Attitudes toward cervical cancer screening among women receiving human papillomavirus vaccination in a university-hospital-based community: Interim 2-year follow-up results
Attitudes toward cervical cancer screening among women receiving human papillomavirus vaccination in a university-hospital-based community: Interim 2-year follow-up results
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在大学医院社区中接受人乳头瘤病毒疫苗接种的女性对宫颈癌筛查的态度：2 年中期随访结果
DOI：
10.1111/jog.12288
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Hirahara F
中科院分区：
文献类型：
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作者：
Miyagi E;Sukegawa A;Motoki Y;Kaneko T;Maruyama Y;Asai-Sato M;Numazaki R;Mizushima S;Hirahara F
目的调查某大学医院社区妇女宫颈癌筛查情况，将HPV疫苗作为社区宫颈癌预防工作的基本内容。方法对173名在社区工作或学习的妇女在2010年第一次接种HPV疫苗时、第三次接种HPV疫苗时和两年后进行自填式问卷调查。结果受试者年龄中位数为27.5岁，88.2%为性行为活跃者。在首次接种前，38.5%(57/148)的筛查对象从未做过巴氏试验。在完成第三次接种的妇女中，最近两年内的巴氏试验经历从第一次接种时的45.3%(63/139)增加到第三次接种时的71.2%(99/137)，2年后的67.5%(54/80)。在45.3%的筛查对象中，在首次接种HPV疫苗时从未进行过巴氏试验的人中，第一次巴氏试验之后是接种疫苗。结论根据日本国家癌症筛查指南进行两年一次的巴氏试验对医学界的妇女来说也是困难的；然而，关于巴氏试验的教育和HPV疫苗接种在提供机会性筛查方面的有效性鼓励她们进行第一次或暂停巴氏试验。我们的中期数据表明，对于被排除在国家HPV疫苗计划之外的年轻成年女性，迫切需要改变宫颈癌预防策略。
AimThis study investigated the status of cervical cancer screening among women in a university hospital‐based community who received catch‐up human papillomavirus (HPV) vaccinations as a basic element of our community‐based cervical cancer prevention advocacy.MethodsSelf‐administered questionnaires were distributed to 173 women working or studying in the community at their first HPV vaccination in 2010, at the third vaccination, and 2 years later. Their demographics and attitudes toward the Pap test were analyzed.ResultsThe median age of the participants was 27.5 years and 88.2% were sexually active. Before the first vaccination, 38.5% (57/148) of the screening targets had never had a Pap test. Among the women who completed the third vaccination, Pap test experiences within the recent 2 years increased from 45.3% (63/139) at the first vaccination to 71.2% (99/137) at the third vaccination, and 67.5% (54/80) 2 years later. In 45.3% of the screening targets who had never had a Pap test at the time of their first HPV vaccination, their first Pap test was followed by their vaccination.ConclusionsHaving biennial Pap tests in accordance with the Japanese national cancer screening guideline was shown to be difficult even for the women in the medical community; however, education about the Pap test and the efficacy of HPV vaccination in providing opportunistic screening encouraged them to have their first or suspended Pap test. Our interim data suggest the need for urgently changing the cervical cancer prevention strategy for young adult women who are excluded from the national HPV vaccine program.