Yonsei Med J.  2016 Sep;57(5):1222-1229. 10.3349/ymj.2016.57.5.1222.

Knowledge of HPV and Surgery among Women Who Underwent Cervical Conization: A Korean Multi-Center Study

• Jun SY
• Kim SI
• Lim MC
• Lee JY
• Lee SH
• Song YJ
• Chun KC
• Kim JW
• Park SY

• KMID: 2374169
• DOI: http://doi.org/10.3349/ymj.2016.57.5.1222

Abstract

PURPOSE
Human papillomavirus (HPV) infection is a well-known cause of cervical cancer, which, along with its precursors, can be diagnosed and treated with cervical conization (CC). This study aimed to assess HPV- and procedure-related knowledge among women who had undergone CC.
MATERIALS AND METHODS
Between February and May 2014, consecutive women who had undergone CC at five different educational hospitals were recruited. All patients had undergone a loop electrosurgical excision procedure as the method of CC. A survey was conducted with a self-developed, 29-item questionnaire, measuring knowledge related to HPV and CC. We analyzed the responses of 160 patients who completed the questionnaire.
RESULTS
Mean total knowledge scores (±standard deviation) for HPV and CC were 5.2±3.0 of a possible 13.0 and 8.3±4.2 of a possible 16.0, respectively. While 73% of the patients knew that HPV is the main cause of cervical cancer, only 44% knew that HPV is sexually transmitted. The purpose of CC was correctly identified by 71% of the patients. However, 35% failed to indicate the anatomical area resected at the time of CC in the schematic diagram. Women who were younger (p<0.001), had higher education level (p<0.001), and higher family income (p=0.008) had higher knowledge scores. In contrast, neither interval from CC to survey nor disease severity were associated with total knowledge score.
CONCLUSION
The level of knowledge related to HPV and CC was unexpectedly low in women who had undergone CC. Intuitive educational resources may improve this knowledge, and further cohort studies are warranted.

Keyword

Knowledge; human papillomavirus (HPV); cervical cancer; surgery

MeSH Terms

Adult
Cervix Uteri/*pathology/*virology
*Conization
Female
*Health Knowledge, Attitudes, Practice
Humans
Middle Aged
Papillomaviridae/*physiology
Republic of Korea
Sexual Behavior
*Surveys and Questionnaires
Uterine Cervical Neoplasms/virology
Young Adult

Figure

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  Fig. 1 Knowledge of HPV in women who had undergone cervical conization. HPV, human papillomavirus.

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  Fig. 2 Knowledge of cervical conization in women who had undergone cervical conization. HPV, human papillomavirus.

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