医学生HPV疫苗知晓及接种的影响因素  

Knowledge related to human papillomavirus vaccine and factors influencing vaccination behavior among medical interns

作　　者：陈晓敏[1] 任俊红 凤尔翠 史悦华[4] 张宏秀 CHEN Xiaomin;REN Junhong;FENG Ercui;SHI Yuehua;ZHANG Hongxiu(Nanjing Vocational Health College,Jiangsu Union Technical Institute,Nanjing 210038;Department of Internal Medicine,Nanjing Gaoxin Hospital,Nanjing 210031;Department of Preventive Health Care,Jiangning Hospital Affiliated to Nanjing Medical University,Nanjing 211100;Department of Obstetrics and Gynecology,Zhongda Hospital Affiliated to Southeast University,Nanjing 210096;Department of Obstetrics and Gynecology,Nanjing First Hospital,Nanjing 210009,China)

机构地区：[1]江苏联合职业技术学院南京卫生分院,江苏南京210038 [2]南京高新医院内科,江苏南京210031 [3]南京医科大学附属江宁医院预防保健科,江苏南京211100 [4]东南大学附属中大医院妇产科,江苏南京210096 [5]南京医科大学附属第一人民医院妇产科,江苏南京210009

出　　处：《南京医科大学学报（社会科学版）》2023年第6期579-583,共5页Journal of Nanjing Medical University（Social Sciences）

基　　金：长三角免疫规划领军人才研究项目“4价人乳头瘤病毒疫苗接种后HPV16/18感染及其免疫微环境特点”(CSJP005)。

摘　　要：采用自行设计问卷调查医学实习生人乳头瘤病毒(human papilloma viruses,HPV)及疫苗相关知识知晓情况和疫苗接种行为,探讨接种行为影响因素。发放问卷1250份,回收有效问卷1230份。结果显示,医学生宫颈癌知晓率为53.6%,HPV知晓率为33.3%,疫苗知晓率为54.7%。疫苗获知途径依次为学校教育(42.0%)、官方宣传(36.1%)、媒体传播(35.2%)和人际交流(30.2%);60%以上受访者认为疫苗安全性、有效性和免疫持续时间影响疫苗推广,54.3%的受访者能接受的疫苗费用为小于500元。受访女生疫苗接种率为15.7%,多因素Logistic回归分析显示,能接受的疫苗费用越高、认为HPV愈后会再感染、通过人际交流获知疫苗、学历高促进接种行为,而通过电视网络等媒体获知疫苗是接种行为的消极因素。因此,提高疫苗接种率需要采取综合措施,重视人际交流的信息传播方式。A self-designed questionnaire was used anonymously to investigate the knowledge and awareness level of human papilloma viruses(HPV)and vaccination behavior among interns from four hospitals in Jiangsu Province.This study aims to explore the influencing factors of vaccination behavior.A total of 1250 questionnaires were distributed,and 1230 valid copies were recalled.The results showed that the awareness rate of cervical cancer was 53.6%,while that of HPV was 33.3%and 54.7%of the students were aware of HPV vaccination.The knowledge of vaccine was obtained through school education(42.0%),official propaganda(36.1%),media communication(35.2%),and interpersonal communication(30.2%).More than 60%of the respondents believed vaccine’s safety,efficacy,and immunity duration would affect its promotion,and 54.3%of them could accept vaccines at a cost less than 500 yuan.The vaccination rate of sampled female students was 15.7%.Multi-factor logistic regression analysis showed that the higher acceptable cost of the vaccine,getting the knowledge of the vaccine through interpersonal communication,the belief that HPV can be reinfected after recovery,and education level were important factors in promoting the vaccination behavior.Learning about the vaccine through media,such as television networks,negatively impacts vaccination behavior.Therefore,it is necessary to adopt comprehensive measures to improve the vaccination rate and emphasize interpersonal communication as a means of information dissemination.

关 键 词：人乳头瘤病毒 疫苗 疫苗接种 流行病学研究 医学生 

分 类 号：R186[医药卫生—流行病学]