重庆市成年女性对人乳头瘤病毒疫苗的认知和接种意愿调查  

A survey of cognition and willingness of adult women to HPV vaccination in Chongqing

作　　者：王东 王青[1] 徐佳薇[1] 罗书全[1] 陈京蓉[1] 柏宁培 左航 周颖[1] Wang Dong;Wang Qing;Xu Jiawei;Luo Shuquan;Chen Jingrong;Bai Ningpei;Zuo Hang;Zhou Ying(Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;Nanjing CHISCDC Software Technology Co.,Ltd.,Nanjing 210000,China)

机构地区：[1]重庆市疾病预防控制中心,重庆400042 [2]南京中卫信软件科技股份有限公司,南京210000

出　　处：《保健医学研究与实践》2023年第5期6-9,17,共5页Health Medicine Research and Practice

基　　金：重庆市科卫联合医学科研项目(2018QNXM038)。

摘　　要：目的了解重庆市成年女性对人乳头瘤病毒(HPV)疫苗的认知情况、接种意愿和影响因素,为今后推广HPV疫苗接种、消除宫颈癌工作提供参考。方法采用便利抽样法,选取重庆市18岁及以上的成年女性作为调查对象。利用“问卷星”设计编制问卷,利用“育苗通”微信服务号向调查对象推送问卷,调查对象自愿填写相关内容,同时强化质量控制,确保问卷应答质量。利用SPSS25.0软件进行统计分析,对可能影响调查对象HPV疫苗认知和接种意愿的因素进行多因素Logistic回归分析。结果此次共调查4885名成年女性,其中96.46%听说过宫颈癌,94.60%听说过HPV,96.62%听说过HPV疫苗。99.43%的调查对象愿意接种HPV疫苗,93.33%的调查对象愿意让女儿接种HPV疫苗。如果9-14岁的女孩能免费接种国产2价HPV疫苗,89.27%的调查对象会让女儿接种,选择不会让女儿接种的人群中,有86.64%觉得2价疫苗覆盖面不够,想让女儿接种覆盖面更广的4价或9价疫苗。结论重庆市成年女性对HPV疫苗的认知较过去的研究有明显提升,接种意愿很强烈;但仅有34.45%的调查对象认为女性接种HPV疫苗的最佳年龄是9-14岁,未来需要针对这点进一步强化科普宣传;做好推广HPV疫苗普遍接种工作,需要兼顾个人选择权,因此制定普惠、公平、灵活的接种政策至关重要。Objective This paper aims to understand the cognition and willingness to vaccinate against HPV and its influencing factors among adult women in Chongqing,to provide a reference for promoting HPV vaccination and eliminating cervical cancer in the future.Methods Convenience sampling method was used to select adult women aged 18 years and above in Chongqing as respondents.The questionnaire was designed and developed using the″Wenjuanxing″platform.Meanwhile,the WeChat social media official account of″Yumiaotong″was used to send the questionnaire to them,who voluntarily filled in the relevant contents,while strengthening quality control and ensuring the quality of the questionnaire response.SPSS 25.0 software was adopted for statistical analysis,and multivariate logistic regression analysis was performed for factors that may affect respondents'HPV vaccine cognition and willingness to vaccinate.Results A total of 4885 adult women were investigated,96.46%of whom had heard of cervical cancer,94.60%had heard of HPV,and 96.62%had heard of the HPV vaccine.99.43%of respondents were willing to receive HPV vaccines and 93.33%were willing to have their daughters vaccinated against HPV.If girls aged between 9 and 14 years can receive the domestic vaccine against two HPV strains free of charge,89.27%of the respondents will vaccinate their daughters,and 86.64%of the respondents who choose not to vaccinate their daughters feel that the coverage of the domestic vaccine against two HPV strains is not enough and want their daughters to receive vaccines against four or nine HPV strains to ensure wider coverage.Conclusion The cognition of adult women to human HPV vaccine in Chongqing is markedly improved compared with the previous research,and the willingness to vaccinate remains highly strong;however,only 34.45%of the respondents believe that the optimal age for women to receive HPV vaccines is 9 to 14,and it is necessary to further strengthen popular science publicity for this in the future.To do a good job in promoting the un

关 键 词：成年女性 宫颈癌 人乳头瘤病毒疫苗 接种意愿 

分 类 号：R730.1[医药卫生—肿瘤] R195[医药卫生—临床医学]