某妇科门诊女性对人乳头瘤病毒认知及预防性疫苗接种现状调查和影响因素分析  

Investigation on cognition of Human Papilloma Virus and preventive vaccination of female in a gynecological clinic and analysis of influencing factors

作　　者：孙艳 刘峰[2] 张义[2] 周体操[2] 王林江[2] 陈飒[2] 王舒 李广智[2] Sun Yan;Liu Feng;Zhang Yi;Zhou Ticao;Wang Linjiang;Chen Sa;Wang Shu;Li Guangzhi(Danfeng Center for Disease Control and Prevention,Shangluo,Shaanxi 726200;Shaanxi Provincial Center for Disease Control and Prevention,Xi'an,Shaanxi 710054)

机构地区：[1]陕西省丹凤县疾病预防控制中心,陕西商洛726200 [2]陕西省疾病预防控制中心,陕西西安710054

出　　处：《中外女性健康研究》2020年第8期1-4,25,共5页Women＇s Health Research

基　　金：陕西省现场流行病学培训项目(Sxfetp04);陕西省公众突发公共卫生事件健康素养干预措施研究项目(编号2016D093)。

摘　　要：目的:调查西安市专科医院门诊女性对人乳头瘤病毒(HPV)的认知及预防性疫苗接种现状,分析影响接种的因素,为HPV预防性疫苗的使用提供参考。方法:对西安市某妇幼医院前来妇科门诊就诊的女性随机发放调查问卷,用SPSS 20.0软件进行数据分析,相关影响因素采用χ2检验,多因素分析采用Logistic回归。结果:西安市某妇幼医院前来妇科门诊就诊的女性对HPV的知晓率为18.8%,HPV预防性疫苗接种率为4.3%;单因素分析结果显示,不同婚姻状况(χ2=13.519,P=0.004)、不同文化程度(χ2=12.928,P=0.004)、不同家庭月收入(χ2=11.760,P=0.012)、是否听说过HPV预防性疫苗(χ2=13.250,P=0.000)对接种HPV预防性疫苗差异有统计学意义;多因素分析结果显示,研究生及以上文化程度较高中及以下、知晓HPV较不知道HPV的接种HPV预防性疫苗更多,已婚的较未婚的接种HPV预防性疫苗更少。42.3%的女性接种HPV预防性疫苗是因为担心患病,35.2%的女性未接种HPV预防性疫苗是因为不了解、备孕、年龄偏大等其他原因。结论:西安市专科医院门诊女性对HPV认知较低,HPV预防性疫苗接种率较低。将来应通过电视、广播、报纸加大宣传力度,医务、疾控工作者是宣传的中坚力量。Objective:To investigate the current status of human papillomavirus(HPV)awareness and preventive vaccination among women in outpatient department of xi'an special hospital,and analyze the factors influencing vaccination,so as to provide references for the use of HPV preventive vaccine.Methods:A questionnaire was randomly distributed to women attending the outpatient department of gynaecology in a maternity and child hospital in xi'an.SPSS 20.0 software was used for data analysis.χ2 test was used for relevant influencing factors,and logistic regression was used for multivariate analysis.Results:The awareness rate of HPV was 18.8%,and the vaccination rate was 4.3%.Univariate analysis showed that different marital status(χ2=13.519,P=0.004),education level(χ2=12.928,P=0.004),monthly household income(χ2=11.760,P=0.012),and whether or not one had heard of HPV preventive vaccine(χ2=13.250,P=0.000)had statistically significant differences in HPV preventive vaccine vaccination.The results of the multivariate analysis showed that those with a graduate degree or above had more HPV prophylactic vaccination than those with a high school education or below,those who knew HPV and those who did not,and those who were married had less HPV prophylactic vaccination than those who were unmarried.42.3%of women get HPV vaccine because they are worried about getting sick,and 35.2%of women don't get HPV preventive vaccine because they don't know about it,are pregnant,are older and other reasons.Conclusion:Outpatient women in xi'an special hospital have low awareness of HPV and low vaccination rate.In the future,the propaganda should be intensified through TV,radio and newspapers.Medical workers and disease control workers are the backbone of the propaganda.

关 键 词：宫颈癌 人乳头瘤病毒 疫苗接种 影响因素 

分 类 号：R73[医药卫生—肿瘤]