Author(s):
Preethy Jawahar, Alna Kuriakose, Ammu Aju, Aneeta Mariyam Joy, Anila Abraham, Anjana Sosa John
Email(s):
preethyjawahar@moscmm.org
DOI:
10.52711/2349-2996.2026.00009 
Address:
Preethy Jawahar1, Alna Kuriakose2, Ammu Aju2, Aneeta Mariyam Joy2, Anila Abraham2, Anjana Sosa John2
1 Vice Principal, M.O.S.C. College of Nursing, Kolenchery.
2B.Sc Nursing Student, M.O.S.C. College of Nursing, Kolenchery.
*Corresponding Author
Published In:
Volume - 16,
Issue - 1,
Year - 2026
ABSTRACT:
Human Papillomavirus (HPV) infection is a leading cause of cervical cancer, yet vaccination uptake remains a major public health challenge due to limited awareness and misconceptions. Understanding women’s knowledge, attitudes, concerns, and willingness towards HPV vaccination is crucial for improving preventive strategies. The objectives of the study were to assess the knowledge, attitude, concerns, and willingness towards HPV vaccination among females; to determine the relationship between knowledge, attitude, concerns, and willingness. A structured questionnaire was used, comprising five tools: Tool 1 – Socio-demographic proforma, Tool 2 – Knowledge regarding HPV vaccination, Tool 3 – Attitude regarding HPV vaccination, Tool 4 – Concern regarding HPV vaccination, and Tool 5 – Willingness regarding HPV vaccination. A pilot study established feasibility. Formal permissions were obtained, and data were collected from 138 female participants in Aikkaranad Panchayat. Data were analyzed using SPSS software. The findings revealed that there was no significant correlation between knowledge, attitude, concerns, and willingness towards HPV vaccination.
Cite this article:
Preethy Jawahar, Alna Kuriakose, Ammu Aju, Aneeta Mariyam Joy, Anila Abraham, Anjana Sosa John. Knowledge, Attitude, Concerns, and Willingness Towards HPV Vaccination Among Females in Ernakulam District, Kerala: A Correlational Study. Asian Journal of Nursing Education and Research. 2026;16(1):39-2. doi: 10.52711/2349-2996.2026.00009
Cite(Electronic):
Preethy Jawahar, Alna Kuriakose, Ammu Aju, Aneeta Mariyam Joy, Anila Abraham, Anjana Sosa John. Knowledge, Attitude, Concerns, and Willingness Towards HPV Vaccination Among Females in Ernakulam District, Kerala: A Correlational Study. Asian Journal of Nursing Education and Research. 2026;16(1):39-2. doi: 10.52711/2349-2996.2026.00009 Available on: https://ajner.com/AbstractView.aspx?PID=2026-16-1-9
REFERENCES:
1. Weaver BA. Epidemiology and natural history of genital human papillomavirus infection. J Am Osteopath Assoc. 2006; 106:S2–11.
2. Bosch FX, Broker TR, Forman D, Moscicki AB, Gillison ML, Doorbar J, et al. Comprehensive control of human papillomavirus infections and related diseases. Vaccine. 2013; 31(Suppl 7):H1–31. doi:10.1016/j.vaccine.2013.10.003.
3. Schiffman M, Doorbar J, Wentzensen N, de Sanjose S, Fakhry C, Monk BJ, et al. Carcinogenic human papillomavirus infection. Nat Rev Dis Primers. 2016; 2:16086. doi:10.1038/nrdp.2016.86.
4. Bonanni P, Faivre P, Lopalco PL, Joura EA, Bergroth T, Varga S, et al. The status of human papillomavirus vaccination recommendation, funding, and coverage in WHO Europe countries (2018-2019). Expert Rev Vaccines. 2020; 19(11):1073–83. doi:10.1080/14760584.2020.1858057.
5. Bruni L, Saura-Lazaro A, Montoliu A, Brotons M, Alemany L, Diallo MS, et al. HPV vaccination introduction worldwide and WHO and UNICEF estimates of national HPV immunization coverage 2010-2019. Prev Med. 2021; 144:106399. doi:10.1016/j.ypmed.2020.106399.
6. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68:394–424. doi:10.3322/caac.21492.
7. Das BC, Sharma JK, Gopalkrishna V, Das DK, Singh V, Gissmann L, et al. A high frequency of human papillomavirus DNA sequences in cervical carcinomas of Indian women as revealed by Southern blot hybridization and polymerase chain reaction. J Med Virol. 1992; 36(4):239–45. doi:10.1002/jmv.1890360402.
8. Farooqui HH, Zodpey S. Cervical cancer control in India: taking evidence to action. J Public Health Policy. 2012; 33(2):165–72. doi:10.1057/jphp.2012.7.
9. Shah PM, Ngamasana E, Shetty V, Ganesh M, Shetty AK. Knowledge, attitudes and HPV vaccine intention among women in India. J Community Health. 2022; 47(3):484–94.
10. Thakkar N, Agarwal S. Knowledge, attitude, awareness and willingness regarding HPV vaccination among medical students. Indian Obstet Gynaecol. 2023; 13(2).
11. Shetty S, Prabhu S, Shetty V, Shetty AK. Knowledge, attitudes and factors associated with acceptability of human papillomavirus vaccination among undergraduate medical, dental and nursing students in South India. Hum Vaccin Immunother. 2019; 15(7-8):1656–65.
12. Turki Y, Alqurashi J. Knowledge, attitudes, and perceptions towards human papillomavirus (HPV) vaccination among adult women in primary health care centers in Makkah, Saudi Arabia. Cureus. 2023 Aug 26.
13. Sallam M, Al-Mahzoum K, Eid H, Assaf AM, Abduljaleel M, Al-Abbadi M, et al. Attitude towards HPV vaccination and the intention to get vaccinated among female university students in health schools in Jordan. Vaccines (Basel). 2021; 9(12):1432.
14. Shetty S, Shetty V, Badiger S, Shetty AK. An exploratory study of undergraduate healthcare student perspectives regarding human papillomavirus and vaccine intent in India. Womens Health (Lond). 2021; 17:174550652110553.
15. Singh M, Goyal P, Yadav K, Barman P, Dagar R, Nassa K, et al. Awareness and willingness of mothers and daughters for human papillomavirus vaccination uptake – a cross-sectional study from rural community of Faridabad, Haryana. J Prim Care Spec. 2024; 5(1):64–71.
16. Ray S, Mulchandani R, Patel P. Demand and willingness to pay for human papillomavirus vaccine for their daughters among mothers in Haryana, India: a contingent valuation study. J Health Serv Res Policy. 2023.
17. Rajiah K, Maharajan MK, Num KSF, Koh RCH. Knowledge about human papillomavirus and cervical cancer: predictors of HPV vaccination among dental students. Asian Pac J Cancer Prev. 2017; 18(6):1573–9.
18. Bergman H, Buckley BS, Villanueva G, Petkovic J, Garritty C, Lutje V, et al. Comparison of different human papillomavirus (HPV) vaccine types and dose schedules for prevention of HPV-related disease in females and males. Cochrane Database Syst Rev. 2019; 11:CD013479.