Human Papilloma Virus Vaccine Awareness and Vaccination History in Patients Attending STI Clinics in Lagos and Ibadan, Nigeria.

A O Faneye, A A Adeiga, O B Awoderu, A S Fayemiwo
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Abstract

HPV is one of the most common causes of sexually transmitted disease in both men and women worldwide. It is transmitted through vaginal, anal, and oral sex. This study provided information on the Human Papilloma Virus (HPV) vaccine awareness and vaccination history in relation to the level of antibodies to (HPV) in the population at risk in Nigeria. Patients attending STI clinics at Lagos and Ibadan were recruited and informed consent was obtained from all the participants. Using semi structured questionnaire, vaccination history, demography and past experiences of the patients were obtained. Whole blood samples were obtained and the sera screened for specific antibodies to HPV using ELISA test kits for determination of IgG to HPV by DIA PRO Diagnostic Bioprobes Milano-Italy according to the manufacturer's instruction. Of the170 samples analysed 50 (29.4%) samples were positive for HPV. Thirty (17.6%) were from females and 20 (11.7%) of them were males. Thirty-five (35%) of the 100 women participants were aware of HPV vaccine. 15(15%) women did not take the vaccine because they did not know where to get it while 20 (20%) of them could not afford it. It was also noted that there is higher prevalence among the middle-aged women. A high prevalence of HPV antibodies was observed in the study yet none of the participants had received the HPV vaccine thus the antibodies may be from infection. Implication is that the 30 women who tested positive for the HPV antibodies may be at risk of cervical cancer.

Abstract Image

尼日利亚拉各斯和伊巴丹STI诊所就诊患者的人类乳头瘤病毒疫苗意识和疫苗接种史。
HPV是全世界男性和女性性传播疾病最常见的原因之一。它通过阴道、肛门和口交传播。这项研究提供了有关尼日利亚高危人群中人类乳头瘤病毒(HPV)疫苗接种意识和疫苗接种史与HPV抗体水平的信息。招募了在拉各斯和伊巴丹STI诊所就诊的患者,并获得了所有参与者的知情同意。采用半结构化问卷,了解患者的疫苗接种史、人口学和既往经历。根据制造商的说明,使用DIA PRO Diagnostic Bioprobes Milano Italy的ELISA检测试剂盒测定HPV IgG,获得全血样本并筛选血清中的HPV特异性抗体。在分析的170个样本中,50个(29.4%)样本的HPV呈阳性。其中女性30例(17.6%),男性20例(11.7%)。在100名女性参与者中,有35人(35%)知道HPV疫苗。15名(15%)女性没有接种疫苗,因为她们不知道在哪里接种,而其中20名(20%)女性负担不起。还注意到,中年女性的患病率更高。研究中观察到HPV抗体的高流行率,但没有一名参与者接种过HPV疫苗,因此抗体可能来自感染。这意味着30名HPV抗体检测呈阳性的女性可能有患癌症的风险。
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