医护人员HPV疫苗推荐意愿的影响因素分析  

Analysis on the influencing factors of medical workers’ willingness to recommend HPV vaccine

作　　者：张玲云 邓慧 毛一蒙 王帆 李洁[3] 郑频频[1] ZHANG Ling-yun;DENG Hui;MAO Yi-meng;WANG Fan;LI Jie;ZHENG Pin-pin(Department of Preventive Medicine and Health Education,School of Public Health,Fudan University,Shanghai 200032,China;Fudan Development Institute,Shanghai 200433,China;School of Journalism and Communication-Media and Experimental Teaching Center,Jinan University,Guangzhou 510632,Guangdong Province,China)

机构地区：[1]复旦大学公共卫生学院预防医学与健康教育教研室,上海200032 [2]复旦大学发展研究院,上海200433 [3]暨南大学新闻与传播学院-媒体实验教学中心,广州510632

出　　处：《复旦学报（医学版）》2023年第1期40-47,共8页Fudan University Journal of Medical Sciences

基　　金：世界健康基金会(Project-Hope)宫颈癌/HPV预防教育项目(2018ECNUHLYT018);上海市公共卫生体系建设三年(2020—2022)行动计划(GWV-10.1-XK14)。

摘　　要：目的 了解医护人员对HPV疫苗的认知和态度及影响医护人员推荐HPV疫苗意愿的因素,为HPV疫苗的接种计划提供科学建议。方法 采用多中心分层抽样在上海市、广州市和深圳市的医护人员中进行问卷调查,共回收有效问卷1 395份。调查结果采用问卷星进行录入,使用SPSS 20.0对数据进行统计分析。结果 仅有46.2%的医护人员表示在工作时会主动推荐HPV疫苗。相比于上海的医护人员,广州(OR=1.58,95%CI:1.18~2.12)和深圳(OR=2.06,95%CI:1.54~2.74)的医护人员更可能在工作中推荐HPV疫苗;与社区卫生服务中心相比,在综合性医院工作的医护人员更不愿意推荐HPV疫苗(OR=0.68,95%CI:0.49~0.93)。了解HPV疫苗的医护人员更可能推荐HPV疫苗(OR=1.76,95%CI:1.38~2.26)。不认同“担心HPV疫苗安全与风险性”的医护人员(OR=1.40,95%CI:1.04~1.87)更有可能推荐HPV疫苗;不认同“疫苗性价比不高,无须接种,定期筛查即可”(OR=1.54,95%CI:1.19~1.99)以及“我没有时间和工具来解释一些复杂的问题”(OR=1.41,95%CI:1.09~1.83)的调查对象更有可能向患者推荐HPV疫苗。结论 医护人员在工作中推荐HPV疫苗接种的意愿总体不高,对HPV疫苗有所了解的医护人员更推荐疫苗接种,建议为医护人员提供更多关于HPV疫苗的信息。Objective To evaluate the medical workers’ knowledge and attitude about HPV vaccine, analyze the influencing factors of medical workers’ willingness to recommend HPV vaccination, and provide scientific advice for the HPV vaccination plan. Methods Multi-center stratified sampling was used to invite medical workers in Shanghai, Guangzhou and Shenzhen to conduct questionnaire survey, and a total of 1 395 valid questionnaires were collected. The survey results were entered using WJX.cn, and SPSS 20.0 was used for statistical analysis of the data. Results Only 46.2% of the medical workers said they would actively recommend HPV vaccines at work. Compared with medical workers in Shanghai, medical workers in Guangzhou(OR=1.58,95%CI:1.18-2.12) and Shenzhen(OR=2.06,95%CI:1.54-2.74) were more likely to recommend HPV vaccine at work;Medical workers in general hospitals were less likely to recommend HPV vaccine than in community health service centers(OR=0.68,95%CI:0.49-0.93). Medical workers who knew more about HPV vaccine were more likely to recommend HPV vaccine(OR=1.76, 95%CI:1.38-2.26). Medical workers who disagreed with ‘worried about the risk and safety of HPV vaccine’(OR=1.40,95%CI:1.04-1.87) were more likely to recommend HPV vaccine. Respondents who disagreed with ‘HPV vaccine isn’t cost-effective, regular screening is enough’(OR=1.54,95%CI: 1.19-1.99) and ‘I don’t have time and tools to explain some complicated problems’(OR=1.41,95%CI: 1.09-1.83) were more likely to recommend HPV vaccine to patients. Conclusion The willingness of medical workers to recommend HPV vaccination at work was not high. Medical workers with knowledge of the HPV vaccine are more likely to recommend vaccination. Medical workers should be provided with more information about HPV vaccines.

关 键 词：医护人员 HPV疫苗 推荐意愿 影响因素 

分 类 号：R183[医药卫生—流行病学] R186[医药卫生—公共卫生与预防医学]