江苏省张家港市有子女女性对人乳头瘤病毒及其预防性疫苗的认知状况和影响因素  

Cognitive status of human papilloma virus and its preventive vaccine and the influencing factors in women with children in Zhangjiagang City,Jiangsu Province

作　　者：邵海枫[1] 徐玲[1] 邹艳[1] 朱晓炜 杜国明[1] SHAO Haifeng;XU Ling;ZOU Yan;ZHU Xiaowei;DU Guoming(Zhangjiagang Center for Disease Control and Prevention,Jiangsu 215600,China)

机构地区：[1]张家港市疾病预防控制中心,江苏215600

出　　处：《医学动物防制》2020年第5期495-497,501,共4页Journal of Medical Pest Control

基　　金：2017年江苏省第二批科技发展计划资助项目(BE2017678);张家港市卫生系统重点学科资助项目(张卫科教2016-7)。

摘　　要：目的了解张家港市有子女女性对人乳头瘤病毒(human papilloma virus,HPV)及其预防性疫苗的认知状况,探讨其影响因素,发现HPV预防性疫苗广泛应用的潜在障碍并提出解决办法,为预防宫颈癌提供参考依据。方法对张家港市有子女女性进行问卷调查,并对资料进行整理和统计学分析。结果共调查2099名女性,年龄为20~50岁,平均(36±7.02)岁。被调查者对HPV以及HPV预防性疫苗认知率为39.97%(839名),77.47%(1626名)的女性听说过HPV疫苗,其中15.81%(257名)的女性通过主动关注了解HPV疫苗;不同年龄、居住地、文化程度、职业及是否为医务人员对HPV及其预防性疫苗认知率差异有统计学意义(χ^2=14.21、27.11、60.50、47.19、23.76,P<0.05);不同年龄、居住地及社会背景是有子女女性认知率的影响因素,且文化程度越高的女性认知率越高;78.23%的女性愿意给子女接种HPV疫苗,疫苗的有效性是不让其子女接种疫苗的主要原因,对HPV认知度高的女性更愿意让其子女接种HPV疫苗。结论张家港市有子女女性对HPV及其预防性疫苗的认知率较低,政府需要根据不同人群背景,加强对HPV及其预防性疫苗相关知识的宣传,制定合理有效的HPV疫苗接种策略。Objective To get an insight into the cognitive status of human papilloma virus(HPV)and its preventive vaccine in women with children in Zhangjiagang City,explore its influencing factors,find out the potential obstacles to the widespread application of HPV preventive vaccine and put forward solutions,so as to provide reference for the prevention of cervical cancer.Methods A questionnaire survey was conducted among women with children in Zhangjiagang City,and the data were collated and statistically analyzed.Results A total of 2099 women aged from 20 to 50 were investigated,with an average age of(36±7.02)years.The cognition rate of the respondents to HPV and HPV preventive vaccine was 39.97%(839).77.47%(1626)of the women had heard of HPV vaccine,of which 15.81%(257)had learned about HPV vaccine through active attention.There were statistically significant differences in the cognitive rate of HPV and its preventive vaccine among different age,residence,education,occupation and whether they were medical personnel(χ^2=14.21,27.11,60.50,47.19,23.76,P<0.05).Different age,residence and social background are the influencing factors of the cognitive rate of women with children,and the higher the education level,the higher the cognitive rate of the female.78.23%of the women were willing to vaccinate their children with HPV vaccine,and the effectiveness of vaccines was the main reason for reluctance to vaccinate their children against HPV.Women with a high recognition of HPV were more willing to vaccinate their children against HPV.Conclusion Women with children in Zhangjiagang City have a low recognition rate of HPV and its preventive vaccine.The government needs to strengthen the knowledge about HPV and its preventive vaccine according to different population backgrounds,and develop a reasonable and effective HPV vaccination strategy.

关 键 词：人乳头瘤病毒疫苗 认知率 接种 影响因素 单因素分析 多因素分析 

分 类 号：R186[医药卫生—流行病学] R737.3[医药卫生—公共卫生与预防医学]