• Nadiatul Azra Ahmad Mazlan Department of Pharmacy Practice, Faculty of Pharmacy, MAHSA University, Puchong, Selangor, Malaysia.
  • Ng Xin Hui Department of Pharmacy Practice, Faculty of Pharmacy, MAHSA University, Puchong, Selangor, Malaysia.


Objective: This study aimed to assess the knowledge of undergraduate students of MAHSA University on human papillomavirus (HPV) vaccination.

Methods: The cross-sectional study was conducted using a self-administered questionnaire among 350 local undergraduate students recruited by convenience sampling. The survey was conducted in English and consisted of questions on demographic data and 14 questions on knowledge toward HPV vaccination. Verbal consent was obtained from the participants beforehand, and their participation was voluntary and anonymous.

Results: The participants have scored below average (6.09±3.39) for knowledge on HPV vaccines with a significant difference in terms of age, gender, and program of the study. Students from medicine, dentistry, and biomedical science tend to have better mean knowledge score (7.39±2.99) with 25% scored 10 and above. The non-health-care students showed insignificant lower mean knowledge score of 4.17±2.06, respectively.

Conclusion: This study has demonstrated moderate level HPV vaccine knowledge toward HPV vaccination among university students with majority posed background of health-related knowledge.

Keywords: Human papillomavirus, Cervical cancer, University students, Vaccine.


1. Kwang NB, Yee CM, Shan LP, Teik CK, Chandralega KN, Abdul Kadir AK, et al. Knowledge, perception and attitude towards human papillomavirus among pre-university students in Malaysia. Asian Pac J Cancer Prev 2014;15:9117-23.
2. Jain N, Euler GL, Shefer A, Lu P, Yankey D, Markowitz L, et al. Human papillomavirus (HPV) awareness and vaccination initiation among women in the united states, national immunization survey-adult 2007. Prev Med 2009;48:426-31.
3. Khoo CL, Teoh S, Rashid AK, Zakaria UU, Mansor S, Salleh FN, et al. Awareness of cervical cancer and HPV vaccination and its affordability among rural folks in Penang Malaysia. Asian Pac J Cancer Prev 2011;12:1429-33.
4. Fu CJ, Pan XF, Zhao ZM, Saheb-Kashaf M, Chen F, Wen Y, et al. Knowledge, perceptions and acceptability of HPV vaccination among medical students in Chongqing, china. Asian Pac J Cancer Prev 2014;15:6187-93.
5. De Vincenzo R, Conte C, Ricci C, Scambia G, Capelli G. Long-term efficacy and safety of human papillomavirus vaccination. Int J Women’s Health 2014;6:999-1010.
6. Guvenc G, Seven M, Akyuz A. Health belief model scale for human papilloma virus and its vaccination: Adaptation and psychometric testing. J Pediatr Adolesc Gynecol 2016;29:252-8.
7. National Cancer Institute. Human Papillomavirus (HPV) Vaccines. Available from: risk/infectious-agents/hpv-vaccine-fact-sheet. [Last accessed on 2015 Oct 03].
8. Sundstrom B, Carr LA, DeMaria AL, Korte JE, Modesitt SC, Pierce JY. Protecting the next generation: Elaborating the health belief model to increase HPV vaccination among college-age women. Soc Mark Q 2015;21:173-88.
9. Centers for Disease Control and Prevention (CDC). Recommendations on the use of quadrivalent human papillomavirus vaccine in males – advisory committee on immunization practices (ACIP), 2011. MMWR Morb Mortal Wkly Rep 2011;60:1705-8.
10. Shafiee MN, Chew KT, Kampan N, Lim PS. Perception, knowledge and attitude towards human papillomavirus infection and vaccination for cervical cancer prevention among university students. Brunei Int Med J 2013;9:315-24.
11. Garnett GP, Kim JJ, French K, Goldie SJ. Chapter 21: Modelling the impact of HPV vaccines on cervical cancer and screening programmes. Vaccine 2006;24:178-86.
12. Silva KC, Rosa ML, Moyse N, Afonso LA, Oliveira LH, Cavalcanti SM, et al. Risk factors associated with human papillomavirus infection in two populations from Rio de Janeiro, Brazil. Mem Inst Oswaldo Cruz 2009;104:885-91.
13. Ministry of Health Malaysia. Cervical Cancer Vaccine. Gardasil® And Cervarix® Health Technology Assessment Section, Medical Development Division Ministry of Health Malaysia, Report No. 008/2011; 2011.
14. Ezat SW, Hod R, Mustafa J, Mohd Dali AZ, Sulaiman AS, Azman A, et al. National HPV immunisation programme: Knowledge and acceptance of mothers attending an obstetrics clinic at a teaching hospital, Kuala Lumpur. Asian Pac J Cancer Prev 2013;14:2991-9.
15. Al-Naggar RA, Bobryshev YV, Al-Jashamy K, Al-Musli M. Practice of HPV vaccine and associated factors among school girls in Melaka, Malaysia. Asian Pac J Cancer Prev 2012;13:3835-40.
16. Rashwan HH, Saat NZ, Abd Manan DN. Knowledge, attitude and practice of Malaysian medical and pharmacy students towards human papillomavirus vaccination. Asian Pac J Cancer Prev 2012;13:2279-83.
17. Dany M, Chidiac A, Nassar AH. Human papillomavirus vaccination: Assessing knowledge, attitudes, and intentions of college female students in Lebanon, a developing country. Vaccine 2015;33:1001-7.
18. Illozumba UO. HPV Vaccination Knowledge and Attitude amongst Students in Two and Four Year Colleges in Atlanta, Georgia [M.S. Thesis]. Univ. Emory; 2011.
19. Blödt S, Holmberg C, Müller-Nordhorn J, Rieckmann N. Human papillomavirus awareness, knowledge and vaccine acceptance: A survey among 18-25 year old male and female vocational school students in Berlin, Germany. Eur J Public Health 2012;22:808-13.
20. Wong LP, Sam IC. Ethnically diverse female university students’ knowledge and attitudes toward human papillomavirus (HPV), HPV vaccination and cervical cancer. Eur J Obstet Gynecol Reprod Biol 2010;148:90-5.
21. Deriemaeker H, Michielsen D, Reichman G, Devroey D, Cammu H. Knowledge about human papillomavirus and the human papillomavirus vaccine in Belgian students. Cent Eur J Urol 2014;67:410-7.
22. Sadry SA, De Souza LR, Yudin MH. The impact of ethnicity on awareness and knowledge of and attitudes towards the human papillomavirus and vaccine among adult women. J Obstet Gynaecol Can 2013;35:995-1003.
23. Giuliano AR, Palefsky JM, Goldstone S, Moreira ED Jr., Penny ME, Aranda C, et al. Efficacy of quadrivalent HPV vaccine against HPV infection and disease in males. N Engl J Med 2011;364:401-11.
24. Katz ML, Krieger JL, Roberto AJ. Human papillomavirus (HPV): College male’s knowledge, perceived risk, sources of information, vaccine barriers and communication. J Mens Health 2011;8:175-84.
25. Al-Dubai SA, Alshagga MA, Al-Naggar RA, Al-Jashamy K, Baobaid MF, Tuang CP, et al. Knowledge, attitudes and barriers for human papilloma virus (HPV) vaccines among Malaysian women. Asian Pac J Cancer Prev 2010;11:887-92.
26. Budd AC, Brotherton JM, Gertig DM, Chau T, Drennan KT, Saville M, et al. Cervical screening rates for women vaccinated against human papillomavirus. Med J Aust 2014;201:279-82.
86 Views | 76 Downloads
How to Cite
Mazlan, N., and N. Hui. “ASSESSMENT ON KNOWLEDGE REGARDING HUMAN PAPILLOMAVIRUS VACCINATION AMONG MAHSA UNIVERSITY STUDENTS”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 11, no. 15, Oct. 2018, pp. 61-64, doi:10.22159/ajpcr.2018.v11s3.30032.
Original Article(s)