Effect of an educational intervention on Hungarian adolescents' awareness, beliefs and attitudes on the prevention of cervical cancer
Effect of an educational intervention on Hungarian adolescents' awareness, beliefs and attitudes on the prevention of cervical cancer
复制标题
DOI：
10.1016/j.vaccine.2012.09.012
复制
发表时间：
2012-11-06
期刊：
影响因子：
5.5
通讯作者：
D'Cruz, Gibson
中科院分区：
文献类型：
--
作者：
Marek, Erika;Dergez, Timea;D'Cruz, Gibson
令人震惊的宫颈癌死亡率和发病率国家数据以及匈牙利的一项调查结果表明，青少年对人乳头瘤病毒（HPV）感染和HPV疫苗接种的了解程度较低，这鼓励作者进行教育干预。2010年9月，匈牙利394名男女青少年完成了一份自我管理的匿名问卷，旨在探讨一个简短的、以HPV为重点的项目对青少年知识、信念和态度的影响。一半的学生（48.5%），然后有一个一次性的教育干预方面的宫颈癌持续45分钟的教训，而其余的参与者，对照组，没有教育干预。教育三个月后，两组人都使用相同的问卷进行了重新测试。使用社会科学统计软件包（SPSS）对数据进行分析。教育后，宫颈癌意识显着提高：HPV与宫颈癌之间的因果关系（7.9% -> 22.1%，p < 0.05），或对HPV疫苗接种的看法（61.3% -> 85.9%，p < 0.05）。同样，与健康相关的信念也有所增强，如“HPV可能导致宫颈癌”（64.9% -> 81.0%，p < 0.05）或“宫颈癌可以通过接种疫苗预防”（66.5% -> 85.3%，p < 0.05）。我们的数据还突出表明，匈牙利青少年一直在从事极其危险的性行为。近一半的性活跃青少年曾有过“一夜情”（41.1%）以及没有任何避孕安全措施的性交（44.3%）。除了向青少年提供关于HPV感染影响的明确和有意义的信息，并解决他们对筛查和疫苗接种的恐惧外，健康教育应着重推广安全的性行为，提倡使用避孕套，减少性伴侣的数量，以限制人类乳头瘤病毒的传播，并鼓励参与定期子宫颈检查，从而降低子宫颈癌的发病率。(C)2012爱思唯尔有限公司保留所有权利。
The alarming national data on the mortality and morbidity rates of cervical cancer as well as the results of a Hungarian survey demonstrating adolescents' low level of understanding of human papillomavirus (HPV) infection and HPV vaccination encouraged the authors to conduct an educational intervention. The aim of this survey was to explore the impact of a brief, HPV-focused program on adolescents' knowledge, beliefs and attitudes.A self-administered anonymous questionnaire was completed by 394 male and female adolescents in September, 2010, in Hungary. Half of the students (48.5%) then had a one-off educational intervention on aspects cervical cancer lasting 45 min lesson, while the rest of the participants, the control group, did not have the educational intervention. Three months following the education, both groups were retested using the same questionnaire. Data were analysed using Statistical Package for the Social Sciences (SPSS). Following the education, significant increase was detected in cervical cancer awareness: causal relationship between HPV and cervical cancer (7.9% -> 22.1%, p < 0.05), or perception of HPV vaccination (61.3% -> 85.9%, p < 0.05). Similarly, health-related beliefs have enhanced, such as 'HPV may cause cervical cancer' (64.9% -> 81.0%, p < 0.05) or 'cervical cancer may be prevented by vaccination' (66.5% -> 85.3%, p < 0.05). Our data also highlighted that Hungarian adolescents have been practising extremely risky sexual behaviour. Nearly half of the sexually active adolescents had engaged in 'one-night relationship' (41.1%) as well as having sexual intercourse without any contraceptive safety measures (44.3%).In addition to providing adolescents with clear and meaningful information about the implications of a HPV infection and addressing their fears of screening and vaccination, health education should focus on promoting safe sex behaviour by promoting the use of condoms and reducing the number of sexual partners to limit the spread of HPV, and also on encouraging the participation in regular cervical screenings, thus reducing the incidence of cervical cancer. (C) 2012 Elsevier Ltd. All rights reserved.