Impact of educational lectures on female adolescents’ knowledge about sexually transmitted diseases and cervical cancer in the city of Jundiaí, SP

Borges, João Bosco Ramos; Belintani, Marcus Vinícus Gonçalves; Miranda, Patrícia Frodl; Camargo, Ana Carolina Marchesini de; Guarisi, Renata; Maia, Edna Marina Cappi; Gollop, Thomaz Rafael

doi:10.1590/S1679-45082010AO1544

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Original Article • Einstein (São Paulo) 8 (3) • Jul-Sep 2010 • https://doi.org/10.1590/S1679-45082010AO1544 copy

Impact of educational lectures on female adolescents’ knowledge about sexually transmitted diseases and cervical cancer in the city of Jundiaí, SP

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To evaluate the knowledge of adolescents living in Vila Ana and Morada das Vinhas region, in the city of Jundiaí, State of São Paulo, Brazil, on prevention and diagnosis of the main sexually transmitted diseases (STDs) and on cervical cancer, as well as the immediate impact of educational lectures.

Methods:

A prospective cross-sectional study was performed to assess the knowledge of a particular group of female adolescents about STDs and cervical cancer, by means of a questionnaire applied before and after educational lectures.

Results:

After the lecture, there was an increased number of correct answers about sexual education, knowledge about HPV (44%), and prevention of cervical cancer (22%).

Conclusion:

The adolescents in our study had little knowledge about STDs and cervical cancer, but educative lectures could change this reality at a low cost to Public Health services.

Keywords:
Knowledge; Sexually transmitted diseases; Uterine cervical neoplasms; Sex education

Questions		Before		After		p value
Questions		n	%	n	%	p value
Have you heard about HPV?						0.1107^* * Fisher's exact test.
	I have never heard	59	36.0	7	4.3
	I have heard, but I do not know exactly what it is	97	59.1	73	44.
	I have heard, and I know what it is	5	3.0	78	47.6
	No answer	3	1.8	6	3.7
	Have you heard about Pap smear test?					0.0001
	I have never heard	33	20.1	10	6.1
	I have heard	130	79.3	150	91.5
	No answer	1	0.6	4	2.4
Where have you heard about it?
	School	11	8.5	54	36.0	< 0.0001
	Television	11	8.5	20	13.3	0.0495
	Newspaper	3	2.3	9	6.0	0.0339
	Lectures	9	6.9	32	21.3	< 0.0001
	At home	40	30.8	37	24.7	0.5775
	By friends	6	4.6	7	4.7	0.7630
	Other places	2	1.5	2	1.3	10.000
What is the Pap smear test for?						0.0070^* * Fisher's exact test.
	I do not know	70	42.7	16	9.8
	To avoid diseases	23	14.0	18	11.0
	To avoid uterine cervical cancer	38	23.2	97	59.1
	To avoid any cancer in women	33	20.1	31	18.9
Do you think it is necessary to undergo this test?						0.0018^* * Fisher's exact test.
	I do not know	47	28.7	7	4.3
	I think it is not necessary	1	0.6	2	1.2
	I think it is not very necessary	9	5.5	9	5.5
	I think it is very necessary	106	64.6	145	88.4
	No answer	0	0.0	1	0.6
Who should undergo this test?						0.0159^* * Fisher's exact test.
	Women with active sexual life	99	60.4	136	82.9
	Women after menarche (first menses)	43	26.2	21	12.8
	Women aged over 5 years	8	4.9	4	2.4
	I do not know	3	1.8	0	0.0
	No answer	11	6.7	3	1.8

Questions		Before		After		p value
Questions		n	%	n	%	p value
Do you know someone who had cervical cancer?						0.8886
	I have never heard	106	64.6	105	64.0
	I have heard	56	34.1	53	32.3
	No answer	2	1.2	6	3.7
Where have you heard about it?
	School	1	1.8	9	17.0	0.0114
	Television	10	17.9	6	11.3	0.1573
	Newspaper	1	1.8	2	3.8	0.3173
	Lectures	1	1.8	4	7.5	0.1797
	At home	8	14.3	10	18.9	0.5930
	By friends	8	14.3	2	3.8	0.0578
	Other places	0	0.0	2	3.8	-
Do you know if there is any test to prevent cervical cancer?						0.0098^* * Fisher's exact test.
	I do not know	96	58.5	22	13.4
	Yes, there is	60	36.6	132	80.5
	There is none, because no cancer can be avoided	4	2.4	7	4.3
	No answer	4	2.4	3	1.8

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[1] Corresponding author: João Bosco Ramos Borges – Rua Francisco Telles, 250 – Vila Arens – CEP 13202-550 – Jundiaí (SP), Brazil – Tel.: (11) 4587-1095 –E-mail: drbosco@terra.com.br