[13]

Emilien Jeannot et al. 2015 Switzerland

Quantitative Data Analysis 20,541 subjects ages 11 - 19

Evaluate the success of programs concerning the HPV vaccine.

Coverage for girls aged 16 - 18 years at the beginning of the program reached 80% or more four years into the program. High coverage by this HPV vaccination program was likely related to free vaccination and easy access to the vaccine using a combination of delivery services, including school health services, a public hospital, and private physicians.

[14]

Kobayashi Yuko et al. 2015 Japan

Quantitative/Questionnaire 1004 high school students (1^st-3^rd year)

Study factors that influence opinions about the cervical cancer prevention vaccine.

78.8% of students wished to receive the HPV vaccine. Decision making factors included a positive impressions and interest in the vaccine, anxiety about the vaccine, and school grade.

[15]

Sueda Chie et al. 2015 Japan

Quantitative Questionnaire 481 first-year high school students

Study the effect in awareness of sexually transmitted infections before and after a sexual education course.

73.9% of subjects had been vaccinated. Of these, 37% understood the possibility of being infected through sexual contact. Awareness of STIs was low before the course, but a statistically significant increase in correct answers was seen following the course.

[16]

Kimura Yoshihide et al. 2015 Japan

Quantitative/Comparison of vaccinated vs non-vaccinated subjects 639 public junior high students

Study awareness about the HPV vaccine and cervical cancer.

65.1% of subjects had received the HPV vaccination. Reasons included the suggestion of parents and school, and because it was available at no cost. 60% were aware of cervical cancer and the HPV vaccine. 6% were aware that HPV is a cause of cervical cancer, with no difference in knowledge between vaccinated and non-vaccinated individuals.

[17]

Manika et al. 2016 USA

Quantitative Questionnaire 889 subjects ages 14 - 26

Study attitudes about and the adoption rate of the HPV vaccine based on level of education.

57% and 42% of the 889 students reported starting and completing HPV vaccine series, respectively, with no statistical difference by education level. 61% of students who reported receiving a provider recommendation had completed the series, compared to 6% of those who did not receive recommendation. The belief that HPV vaccine prevents cancer was strongly associated with vaccine completion

[18]

FURUTA Kazue et al. 2016 Japan

Quantitative Questionnaire 206 second-year junior high students

Study the relationship between students’ deciding to get vaccinated or not based on explanation from their parents.

The 50.5% of students whose parents talked to them about the HPV vaccine to them showed improved knowledge of cervical cancer. Talking about the vaccine is a good opportunity for the students to consider their sexual behavior and whether they need the vaccine.

[19]

Dennis Vaidakis et al. 2017 Greece

Quantitative/Urban, suburban and rural Questionnaire 4547 students ages 17 - 18 entering university

Study awareness, attitudes, beliefs and sexual activity in relation to sexual infections, with a focus on HPV.

More than 60% of the participants could not answer correctly neither about HPV infection and cervical cancer frequency in sexually active women, nor about protection methods against HPV and cervical cancer. The low vaccination coverage may be due to lack of information and awareness of the adolescents and their parents.

[20]

IMAI Miwa et al. 2017 Japan

Quantitative/Before-and-after comparison Questionnaire 91 high school students (1^st-3^rd year)

Study the change in female high school student’s knowledge and awareness before and after participating in an educational course about cervical cancer prevention.

Students who participated in educational programs showed increased scores on a knowledge test about cervical cancer, HPV, and cervical cancer screenings. Students showed increased interest in preventative care. The percentage of students who expressed an intention to start screening when they turned 20 increased from 13.2% to 49.5%.