机构地区:[1]广州市白云区妇幼保健院妇产科,广东广州510450 [2]贵州省黔南州罗甸县妇幼保健院,贵州罗甸550100 [3]杭州电子科技大学理学院,浙江杭州310018
出 处:《中国医药指南》2023年第29期127-129,共3页Guide of China Medicine
基 金:贵州省卫生健康委员会科学技术基金项目(项目编号gzwkj2023-426)。
摘 要:目的 分析贵州省罗甸县适龄妇女基于女性宫颈癌认知程度影响因素及对预防性人乳头状瘤病毒(HPV)疫苗接种情况进行调查。方法 研究对象选取2020年12月至2022年12月到罗甸县妇幼保健院妇科门诊接受宫颈癌筛查问卷调查的887例妇女,对所有妇女发放调查问卷,分析调查其对宫颈癌认知情况及其影响因素,以及研究对象预防性HPV疫苗接种情况。结果 妇女对宫颈癌知识的认知整体较低,对于宫颈癌筛查的作用和宫颈癌能否治愈认知度相对较高,对于高危型HPV感染类型、HPV阳性结果的意义、了解HPV疫苗和HPV疫苗接种次数等HPV相关知识认知较低;不同认知程度妇女的年龄、婚姻状况、受教育年限、居住地、职业和个人月收入水平存在明显差异(均P <0.05);结果显示影响宫颈癌认知程度的因素包括年龄、婚姻状况、受教育年限和个人月收入(均P <0.05);887例女性中,129例(14.54%)女性进行了预防性HPV疫苗的接种,剩余758例女性表示愿意接种预防性HPV疫苗有616例(81.27%)。结论 罗甸县适龄妇女对宫颈癌认知程度较低,影响因素较多,有较高的预防性HPV疫苗接种意愿但疫苗接种率较低,为提高女性对宫颈癌疫苗接种、宫颈癌筛查的认知需要加强宫颈癌和HPV疫苗相关知识的宣传。Objective To analyze the influencing factors of female cervical cancer awareness among eligible women in Luodian County,Guizhou Province,and to investigate the status of preventive HPV vaccination.Methods The study population was selected from 887 women who visited the gynecology outpatient clinic of Luodian County Maternal and Child Health Hospital to receive cervical cancer screening questionnaires from December 2020 to December 2022.A survey questionnaire was distributed to all women to understand their awareness of cervical cancer and its influencing factors.At the same time,the vaccination status of the research subjects with preventive HPV vaccine was also investigated.Results Women's overall understanding of cervical cancer knowledge is relatively low,and their awareness of the role of cervical cancer screening and whether cervical cancer can be cured is relatively high.Their awareness of HPV related knowledge such as high-risk HPV infection types,significance of HPV positive results,and understanding of HPV vaccines and HPV vaccination frequency is relatively low;There are significant differences in age,marital status,educational age,place of residence,occupation,and personal monthly income level among women with different cognitive levels(P<0.05);The results showed that factors affecting the degree of cognition towards cervical cancer included age,marital status,age of education,and personal monthly income(P<0.05);Among the 887 women,129 received preventive HPV vaccine,with a vaccination rate of 14.54%.Among the remaining 758 women,616 expressed willingness to receive preventive HPV vaccine,accounting for 81.27%.Conclusions Women of fertile age in Luodian County have a low level of awareness about cervical cancer,with multiple influencing factors.They have a high willingness to receive preventive HPV vaccines,but the vaccination rate is low.It is necessary to strengthen the promotion of knowledge related to cervical cancer and HPV vaccines,to improve women's awareness of cervical cancer vaccination and c
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