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临床试验/NCT06743880
NCT06743880尚未招募不适用

Knowledge,attitude &practice on Human Papilloma Virus Vaccination Among Healthcare Providers and General Population

Assiut University0 个研究点目标入组 323 人开始时间: 2025年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
323
主要终点
Knowledge about HPV

研究概览

简要总结

  • Cervical cancer is caused by persistent infection with certain strains of the human papillomavirus (HPV), which is a very common virus transmitted through sexual activity.
  • HPV infections can lead to the development of precancerous lesions on the cervix, which if left untreated, can progress to invasive cervical cancer over time.
  • Cervical cancer is the second most common cancer among women in Egypt, after breast cancer.
  • According to the latest available data, the age-standardized incidence rate of cervical cancer in Egypt is approximately 6.3 per 100,000 women.
  • However, the actual burden of cervical cancer in Egypt is likely underestimated, as many cases may go undetected or unreported, especially in rural and underserved areas.

The main objectives of this KAP study are:

  1. To assess the level of knowledge about HPV and HPV vaccination among the target population.
  2. To investigate the attitudes and perceptions towards HPV vaccination.
  3. To identify the current practices and uptake of HPV vaccination.
  4. To explore the factors influencing the knowledge, attitudes, and practices related to HPV vaccination.

详细描述

  • Cervical cancer mortality rates in Egypt are also relatively high, with an age-standardized mortality rate of around 3.2 per 100,000 women.

Risk Factors and Epidemiology:

  • The primary risk factor for cervical cancer in Egypt is persistent infection with high-risk strains of the human papillomavirus (HPV), particularly HPV 16 and 18.
  • Other risk factors include early age of first sexual intercourse, multiple sexual partners, high parity, smoking, and lack of regular cervical cancer screening.
  • Socioeconomic factors, such as low education levels and limited access to healthcare services, also contribute to the cervical cancer burden in Egypt.
  • Cervical cancer disproportionately affects women in rural and disadvantaged areas, where screening and preventive services are less accessible.

Screening and Prevention Efforts:

  • Cervical cancer screening through Pap smears or HPV testing is the primary method for early detection and prevention of the disease.
  • However, cervical cancer screening coverage in Egypt remains low, with only around 10-20% of eligible women being regularly screened.
  • The Egyptian Ministry of Health and Population has implemented various initiatives to improve cervical cancer screening and awareness, but more efforts are needed to reach underserved populations.
  • The introduction and widespread uptake of the HPV vaccine could significantly reduce the burden of cervical cancer in Egypt, but vaccine coverage remains suboptimal.
  • Cervical cancer is a significant public health concern, as it is the fourth most common cancer in women worldwide, with a high mortality rate, especially in developing countries.
  • Early detection through regular cervical cancer screening (e.g., Pap smears) and treatment of precancerous lesions can effectively prevent the development of cervical cancer.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Cross Sectional

入排标准

年龄范围
9 Years 至 79 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • general population:
  • Eligibility criteria:
  • Age: 9-79 years old
  • patients and their relatives
  • Attending the Obstetrics and Gynecology, or Family Medicine clinics at Assiut University Hospital
  • Recruitment strategy:
  • Using a systematic random sampling method, every nth patient (based on the average patient load) will be approached and invited to participate in the study.
  • The target sample size for patients is a minimum of 384 participants.
  • Healthcare providers:
  • Eligibility criteria:
  • Physicians, nurses, and other healthcare workers employed in the Obstetrics and Gynecology, and Family Medicine departments at Assiut University Hospital.

排除标准

  • -Previous HPV Vaccination:
  • Exclude participants who have already received the complete HPV vaccination series, as their knowledge, attitudes, and practices may differ from those who are unvaccinated.
  • The study aims to understand the KAP of the unvaccinated population, which is the primary target group for intervention.
  • 2-Severe Cognitive or Mental Impairment:
  • Exclude participants who have severe cognitive or mental impairments that may prevent them from understanding and responding to the questionnaire accurately.
  • This could include individuals with advanced dementia, severe intellectual disabilities, or acute psychiatric conditions.
  • 3-. Inability to Provide Informed Consent:
  • Exclude participants who are unable to provide informed consent due to language barriers, literacy issues, or other factors that may compromise their ability to understand the study and its implications 4- Severe Illness or Hospitalization:
  • Exclude participants who are currently hospitalized or experiencing severe illness, as their focus may be on their immediate health concerns rather than the KAP questionnaire.

结局指标

主要结局

Knowledge about HPV

时间窗: baseline

Proportion of participants with adequate knowledge about HPV

Knowledge about HPV Vaccination

时间窗: baseline

Proportion of participants with adequate knowledge about the HPV vaccine

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Abdelaaziz Mohamed Fathi

resident doctor at Assiut University hospital

Assiut University

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