A cross-sectional survey to assess community attitudes to introduction of human papillomavirus vaccine

A cross-sectional survey to assess community attitudes to introduction of human papillomavirus vaccine
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DOI:
10.1111/j.1467-842x.2007.00054.x
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发表时间:
2007-06-01
影响因子:
3.5
通讯作者:
Baghurst, Peter
Baghurst, Peter
中科院分区:
医学3区
文献类型:
--
作者:
Marshall, Helen;Ryan, Philip;Baghurst, Peter

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目的:一种预防人乳头瘤病毒(HPV)感染的疫苗最近在美国和澳大利亚获得许可。本研究的目的是评估南澳大利亚州社区对引入HPV疫苗的态度。方法:于2006年2月采用计算机辅助电话访谈法进行横断面调查。调查评估了成人和家长对接种人乳头瘤病毒疫苗以预防由人乳头瘤病毒引起的性传播疾病和预防子宫颈癌的态度。在城市和农村家庭中进行了2000次访谈。结果:2%的受访者知道持续的HPV感染会导致宫颈癌,另有7%的人知道原因是病毒。大多数接受采访的成年人(83%)认为男性和女性都应接种人乳头瘤病毒疫苗,77%的父母同意让他们的孩子接种疫苗。家长主要担心疫苗可能产生的副作用(66%),只有0.2%担心与子女讨论性传播疾病,5%担心使用疫苗可能导致滥交。意义:我们的研究结果表明,HPV疫苗接种的公共卫生教育活动将发现大多数家长接受他们的孩子接种疫苗,但必须注意对HPV感染作为宫颈癌原因的适当解释和HPV疫苗安全性的教育。
Objective: A vaccine to prevent human papilloma virus (HPV) infection has been licensed recently in the United States of America and Australia. The aim of this study was to assess community attitudes to the introduction of HPV vaccine in the State of South Australia.Methods: A cross-sectional survey was conducted by computer-aided telephone interviews in February 2006. The survey assessed adult and parental attitudes to the introduction of HPV vaccine to provide protection against a sexually transmitted disease caused by HPV and against cervical cancer. Two thousand interviews were conducted in metropolitan and rural households.Results: Two per cent of respondents knew that persistent HPV infection caused cervical cancer and a further 7% were aware that the cause was viral. The majority of adults interviewed (83%) considered that both men and women should receive HPV vaccine and 77% of parents agreed that they would have their child/children immunised. Parents were mainly concerned about possible side effects of the vaccine (66%), with only 0.2% being concerned about discussing a sexually transmitted disease with their children and 5% being concerned that use of the vaccine may lead to promiscuity.Implications: Our findings suggest that public health education campaigns for HPV vaccination will find a majority of parents receptive to their children being vaccinated, but attention must be paid to appropriate explanation about HPV infection as the cause of cervical cancer and education about the safety of the HPV vaccine.