirüs (HPV) okuryazarlığı ölçeğinin geliştirilmesi. In: Proceedings of the 8th International African Conference on Contemporary Scientific Research; 2024; Nairobi, Kenya.
Kim HW. Health beliefs and preventive behaviors for cervical cancer among college women in Korea. J Korean Acad Nurs. 2012;42(4):507–516.
Guvenc G, Seven M, and Akyuz A. Health belief model scale for human papillomavirus and its vaccination: adaptation and psychometric testing. J Pediatr Adolesc Gynecol. 2016;29(3):252–258. doi:10.1016/j.jpag.2015.09.007.
Waller J, Ostini R, Marlow LAV, McCaffery K, and Zimet G. Validation of a measure of knowledge about HPV using item response theory and classical test theory. Prev Med. 2013;56(1):35–40. doi:10.1016/j.ypmed.2012.10.028.
Demir Bozkurt F and Özdemir S. Validity and reliability of a Turkish version of the HPV knowledge scale. J Turk Ger Gynecol Assoc. 2023;24(3):177–186. doi:10.4274/jtgga.galenos.2023.2022-10-9.
Tabachnick BG, Fidell LS, and Ullman JB. Using multivariate statistics. 7th ed. Boston: Pearson; 2013.
Kurt G, Tarus HA and Sarıkaya SY. Knowledge and health beliefs regarding HPV infection and vaccination among nursing and midwifery students. Nurs Health Sci. 2025;27(2):e70123. doi:10.1111/nhs.70123.
İşleyen A, Aslan D, and Kartal M. The influence of prior knowledge on HPV literacy and vaccination attitudes among university students. Health Educ J. 2024;83(3):350–365.
Mohammadnabizadeh S and Mohammadi F. The impact of knowledge and health beliefs on HPV prevention behaviors among female university students. BMC Public Health. 2025;25(1):210.
Alinejad N, Bijani M, Malekhosseini M, Nasrabadi M, Harsini P, and Jeihooni A. Effect of educational intervention based on health belief model on nurses’ compliance with standard precautions in preventing needle stick injuries. BMC Nurs. 2023;22:Article 347. doi:10.1186/s12912-023-01347-0
Borlu A, Gunay O, Balci E, and Sagiroglu M. Knowledge and attitudes of medical and non-medical Turkish university students about cervical cancer and HPV vaccination. Asian Pac J Cancer Prev. 2016;17(1):299-303. doi:10.7314/APJCP.2016.17.1.299
Al Alawi S, Al Zaabi O, Heffernan ME, Arulappan J, Al Hasani N, Al Baluchi M, Al Mamari A, and Al Saadi A. Knowledge, attitudes and acceptance toward HPV vaccination. Vaccine. 2023;41(13):2224–2233. doi:10.1016/j.vaccine.2023.02.063.
Gökçay G, Akar N, Bağış KO, and Uğurlu A. Relationship between HPV knowledge, vaccination attitudes, and hesitancy. Afr J Reprod Health. 2024;28(6):103–116. doi:10.29063/ajrh2024/v28i6.11.
Refbacks
- There are currently no refbacks.




