育龄期女性HPV感染筛查和疫苗接种认知调查及干预建议  

Awareness survey of HPV infection screening and vaccination in women of childbearing age and intervention recommendations

作　　者：姜娜[1] 张倩 周晓艳 JIANG Na;ZHANG Qian;ZHOU Xiaoyan(Office of the Center for Disease Control and Prevention,Jianye District,Nanjing City,Nanjing,Jiangsu,210019,China;Department of Immunization Planning,Binhu Community Health Service Center,Jianye District,Nanjing City,Nanjing,Jiangsu,210019,China;Department of Prevention and Health Care,Xinglong Community Health Service Center,Jianye District,Nanjing City,Nanjing,Jiangsu,210019,China)

机构地区：[1]南京市建邺区疾病预防控制中心办公室,江苏南京210019 [2]南京市建邺区滨湖社区卫生服务中心计划免疫科,江苏南京210019 [3]南京市建邺区兴隆社区卫生服务中心预防保健科,江苏南京210019

出　　处：《当代医学》2022年第19期65-68,共4页Contemporary Medicine

摘　　要：目的 筛查育龄期女性人乳头瘤病毒(HPV)感染状况,调查其对疫苗接种认识情况,并提出针对性的干预建议。方法 选取2018年4月至2020年4月于本区定点医疗机构接受HPV感染筛查的128例育龄期女性作为研究对象,筛查其HPV感染情况,并调查其疫苗接种认识情况,对引发女性高危型HPV感染因素及影响女性HPV疫苗接种认知的因素进行Logistic回归分析,并记录筛查咨询前后无HPV感染女性意愿接种情况。结果 128例女性中HPV阳性检出率为19.53%(25/128),其中低危型HPV感染10例(7.81%),高危型HPV感染10例(7.81%),高/低危型混合感染5例(3.91%)。认知不良、认知良好分别为86例(67.19%)、42例(32.81%)。引发高危型HPV感染的因素为初次性生活年龄≤20岁、性生活频率每周>3次及服用避孕药。影响女性HPV疫苗接种认知的因素为受教育年限<9年及家庭收入每年<1 000元。103例无HPV感染女性中,接受筛查咨询前,有接种意愿并接种HPV疫苗的女性有30例(29.13%);接受筛查咨询后,有接种意愿并接种HPV疫苗的女性有75例(72.82%),筛查咨询后女性HPV疫苗接种率高于筛查咨询前(P<0.05)。结论 育龄期女性高危型HPV感染率高,且女性对HPV疫苗接种的认知程度不高,针对性地进行干预有助于提高育龄期女性HPV疫苗接种率。Objective To screen the infection status of human papillomavirus(HPV) in women of childbearing age, investigate their awareness of vaccination, and propose targeted intervention suggestions. Methods A total of 128 women of reproductive age who were screened for HPV infection in designated medical institutions in the district from April 2018 to April 2020 were selected as the research subjects, their HPV infection status was screened, and their awareness of vaccination was investigated, and their awareness of HPV infection was investigated. The factors of high-risk HPV infection in women and factors affecting the cognition of HPV vaccination in women were processed by Logistic regression analysis, and the willingness to vaccinate women without HPV infection before and after screening and consultation was recorded. Results Among the 128 women,the positive detection rate of HPV was 19.53%(25/128), including 10 cases(7.81%) of low-risk HPV infection, 10 cases(7.81%) of high-risk HPV infection, and 5 cases(3.91%) mixed high and low-risk HPV infection. Poor cognition and good cognition were 86 cases(67.19%) and 42 cases(32.81%), respectively. The factors that lead to high-risk HPV infection are the age of first sexual intercourse ≤20 years old, the frequency of sexual intercourse >3 times one week and the use of contraceptives. Factors affecting women’ s HPV vaccination awareness were education years <9 years and family income <1 000 yuan per year. Before receiving the screening consultation, among the 103 women without HPV infection, 30 women(29.13%) were willing to be vaccinated and vaccinated against HPV;there were 75 cases(72.82%) of women who received HPV vaccine, and the HPV vaccination rate of women after screening consultation was higher than that before screening consultation(P<0.05). Conclusion The infection rate of high-risk HPV in women of childbearing age is high, and women’ s awareness of HPV vaccination is not high, targeted intervention is helpful to improve the HPV vaccination rate of women of ch

关 键 词：育龄期女性 HPV感染筛查 HPV疫苗接种 认知调查 

分 类 号：R737.33[医药卫生—肿瘤] R186[医药卫生—临床医学]