Effect of an educational intervention on HPV knowledge and vaccine attitudes among urban employed women and female undergraduate students in China: a cross-sectional study.
Effect of an educational intervention on HPV knowledge and vaccine attitudes among urban employed women and female undergraduate students in China: a cross-sectional study.
复制标题
DOI：
10.1186/1471-2458-13-916
复制
发表时间：
2013-10-02
影响因子：
4.5
通讯作者：
Qiao YL
中科院分区：
文献类型：
--
作者：
Chang IJ;Huang R;He W;Zhang SK;Wang SM;Zhao FH;Smith JS;Qiao YL
由于人乳头瘤病毒（HPV）疫苗接种在降低中国大陆宫颈癌发病率方面的潜力，中国大陆是世界上发病率最高的地区之一，我们的研究旨在评估HPV和HPV疫苗知识，并评估简短的教育干预对中国大学生和在职女性HPV知识和疫苗可接受性的影响。这项多中心、横断面研究在中国大陆五个主要地理区域的五个代表性城市进行。参加者从每个城市的一所综合性大学和三到四家公司中选出，总共有六所综合性大学和16家公司。在教育干预前后，对参与者进行了62项关于HPV知识和HPV疫苗可接受性的问卷调查。干预包括一个信息丰富的小组讲座。2011年8月至11月，共对1 146名就业妇女和557名女本科生进行了调查。这两组人对HPV的基本知识都很低- 320/1146（28%）的就业妇女和66/557（12%）的学生听说过HPV，而只有237/1146（21%）的就业妇女和40/557（7.2%）的学生知道HPV与宫颈癌有关。经教育后，在职妇女中947/1061（89%）人和在校学生中193/325（59%）人知道HPV与宫颈癌的关系（分别为χ2 = 1041.8，p < 0.001和χ2 = 278.5，p < 0.001）。干预后，就业妇女的疫苗接受率从881/1146（77%）增加到953/1061（90%）（p = <0.001），学生的疫苗接受率从405/557（73%）增加到266/325（82%）（p < 0.001）。两组妇女都对HPV疫苗的安全性、有效性和迄今为止的有限使用表示担忧，这是她们不愿意接受疫苗接种的原因。基线时，502/1146（44%）的妇女愿意为子女接种疫苗，干预后增加到857/1061（81%），p < 0.001。将我们以讲座为基础的教育计划纳入政府赞助或以学校为基础的计划，可以提高HPV相关知识和HPV疫苗的可接受性。需要进一步的研究来评估和规范中国的HPV教育计划。
Due to the potential of human papillomavirus (HPV) vaccination for decreasing cervical cancer rates in Mainland China, where some of the highest incidences in the world have been reported, our study aimed to assess HPV and HPV vaccine knowledge, and to evaluate the effect of a brief educational intervention on HPV knowledge and vaccine acceptability in Chinese undergraduate students and employed women. This multi-center, cross-sectional study was conducted across five representative cities of the five main geographical regions of Mainland China. Participants were selected from one comprehensive university and three to four companies in each city for a total of six comprehensive universities and 16 companies. A 62-item questionnaire on HPV knowledge and HPV vaccine acceptability was administered to participants before and after an educational intervention. The intervention consisted of an informative group lecture. A total of 1146 employed women and 557 female undergraduate students were surveyed between August and November 2011. Baseline HPV knowledge was low among both groups— 320/1146 (28%) of employed women and 66/557 (12%) of students had heard of HPV, while only 237/1146 (21%) of employed women and 40/557 (7.2%) of students knew that HPV is related to cervical cancer. After educational instruction, 947/1061 (89%) of employed women and 193/325 (59%) of students knew the relationship between HPV and cervical cancer (χ2 = 1041.8, p < 0.001 and χ2 = 278.5, p < 0.001, respectively). Post-intervention, vaccine acceptability increased from 881/1146 (77%) to 953/1061 (90%), (p = <0.001) in employed women and 405/557 (73%) in students to 266/325 (82%), (p < 0.001). Women in both groups cited concerns about the HPV vaccine’s safety, efficacy, and limited use to date as reasons for being unwilling to receive vaccination. 502/1146 (44%) of women were willing to vaccinate their children at baseline, which increased to 857/1061 (81%) post-intervention, p < 0.001. Incorporation of our lecture-based education initiative into a government-sponsored or school-based program may improve HPV-related knowledge and HPV vaccine acceptability. Further studies are needed to evaluate and standardize HPV education programs in China.
登录
查看更多内容
DOI：
10.1158/1055-9965.epi-11-0562
发表时间：
2011-11
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Reiter PL;Stubbs B;Panozzo CA;Whitesell D;Brewer NT
通讯作者：
Brewer NT
影响因子：
3.5
作者：
Hopfer, Suellen
通讯作者：
Hopfer, Suellen
影响因子：
1.4
作者：
Lehtinen, Matti;Apter, Dan;Paavonen, Jorma
通讯作者：
Paavonen, Jorma
影响因子：
--
作者：
Zhao, Fang-Hui;Tiggelaar, Sarah M.;Qiao, You-Lin
通讯作者：
Qiao, You-Lin
影响因子：
6.4
作者：
Yang, L;Parkin, DM;Chen, YD
通讯作者：
Chen, YD