Awareness, Acceptability and Uptake of Human Papilloma Virus Vaccine Among Cameroonian School-Attending Female Adolescents
Awareness, Acceptability and Uptake of Human Papilloma Virus Vaccine Among Cameroonian School-Attending Female Adolescents
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DOI：
10.1007/s10900-012-9554-z
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发表时间：
2012-12-01
影响因子：
5.9
通讯作者：
Ogembo, Javier Gordon
中科院分区：
文献类型：
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作者：
Ayissi, Claudine Akono;Wamai, Richard G.;Ogembo, Javier Gordon
本研究的目的是评估喀麦隆西北地区诊所和学校12-26岁青少年女性对HPV、宫颈癌HPV疫苗的认识、知识和信念以及接种意愿，喀麦隆浸礼会卫生服务中心（CBCHS）在该地区开展了一项宣传和教育活动。在学校和诊所对女青少年进行问卷调查。对自变量进行描述性统计，包括频率、百分比和比例，并使用双变量分析（卡方检验）评估自变量与结局变量之间的关系。使用SAS 9.2版分析数据。在对650名少女进行的抽样调查中，有553名少女自愿参加了这项匿名调查。对HPV（86.8%）、宫颈癌（82.3%）和通过接种疫苗预防HPV感染（75.9%）的认识明显高于喀麦隆和其他发展中国家先前进行的研究。对风险的更高认识与性活跃（p = 0.0013），年龄（p = 0.0031）和教育水平（p = 0.0274）有关。年龄和教育水平与HPV知识相关（p = 0.007和p = 0.0008）。HPV疫苗接种的平均关注水平为4.0（SD = 1.27），高于平均值。我们的数据表明，青少年对HPV，宫颈癌和HPV疫苗的认识很高，并且有兴趣接受疫苗和了解这种疾病。CBCHS的社区教育战略有效地提高了HPV疫苗的可接受性并产生了需求，使其成为喀麦隆和其他发展中国家HPV免疫接种的潜在模式。
The purpose of this study is to assess awareness, knowledge and beliefs about HPV, cervical cancer HPV vaccine and willingness to vaccinate among adolescent females aged 12-26 years at clinics and schools in the North West Region of Cameroon where the Cameroon Baptist Convention Health Services (CBCHS) conducted a sensitization and education campaign. A questionnaire survey was administered among female adolescents in schools and clinics. Descriptive statistics including frequencies, percentages and proportions were generated for independent variables and bivariate analyses (Chi square test) were used to assess the relationship between independent and outcome variables. Data were analyzed using SAS Version 9.2. Out of a sample of 650 adolescent girls 553 willingly participated in this anonymous survey. Awareness of HPV (86.8%), cervical cancer (82.3%), and prevention of HPV infections through vaccination (75.9%) was significantly higher than in previous studies conducted in Cameroon and other developing countries. Higher perceptions of risk were associated with being sexually active (p = 0.0013), age (p = 0.0031) and level of education (p = 0.0274). Age and educational level were associated with HPV knowledge (p = 0.007 and p = 0.0008), respectively. The mean level of interest in HPV vaccination was 4.0 (SD = 1.27), which is above the mean. Our data indicate high awareness about HPV, cervical cancer and HPV vaccine among adolescents, and interest in receiving the vaccine and learning about the disease. CBCHS' community education strategy effectively raised acceptability and generated demand for HPV vaccine, making it a potential model for HPV immunization in Cameroon and other developing countries.