广元市中小学女生家长HPV疫苗犹豫现状及影响因素  

Current situation and influencing factors of HPV vaccine hesitancy among parents of primary and secondary school girls in Guangyuan

作　　者：宋全全 张英辉[1] 文大荣 马梅[1] 梁蓉[1] 杨新[1] 王秀珍[1] SONG Quanquan;ZHANG Yinghui;WEN Darong;MA Mie;LIANG Rong;YANG Xin;WANG Xiuzhen(Department of Prevention and Protection,Guangyuan Mental Health Center,Guangyuan,Sichuan 628000,China;Lizhou District of Disease Control and Prevention,Guangyuan,Sichuan 628000,China)

机构地区：[1]四川省广元市精神卫生中心防保科,四川广元628000 [2]四川省广元市利州区疾病预防控制中心,四川广元628000

出　　处：《公共卫生与预防医学》2023年第3期114-118,共5页Journal of Public Health and Preventive Medicine

基　　金：国家自然科学基金面上项目(81273568)。

摘　　要：目的了解广元市中小学生家长对人乳头瘤病毒(human papilloma virus,HPV)疫苗犹豫现状及其影响因素,为降低家长HPV疫苗犹豫提供科学对策。方法于2021年3~7月采用多阶段分层整群随机抽样的方法,选取广元市1018名中小学女生家长进行问卷调查,利用Х^(2)检验和多元logistic回归模型对数据进行分析。结果调查地区家长HPV疫苗犹豫的比例为42.95%。多元logistic回归分析结果显示,家庭经济收入较低,认为接种HPV疫苗会产生长期副作用、不安全、疫苗价格偏高,担心HPV疫苗无法达到预防宫颈癌效果、担心接种第一剂HPV疫苗的供应数量对家长HPV疫苗犹豫具有正向作用(OR分别为2.02、1.44、3.13、1.53、3.76、2.43,且P<0.05)。结论广元市中小学生家长HPV疫苗犹豫比例较高,需充分发挥学校教育作用加大对HPV疫苗宣传,以提高家长对HPV疫苗的认知水平,政府部门需统筹减低疫苗费用,保证疫苗数量充足,从而降低家长为孩子接种HPV疫苗的犹豫。Objective To investigate HPV vaccine hesitancy and influencing factors among parents of primary and secondary schools in Guangyuan,and to provide scientific countermeasures for reducing the hesitancy rate of HPV vaccine in parents.Methods Using stratified multi-stage cluster random sampling,1,018 parents of girls in primary and secondary schools in Guangyuan were selected for a questionnaire survey from March to July 2021.The data were analyzed by Chisquare test and multivariate logistic regression model.Results The hesitancy rate of HPV vaccine in parents was 42.95%.Multivariate logistic regression analysis showed that families with low economic income,parents who believed that HPV vaccination would have long-term side effects,and be unsafe and expensive,and parents who concerned with the effect of HPV vaccine on the prevention of cervical cancer and insufficient supply of first doses of vaccine,had positive effects on HPV vaccine hesitancy(OR=2.02,1.44,3.13,1.53,3.76,and 2.43,respectively,P<0.05).Conclusion HPV vaccine hesitancy rate is high among parents of primary and secondary schools in Guangyuan.It is necessary to fully promote school education and increase the publicity of HPV vaccine to improve parents′awareness of HPV vaccine.Government departments need to make an overall plan to reduce vaccine costs and ensure sufficient vaccine quantity,so as to reduce parents′hesitation to vaccinate their children with HPV vaccine.

关 键 词：人乳头瘤病毒疫苗 家长 疫苗犹豫 

分 类 号：R186[医药卫生—流行病学]