Reproductive Health > RTIs and STIs > Knowledge and Attitudes about STIs in Mexico

REPRODUCTIVE HEALTH
Reproductive Tract Infections and Sexually Transmitted Infections

Knowledge and Attitudes about STIs in Mexico

Cervical cancer/HPV health care provider study
Medical evidence clearly links cervical cancer, a leading killer of women in Latin America, to human papillomavirus (HPV), a sexually transmitted infection. However, public health messages rarely mention this connection, and little is known about health providers’ knowledge of this link or whether they provide this information to patients. In this study, the Population Council surveyed a sample of providers at the Mexican National Cancer Institute to better understand cancer specialists’ knowledge of and attitudes toward HPV and cervical cancer.

Preliminary results indicate that a high majority of respondents (90 percent) identified HPV as the principal cause of cervical cancer, and 96 percent felt that women from the general public in Mexico should be informed that HPV is the principal cause of cervical cancer. When asked about the risks and benefits of informing the general public about the link between HPV and cervical cancer, most respondents “totally agreed” that the information would encourage women to be screened for HPV and STIs (73 percent) and that the information would encourage women and men to practice safer sex (65 percent). However, some also “totally agreed” that the information could create problems in partner relationships, such as suspicion and anger (35 percent).

Sixteen questions pertaining to cervical cancer were included as a subset of a national questionnaire used at the National Cancer Institute and in Mexico City to better understand Mexican providers’ knowledge, attitudes, and opinions about HPV and cervical cancer. Some 1,206 providers completed the self-administered survey.

Preliminary results show that 80 percent of providers identified HPV as the principal cause of cervical cancer. When asked whether they counsel women about the relationship between HPV and cervical cancer during routine Pap tests, 59 percent stated that they always do, 22 percent said that they sometimes do, and 4 percent said that they never do. In addition, 98 percent felt that women in the general public in Mexico should be informed that HPV is the principal cause of cervical cancer. When asked about possible risks associated with informing the general public about this relationship, 25 percent of providers “totally agreed” and 25 percent “totally disagreed” that the information could create problems in partner relationships.

Focus group study of HPV and cervical cancer
To better understand Mexican women’s knowledge of and attitudes toward cervical cancer and HPV, as well as their ideas about strategies to inform men and women about this relationship, focus group discussions were conducted among middle-class women in Mexico City. Three focus groups enrolled Mexican women under the age of 24, and three enrolled women over age 40. All participants filled out a short questionnaire on demographic characteristics, sexual experience, and past experience with Pap and STI tests. Data analysis is underway.



This page updated
19 October 2007