Cervical Cancer and HPV vaccination: Insights into knowledge, attitudes, and practices among Albanian women

• Published in: Vaccine: X 2025-01, Vol.22, p.100594, Article 100594
• Main Authors: Pojani, Eftiola, Bozo, Silvi, Capparelli, Elena, Hoxha, Bianka
• Format: Article
• Language: English
• Subjects: Albanian women; Cervical cancer; HPV vaccine; Human papillomavirus; Knowledge; Practices; Regular paper
• ISSN: 2590-1362; 2590-1362
• DOI: 10.1016/j.jvacx.2024.100594

Human papillomavirus (HPV) infection is a widespread skin-to-skin transmitted infection that poses a global health concern. Although Albania faced prior challenges, it has recently introduced a quadrivalent recombinant HPV vaccine, a critical step in preventing cervical cancer among young women. This study aims to identify potential gaps in knowledge and attitudes among Albanian women regarding cervical cancer and HPV infection, as well as provide insights into the effectiveness of the national primary prevention program. We conducted a cross-sectional study among 473 Albanian women using an anonymous online questionnaire to collect sociodemographic information, awareness on HPV infection and cervical cancer, and HPV vaccination practices. The association between sociodemographic variables and outcome measures was explored using descriptive statistics and Chi-square tests in SPSS. Most of the participants fell within the age range of 18 to 30 years old (42.1 %). 71.7 % of the respondents lived in urban areas. According to the study findings, a considerable proportion of the participants demonstrated knowledge of cervical cancer, with 66.6 % correctly identifying HPV infection as a major cause of this disease. Additionally, the study uncovered that a substantial number of participants had an acceptable awareness (59.6 %) about the HPV vaccine. Nevertheless, 48.4 % of the participants expressed concerns about the vaccine's efficacy and safety. The study reveals knowledge gaps and misconceptions about HPV transmission, hereditary aspects, and its connection to various cancers. While a positive attitude towards preventive measures exists, concerns about HPV vaccination safety and efficacy underscore the need for targeted education campaigns to enhance awareness and accessibility, addressing misconceptions and promoting informed decision-making for effective cervical cancer prevention. •Introduction of HPV vaccine in Albania and the impact of HPV Vaccination Program.•Addressing Knowledge and Attitude among Albanian women concerning cervical cancer and HPV infection.•Cultural and Socio-Demographic Factors are crucial for the success of HPV immunization efforts in Albania.•Concerns about HPV vaccination safety and efficacy requires targeted educational initiatives to improve public awareness.