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Exploring Knowledge, Attitudes, Practices, and Information-Seeking on HPV Infection and Cervical Cancer Prevention in

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Summary

Knowledge, attitudes, and practices regarding HPV and cervical cancer are poor in rural Indonesian women. Health information-seeking behavior and healthcare worker engagement, especially via digital platforms, can improve outcomes.

Keywords:
Cervical cancerHPV infectionInformation Seeking BehaviorsKnowledge Attitudes PracticeRural Communities

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Communication

Background:

  • Cervical cancer is a major health issue in Indonesia, exacerbated by low screening and HPV vaccination rates in rural areas.
  • Knowledge gaps and limited healthcare access contribute to poor understanding of HPV infection and cervical cancer prevention.
  • This study investigates the knowledge, attitudes, and practices (KAP) concerning HPV and cervical cancer, and the role of information-seeking behavior.

Purpose of the Study:

  • To assess the current state of knowledge, attitudes, and practices (KAP) regarding HPV infection and cervical cancer among women in rural North Moluccas.
  • To identify factors influencing KAP, with a specific focus on health information-seeking behavior (HISB).
  • To explore effective channels for raising awareness and improving KAP in underserved rural communities.

Main Methods:

  • A cross-sectional study was conducted with 220 women in two rural districts of North Moluccas.
  • Data were collected using a validated questionnaire via face-to-face interviews.
  • Statistical analyses included descriptive statistics, bivariate tests, and multivariate logistic regression to identify predictors of KAP.

Main Results:

  • A significant proportion of participants exhibited poor knowledge (81.3%), positive attitudes (77.3%), and favorable practices (55.5%) regarding HPV and cervical cancer.
  • Higher education, family history of cancer, private vehicle use, and active health information-seeking behavior (HISB) were key predictors of good knowledge and positive attitudes.
  • Favorable practices were associated with private vehicle use and a positive attitude, highlighting the interconnectedness of KAP.

Conclusions:

  • Knowledge, attitudes, and practices related to HPV and cervical cancer are significantly influenced by health information-seeking behavior.
  • Engaging healthcare workers to disseminate information, particularly through digital platforms, holds potential for enhancing KAP in rural Indonesian communities.
  • Targeted interventions focusing on improving HISB and leveraging healthcare professionals are crucial for reducing the burden of cervical cancer.