Knowledge, attitudes and behaviors of Cretan inhabitants on the HPV

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted infections globally and is associated with the development of various malignancies, particularly cervical cancer. Given its public health impact, understanding the population’s knowledge, attitudes, and behaviors related to HPV is essential for the design of effective preventive strategies. Aim: The aim of this study was to investigate the knowledge, beliefs, and behaviors of the population of Crete regarding HPV. Methods: A descriptive cross-sectional study was conducted between November 2023 and January 2024. The questionnaire by Saulle et al. (2013) was used for data collection. Statistical analysis was performed using SPSS. Results: Among the 130 participants, 40% reported obtaining information about HPV from a doctor, while 10% were unaware of the virus. Most respondents (72.3%) believed the state bears responsibility for public information. Regarding HPV vaccination, only 10% were vaccinated, while 33.3% cited older age as a reason for not receiving the vaccine. Moreover, 70% agreed that vaccination should occur before the onset of sexual activity. Half of the respondents reported engaging in sexual activity more than twice a week, while 20% had over five sexual partners in the last five years. Condom use was reported by only half of the participants. High awareness was observed regarding HPV’s association with cervical cancer (80.8%) and warts (83.8%), and 81.5% correctly stated that both men and women should be vaccinated. Conclusions: The findings indicate a generally good level of knowledge about HPV among Cretan residents, particularly among those who received information from healthcare professionals. Structured, state-supported health education campaigns are needed to enhance public understanding and promote prevention efforts, including vaccination.