Banca de QUALIFICAÇÃO: ELANNA BATISTA BARBOSA DOS SANTOS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : ELANNA BATISTA BARBOSA DOS SANTOS
DATE: 29/03/2023
TIME: 15:45
LOCAL: Miniauditório ICS, BMT 1/Unidade Tapajós
TITLE:

KNOWLEDGE, ACCEPTABILITY AND ADHERENCE TO VACCINATION AGAINST HUMAN PAPILLOMAVIRUS (HPV) IN THE LOWER AMAZON, AMAZON, BRAZIL.

KEY WORDS:

HPV, vaccination, pre-adolescents, women living with HIV, cancer.

PAGES: 58
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

There are about 40 types of human papillomavirus (HPV) with tropism for the anogenital tract that can cause precursor lesions of neoplasms in various tissues, including those of the cervix. The Brazilian Ministry of Health (MS), through the National Immunizations Program (PNI), started vaccination against HPV in girls in 2014, extending it to boys in 2017. In addition, in March 2021, vaccination against HPV for immunosuppressed women aged up to 45 years was expanded, due to the importance of protecting even more women living with HIV/AIDS (MVHA) and more recently, in 2022, also for the boys with the same age group as girls. This study aims to evaluate the acceptability and adherence to HPV vaccination among parents/guardians of pre-adolescent girls and boys aged 9 to 14 years and women living with HIV/AIDS aged up to 45 years in Santarém-Pará, Amazon, Brazil. This is a cross-sectional, analytical, ongoing research, with ethical approval under the number 5,176,666, carried out through a specific questionnaire with open and closed questions for both groups, from January 2022 to May 2023. A total of 284 subjects were interviewed, of which 144 are parents/guardians of pre-adolescents and 140 are women living with HIV/AIDS aged up to 45 years. As for parents/guardians of pre-adolescents, of the total interviewed, 90.3% were female, reflecting that the practice of health care and with regard to vaccination of pre-adolescents are, in general, practiced by mothers or grandparents. It was observed that knowledge related to the virus is superficial, since 91.6% (120/144) of the subjects are unaware of the main indicative sign of contamination by HPV (anogenital warts). Although 54.9% of pre-adolescents were vaccinated, girls continue to be vaccinated more than boys. Of the total vaccinated with the complete scheme (47/79), 76.6% (36/47) were girls and only 23.4% (11/47) boys. As for the WLHA public aged up to 45 years, 91.4% (128/140) stated that they undergo their HIV treatment regularly, but their knowledge regarding the relationship between HPV and immunosuppression was incomplete, since 50% (70 /140) responded that they did not know that immunosuppression is one of the main risk factors for HPV infection. In addition, it was observed that 62.1% (87/140) did not know that WLHA are up to six times more likely to have cervical cancer and 86.4% (121/140) reported not having been informed that they could get immunize against HPV since March 2021. As for vaccination, 86.3% (120/140) had not been vaccinated, and of the minority who were immunized, only 36.8% (7/19) carried out the recommended scheme. Furthermore, 86.4% (121/140) of them do not know how many doses are needed to complete their vaccination schedule. In addition, 88.4% (122/140) stated that they had not received educational actions with an emphasis on the importance of this specific vaccination in the reference service that assists them. It is noticed that between the two audiences there are still gaps in knowledge related to the virus that can disrupt the vaccination process and prevent both from benefiting from the use of immunobiologicals against HPV when they do not complete their vaccination schedules.

COMMITTEE MEMBERS:
Presidente - 1071690 - LUANA LORENA SILVA RODRIGUES
Interno - 1243405 - THALIS FERREIRA DOS SANTOS
Externa à Instituição - SHEYLA MARA SILVA DE OLIVEIRA - UEPA