Assessment of knowledge and stigmatizing attitudes related to human papillomavirus among Hong Kong Chinese healthcare providers

Assessment of knowledge and stigmatizing attitudes related to human papillomavirus among Hong Kong Chinese healthcare providers
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DOI:
10.1016/j.ijgo.2011.07.035
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发表时间:
2012-01-01
影响因子:
3.8
通讯作者:
Ngan, Hextan Y. S.
Ngan, Hextan Y. S.
中科院分区:
医学4区
文献类型:
--
作者:
Kwan, Tracy T. C.;Lo, Sue S. T.;Ngan, Hextan Y. S.

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目的:评估香港华人医护人员对人类乳头瘤病毒(HPV)和HPV检测的相关知识和污名化态度。研究方法:在2010年5月至9月期间,我们向247名在香港提供子宫颈普查服务的医生、护士及接受细胞检验的学员发出了一份不记名的自填式问卷。结果:共回收问卷137份。大多数参与者对HPV感染和HPV疫苗接种有基本了解。只有大约33%的人知道高危HPV不会引起生殖器疣,感染在年轻女性中最常见,或者感染者可能没有任何可识别的性风险因素。关于HPV检测,许多参与者(>= 50%)对7个知识项目中的6个回答错误,突出表明对HPV检测的适应症和阳性结果的含义缺乏了解。大约30%的参与者同意HPV感染者在性方面容易,对他们的感染负责,或者有一个以上的性伴侣。对HPV感染的了解越多,污名化的态度就越少。结论:香港需要对从事筛查工作的前线医护人员进行HPV和HPV检测的持续教育。对HPV感染者的污名化态度值得进一步探讨HPV感染对患者护理和干预的影响。(C)2011年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To assess knowledge and stigmatizing attitudes related to human papillomavirus (HPV) and HPV testing among Chinese healthcare providers in Hong Kong. Methods: Between May and September 2010, an anonymous self-administered questionnaire was sent to 247 doctors, nurses, and smear-taking trainees providing cervical screening in Hong Kong. Results: In total, 137 questionnaires were returned. Most participants had basic knowledge about HPV infection and HPV vaccination. Only about 33% knew that high-risk HPV does not cause genital warts, infection is most common among young women, or infected individuals might not have any identifiable sexual risk factors. Regarding HPV testing, 6 of 7 knowledge items were answered incorrectly by many participants (>= 50%), highlighting a lack of understanding of the indications for HPV testing and the implications of a positive result. About 30% of participants agreed that individuals with HPV infection were sexually easy, responsible for their infection, or had more than 1 sexual partner. More knowledge about HPV infection predicted less stigmatizing attitudes. Conclusion: Continued education on HPV and HPV testing is needed for frontline healthcare providers of screening in Hong Kong. The stigmatizing attitudes toward HPV-infected individuals warrant further exploration of the impact of HPV infection on patient care and interventions. (C) 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.