Evidence map›Paper›PMID 33180790›Full record

ArticlePloS one2020

Human Papillomavirus (HPV) and the quadrivalent HPV Vaccine among Brazilian adolescents and parents: Factors associated with and divergences in knowledge and acceptance.

Jéssica Menezes Gomes, Beatriz Machado Silva, Edige Felipe de Sousa Santos, Patricia Jane Kelly, Annielson de Souza Costa, Albertina Duarte Takiuti, Luiz Carlos de Abreu, José Maria Soares Júnior, Edmund Chada Baracat, Isabel Cristina Esposito Sorpreso

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Barriers to HPV Vaccination in Brazil: A Systematic Review.Asian Pacific journal of cancer prevention : APJCP · 2025
    Pooled it
  2. Trial
  3. Article
  4. Vaccine literacy and attitudes toward ımmunization among adults in primary care.Revista da Associacao Medica Brasileira (1992) · 2026
    Article
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  8. Genital hygiene behaviors in women: a cross-sectional study from Turkey.Revista da Associacao Medica Brasileira (1992) · 2025
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  13. Review
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  17. Women health: holistic view.Revista da Associacao Medica Brasileira (1992) · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jéssica Menezes GomesDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.ORCID 0000-0001-9192-5225
Beatriz Machado SilvaDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Edige Felipe de Sousa SantosStudy Design and Scientific Writing Laboratory at ABC Medical School, Santo André, SP, Brazil.ORCID 0000-0001-5859-337X
Patricia Jane KellySchool of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, United States of America.
Annielson de Souza CostaDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Albertina Duarte TakiutiDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Luiz Carlos de AbreuStudy Design and Scientific Writing Laboratory at ABC Medical School, Santo André, SP, Brazil.
José Maria Soares JúniorDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Edmund Chada BaracatDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Isabel Cristina Esposito SorpresoDisciplina de Ginecologia, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.ORCID 0000-0002-5475-5957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow national immunization coverage (44.64%) requires strengthening the vaccination campaign to improve knowledge about HPV and its vaccine among adolescents and parents/guardians. Our aim is to evaluate factors related to knowledge about HPV, its vaccine, acceptability and divergences among Brazilian adolescents and parents/guardians.

methodsA cross-sectional study was performed at a health unit of Sao Paulo University, Brazil, from 2015 to 2016. The convenience sample comprised 1047 individuals, including 74% (n = 776) adolescents and 26% (n = 271) parents/guardians, who answered a survey (knowledge about HPV, its vaccine, barriers and acceptability).

resultsThe main source of information for adolescents was school (39%, n = 298); for parents/guardians, it was health professionals (55%, n = 153). Parents/guardians were 2.48 times more likely than adolescents to know that HPV caused changes in the Pap smear test [RR 2.48, 95% CI 2.03-3.01 (p < 0.001)], 1.43 times likely to be aware that HPV was a sexually transmitted infection [RR 1.43, 95% CI 1.22-1.68 (p < 0.001)], and 2.77 times likely to be informed that the HPV vaccine decreased the chance of having genital warts [RR 2.77, 95% CI 2.22-2.47 (p < 0.001)]. Girls knew more about the topic than boys (RR 1.67; 95% CI 1.10-2.60); education increased parents' knowledge [(RR 3.38; 95% CI 1.71-6.69)].

conclusionFemale adolescents and parents/guardians with a higher level of education are factors related to suitable knowledge about HPV and its vaccine among Brazilian respondents. There were differences between parents/guardians and adolescents in HPV awareness, clinical implications, vaccine knowledge and vaccine acceptance.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdolescentAdultBrazilFemaleHealth EducationHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18HumansMalePapillomavirus InfectionsParentsVaccinationHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18

Identifiers

PMID33180790
PMCPMC7660498

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.