HPV knowledge, anxiety, and sexual function in patients referred to a gynecological oncology clinic: a cross-sectional study

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Abstract
Aims: Human papillomavirus (HPV) infection is among the most prevalent sexually transmitted infections worldwide and a leading cause of cervical dysplasia and cervical cancer. Despite growing public health programs, patient knowledge regarding HPV transmission, prevention, and clinical implications remains inconsistent. Anxiety and sexual concerns may occur in women with HPV positivity and/or cervical dysplasia, but their association with HPV knowledge remains unclear. Methods: This cross-sectional study enrolled 364 patients referred to a gynecological oncology outpatient clinic with HPV positivity and/or cervical dysplasia. Sociodemographic data, including age, marital status, education level, contraceptive use, and smoking status, were collected. HPV knowledge was assessed using the validated Turkish version of the HPV knowledge scale. Anxiety and sexual function were assessed using the Beck Anxiety Inventory (BAI) and the Index of Female Sexual Function (IFSF). Statistical analyses included Pearson and Spearman correlations, simple and multivariate linear regression, and logistic regression. Significance was set at p

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