{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T05:45:43Z","timestamp":1783835143360,"version":"3.55.0"},"reference-count":56,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T00:00:00Z","timestamp":1595376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objective: To assess healthcare workers\u2019 knowledge and attitudes about human papillomavirus (HPV) infection, related diseases, and prevention. Methods: A cross-sectional multicenter survey about HPV and its prevention, targeted to healthcare workers involved in HPV vaccine counseling, was performed from May 2017 to December 2018. Results: The overall median knowledge and attitude scores were 69.2% (25\u201375, p = 61.5\u201384.6) and 5 (25\u201375, p = 4\u20135), respectively. Both knowledge and attitudes statistically significantly differ between physicians and healthcare professions. The median propensity score before and after the educational intervention was stable and high, at 10 (25\u201375, p = 9\u201310). The predictors of statistically significantly high knowledge scores are to be a physician, general practitioner, or pediatrician, attending courses\/congresses, and consulting technical product characteristics and scientific literature to obtain information about the HPV vaccine. Being a physician and consulting scientific literature to obtain information about the HPV vaccine were found also as predictors of statistically significantly different attitude scores among study participants. Conclusions: Although healthcare workers showed overall positive attitudes towards the relevance of HPV burden and prevention tools, demonstrated knowledge was largely suboptimal, particularly that shown by healthcare professions. Obtained results allow highlighting knowledge gaps, and thus improving counselling to HPV vaccine targets.<\/jats:p>","DOI":"10.3390\/ijerph17155278","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T10:14:06Z","timestamp":1595499246000},"page":"5278","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Italian Health Care Workers\u2019 Knowledge, Attitudes, and Practices Regarding Human Papillomavirus Infection and Prevention"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4633-202X","authenticated-orcid":false,"given":"Cecilia","family":"Trucchi","sequence":"first","affiliation":[{"name":"Azienda Ligure Sanitaria, 16121 Genoa, Italy"},{"name":"Planning and Prevention Unit, I.R.C.C.S. San Martino Hospital, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5406-884X","authenticated-orcid":false,"given":"Vincenzo","family":"Restivo","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Excellence Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9707-5214","authenticated-orcid":false,"given":"Daniela","family":"Amicizia","sequence":"additional","affiliation":[{"name":"Azienda Ligure Sanitaria, 16121 Genoa, Italy"},{"name":"Planning and Prevention Unit, I.R.C.C.S. San Martino Hospital, 16132 Genoa, Italy"},{"name":"Department of Health Sciences, University of Genoa, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0665-5385","authenticated-orcid":false,"given":"Francesca","family":"Fortunato","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Foggia, 71121 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Manca","sequence":"additional","affiliation":[{"name":"Occupational Medicine Unit, I.R.C.C.S. San Martino Hospital, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8028-3167","authenticated-orcid":false,"given":"Domenico","family":"Martinelli","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Foggia, 71121 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Montecucco","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Genoa, 16132 Genoa, Italy"},{"name":"Occupational Medicine Unit, I.R.C.C.S. San Martino Hospital, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2404-3609","authenticated-orcid":false,"given":"Maria Francesca","family":"Piazza","sequence":"additional","affiliation":[{"name":"Azienda Ligure Sanitaria, 16121 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8138-5835","authenticated-orcid":false,"given":"Rosa","family":"Prato","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University of Foggia, 71121 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentino","family":"Tisa","sequence":"additional","affiliation":[{"name":"Department of Primary Care, Local Health Units 4, 16043 Chiavari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Ansaldi","sequence":"additional","affiliation":[{"name":"Azienda Ligure Sanitaria, 16121 Genoa, Italy"},{"name":"Planning and Prevention Unit, I.R.C.C.S. San Martino Hospital, 16132 Genoa, Italy"},{"name":"Department of Health Sciences, University of Genoa, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8463-8487","authenticated-orcid":false,"given":"Giancarlo","family":"Icardi","sequence":"additional","affiliation":[{"name":"Planning and Prevention Unit, I.R.C.C.S. San Martino Hospital, 16132 Genoa, Italy"},{"name":"Department of Health Sciences, University of Genoa, 16132 Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"F12","DOI":"10.1016\/j.vaccine.2012.07.055","article-title":"Global burden of human papillomavirus and related diseases","volume":"30","author":"Forman","year":"2012","journal-title":"Vaccine"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2752","DOI":"10.1002\/ijc.29082","article-title":"EUROGIN 2014 roadmap: Differences in human papillomavirus infection natural history, transmission and human papillomavirus-related cancer incidence by gender and anatomic site of infection","volume":"136","author":"Giuliano","year":"2015","journal-title":"Int. J. Cancer"},{"key":"ref_3","unstructured":"HPV Information Centre (2020, June 16). 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