HPV Knowledge and Attitudes Among Medical and Professional Students at a Nevada University: A Focus on Oropharyngeal Cancer and Mandating the Vaccine

HPV Knowledge and Attitudes Among Medical and Professional Students at a Nevada University: A Focus on Oropharyngeal Cancer and Mandating the Vaccine
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DOI:
10.1007/s13187-019-01529-y
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发表时间:
2020-08-01
影响因子:
1.6
通讯作者:
Darrow, Lyndsey
Darrow, Lyndsey
中科院分区:
医学4区
文献类型:
--
作者:
Evans, Lauran;Matley, Elizabeth;Darrow, Lyndsey

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医学专业人员和学生经常觉得他们对人乳头瘤病毒(HPV)疫苗没有足够的了解,以便推荐或自己接种疫苗。一项关于HPV疫苗知识和态度的25个问题的在线调查在内华达州一所大学的专业学生中进行,包括所有班级的医学生。一年级和二年级的医学生在新疫苗研讨会后1周进行了相同的调查。三分之一的受访者知道HPV和口咽癌之间的联系,63%的人认为HPV疫苗应该是强制性的。报告的完整疫苗接种状态(与未接种疫苗相比,OR = 2.63,95% CI = 1.53,4.53),了解与口咽癌的联系(OR = 1.85,95%CI = 1.04,3.29),女性(OR = 1.64,95%CI = 1.00,2.70)积极预测学生是否认为HPV疫苗应该是强制性的。在互动研讨会之后,一年级和二年级的医学生提高了HPV知识问题,HPV疫苗咨询的舒适度,并有足够的信息来咨询HPV疫苗。测试后的知识得分超过了目前的第三和第四年的医学生,谁从来没有经历过这样的课程。医学,医师助理,研究生和本科生缺乏HPV知识,由于HPV感染而知道口咽癌的比例很低。为一年级和二年级医学生实施的互动课程提高了HPV疫苗接种咨询的知识和舒适度。
Medical professionals and students often feel as if they do not have enough understanding of the human papillomavirus (HPV) vaccine in order to recommend or obtain vaccination themselves. A 25-question online survey regarding knowledge and attitudes about the HPV vaccine was distributed among professional students, including all classes of medical students, at a Nevada university. First- and second-year medical students were administered the same survey 1 week after a new vaccine workshop. One third of respondents were aware of the link between HPV and oropharyngeal cancer, and 63% believed that the HPV vaccine should be mandatory. Reported full vaccination status (OR = 2.63 compared with no vaccination, 95% CI = 1.53, 4.53), awareness of the link to oropharyngeal cancer (OR = 1.85, 95% CI = 1.04, 3.29), and female sex (OR = 1.64, 95% CI = 1.00, 2.70) positively predicted whether a student believed the HPV vaccine should be mandatory. After an interactive workshop, first- and second-year medical students improved on HPV knowledge questions, comfort in HPV vaccine counseling, and having enough information to counsel on the HPV vaccine. Post-test knowledge scores surpassed those of current third- and fourth-year medical students, who never underwent such curriculum. Medical, physician assistant, graduate, and undergraduate students lack HPV knowledge, with a low percentage aware of oropharyngeal cancer as a result of HPV infection. An interactive curriculum implemented for first- and second-year medical students improved knowledge and comfort in counseling on HPV vaccination.