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J Turk Ger Gynecol Assoc. 2019 Aug 9. doi: 10.4274/jtgga.galenos.2019.2019.0071. [Epub ahead of print]

Analysis of community-based researches related to knowledge, awareness, attitude and behaviors towards HPV and HPV vaccine published in Turkey: A systematic review

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Department of Public Health Nursing, Sağlık Bilimleri University Gülhane Faculty of Nursing, Ankara, Turkey
Department of Obstetrics and Gynecology, Sağlık Bilimleri University, Gülhane Training and Research Hospital, Ankara, Turkey


HPV vaccine is a proven method for preventing HPV related cancers and genital warts, especially preventing cervical cancer. It is aimed to systematically review and synthesize conclusions in detail from the community-based researches published in Turkey between 2009 and 2019, which evaluate the knowledge, awareness, attitude and behaviors of individuals towards HPV and HPV. The systematic review is conducted based on PRISMA reporting method and includes community based, descriptive-cross sectional and cross sectional studies published between 2009 and 2019 years. In this systematic review, 5132 studies from six databases were scanned in total. It is determined that there are 23 studies which meet the eligibility criteria for this systematic review. In the reviewed studies it was determined that the rate of “Hearing of HPV before” was 3.8% at the lowest and 57.0 at the highest and the rate of “Hearing of HPV vaccine before” was 2.2% at the lowest and 74.7% at the highest. In the reviewed studies, it was reported that while parents’ willingness to have their daughters vaccinated with HPV vaccine varied between 14.4% and 68.0%, their willingness to have their sons vaccinated with HPV vaccine varied between 11.0% and 62.0%. In addition, it was reported that the lowest rate of vaccination with HPV vaccine among participants was 0.3% at the lowest and 6.0% at the highest. Consequently, it is considered that carrying out common, systematic and continuous health education programs aimed at both genders and including both parents, which will increase knowledge and awareness on HPV and vaccine, would provide positive attitude, will be effective in protecting from HPV related cancers.


Human papilloma virus; HPV vaccine; knowledge; awareness; attitude; public health

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