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  1. Rajiah K, Maharajan MK, Chin NS, Num KS
    Virusdisease, 2015 Dec;26(4):297-303.
    PMID: 26645041 DOI: 10.1007/s13337-015-0287-3
    The major cause of cervical cancer is human papillomavirus (HPV) for which vaccination is available. The success HPV vaccination programme largely depend on the degree of knowledge of the healthcare providers who can recommend to the public. Health sciences students as future healthcare providers play a major role in HPV vaccination initiatives. The objective of this study was to evaluate the knowledge, attitude, practice and to find out the willingness to pay for HPV vaccination among the health sciences students in a private university. The cross-sectional study was conducted among the university students studying health sciences program using a validated questionnaire to measure their awareness and acceptance of HPV vaccination. The students demonstrated moderate knowledge about HPV infection and vaccination with mean knowledge scores of 9.3 out of 17. Students were showing positive attitude towards HPV vaccination with mean scores of 3.80 out of 5. However, low HPV vaccination uptake rate was reported among the students. Most of the students were willing to recommend HPV vaccine. The participants felt that the cost is the major barrier towards HPV vaccination and they felt the government should cover the cost of vaccination for all. The results of this study may be helpful in establishing educational policies on cervical cancer-related topics in the universities.
  2. Maharajan MK, Rajiah K, Num KS, Yong NJ
    Asian Pac J Cancer Prev, 2015;16(14):5733-9.
    PMID: 26320444
    The primary objective of this study was to assess the knowledge of medical students and determine variation between different cultural groups. A secondary aim was to find out the willingness to pay for cervical cancer vaccination and the relationships between knowledge and attitudes towards Human Papillomavirus vaccination. A cross-sectional survey was conducted in a private medical university between June 2014 and November 2014 using a convenient sampling method. A total of 305 respondents were recruited and interviewed with standard questionnaires for assessment of knowledge, attitudes and practice towards human papilloma virus and their willingness to pay for HPV vaccination. Knowledge regarding human papilloma virus, human papilloma virus vaccination, cervical cancer screening and cervical cancer risk factors was good. Across the sample, a majority (90%) of the pupils demonstrated a high degree of knowledge about cervical cancer and its vaccination. There were no significant differences between ethnicity and the participants' overall knowledge of HPV infection, Pap smear and cervical cancer vaccination. Some 88% of participants answered that HPV vaccine can prevent cervical cancer, while 81.5% of medical students said they would recommend HPV vaccination to the public although fewer expressed an intention to receive vaccination for themselves.
  3. Rajiah K, Maharajan MK, Fang Num KS, How Koh RC
    Asian Pac J Cancer Prev, 2017 06 25;18(6):1573-1579.
    PMID: 28669170
    Background: The objective of this study is to determine the influence of dental students’ knowledge and attitude
    regarding human papillomavirus infection of cervical cancer on willingness to pay for vaccination. Basic research
    design: A convenience sampling method was used. The minimal sample size of 136 was calculated using the Raosoft
    calculator with a 5 % margin of error and 95% confidence level. Participants: The study population were all final
    year dental students from the School of Dentistry. Methods: A self-administered questionnaire was used to measure
    knowledge levels and attitudes regarding human papillomavirus vaccination. Contingent valuation was conducted
    for willingness to pay for vaccination. Main outcome measures: The Center for Disease Control and Prevention has
    stated that human papillomavirus are associated with oropharynx cancer and the American Dental Association insist on
    expanding public awareness of the oncogenic potential of some HPV infections. Thus, as future dental practitioners,
    dental students should be aware of human papillomavirus and their links with cancer and the benefits of vaccination.
    Results: Knowledge on HPV and cervical cancer did not impact on attitudes towards vaccines. However, significant
    correlation existed between knowledge and willingness to pay for vaccination. Conclusions: Dental students’ knowledge
    on HPV and cervical cancer has no influence on their attitude towards HPV vaccines. However, their willingness to
    pay for HPV vaccination is influenced by their knowledge of cervical cancer and HPV vaccination.
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