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Knowledge of human papillomavirus (HPV) and the HPV vaccine in a national sample of Australian men and women

Marian K. Pitts A E , Wendy Heywood A , Richard Ryall A , Anthony M. Smith A , Julia M. Shelley A B , Juliet Richters C and Judy M. Simpson D

A Australian Research Centre in Sex, Health & Society (ARCSHS), La Trobe University, 215 Franklin Street, Melbourne, Vic. 3000, Australia.

B School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, Vic. 3125, Australia.

C School of Public Health and Community Medicine, Level 2, Samuels Building, University of New South Wales, Sydney, NSW 2052, Australia.

D School of Public Health, Edward Ford Building, A27, The University of Sydney, NSW 2006, Australia.

E Corresponding author. Email:

Sexual Health 7(3) 299-303
Submitted: 22 December 2009  Accepted: 25 March 2010   Published: 19 August 2010


Background: Human papillomavirus (HPV) knowledge has rarely been investigated in the context of a national vaccination program. The present study investigated HPV knowledge after the introduction of a national HPV vaccination program in Australia using a national sample of men and women. Methods: Questions assessing HPV knowledge were part of a broader national study of health and relationships administered via a computer-assisted telephone interview. These findings are from wave four of the study, conducted between 2007 and 2008. Knowledge questions about HPV included its association with cervical cancer, genital warts and abnormal Pap tests. Results: A total of 2634 women and 2556 men between the ages of 18 and 70 were interviewed. Overall, 62.8% (95% confidence interval (CI): 60.8–64.7%) of women and 38.3% (95% CI: 36.3–40.4%) of men had heard of HPV. Of these, 66.0% (95% CI: 64.1–67.9%) correctly answered that HPV is associated with cervical cancer, 50.2% (95% CI: 48.2–52.1%) answered that HPV is associated with abnormal Pap tests and 44.5% (95% CI: 42.5–46.5%) answered that HPV causes warts. Predictors of good knowledge included being female, aged between 26 and 45, holding higher education levels and older age at first sex. Ever having a Pap test was also associated with awareness about HPV. Conclusion: One of the highest levels of knowledge about HPV in Australia to date is reported in the present study. Knowledge about the association between HPV and cervical cancer was particularly high, especially when compared with knowledge of the association with genital warts. This appears to be a consequence of the marketing of the HPV vaccine as a vaccination against cervical cancer.

Additional keywords: cervical cancer, genital warts, Pap test, sexually transmissible infection.


[1]  Klug SJ Hukelmann M Blettner M 2008 Knowledge about infection with human papillomavirus: A systematic review. Prev Med 46 87 98 doi:10.1016/j.ypmed.2007.09.003

[2]  Norman P , Conner M , eds. Predicting health behaviour: research and practice with social cognition models, 2nd edn. Maidenhead: Open University Press; 2005.

[3]  Pitts M , Phillips K , eds. The psychology of health: an introduction, 2nd edn. London: Routledge; 1998.

[4]  Smith AMA Pitts MK Shelley JM Richters J Ferris J 2007 The Australian longitudinal study of health and relationships. BMC Public Health 7 139

[5]  Smith AMA Rissel CE Richters J Grulich AE de Visser RO 2003 Sex in Australia: the rationale and methods of the Australian Study of Health and Relationships. Aust NZ J Public Health 27 106 17

[6]  Pitts MK Dyson SJ Rosenthal DA Garland SM 2007 Knowledge and awareness of human papillomavirus (HPV): attitudes towards HPV vaccination among a representative sample of women in Victoria, Australia. Sex Health 4 177 80

[7]  Marshall H Ryan P Roberton D Baghurst P 2007 A cross-sectional survey to assess community attitudes to introduction of Human Papillomavirus vaccine. Aust N Z J Public Health 31 235 42 doi:10.1111/j.1467-842X.2007.00054.x

[8]  Baer H Allen S Braun L 2000 Knowledge of human papillomavirus infection among young adult men and women: implications for health education and research. J Community Health 25 67 78 doi:10.1023/A:1005192902137

[9]  Waller J McCaffery K Wardle J 2004 Beliefs about the risk factors for cervical cancer in a British population sample. Prev Med 38 745 53 doi:10.1016/j.ypmed.2004.01.003

[10]  Wardle J Waller J Brunswick N Jarvis MJ 2001 Awareness of risk factors for cancer among British adults. Public Health 115 173 4 doi:10.1016/S0033-3506(01)00439-5

[11]  Waller J McCaffery K Forrest S Szarewski A Cadman L Wardle J 2003 Awareness of human papillomavirus among women attending a well woman clinic. Sex Transm Infect 79 320 2 doi:10.1136/sti.79.4.320

[12]  Moreira ED Jr Oliveira BG Ferraz FM Costa S Costa Filho JO Karic G 2006 Knowledge and attitudes about human papillomavirus, Pap smears, and cervical cancer among young women in Brazil: implications for health education and prevention. Int J Gynecol Cancer 16 599 603 doi:10.1111/j.1525-1438.2006.00377.x

[13]  Philips Z Avis M Whynes DK 2005 Knowledge of cervical cancer and screening among women in east-central England. Int J Gynecol Cancer 15 639 45 doi:10.1111/j.1525-1438.2005.00126.x

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