乌鲁木齐市中学女生家长HPV疫苗选择偏好研究:基于离散选择模型  

Study on HPV vaccine choice preference among parents of middle school female students in Urumqi:based on a discrete selection model

作　　者：罗冬梅 陈晨 顾晓芬[3] LUO Dongmei;CHEN Chen;GU Xiaofen(Cancer Prevention and Treatment Office,Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi 830011,China;School of Public Health,Xinjiang Medical University,Urumqi 830011,China;Discipline Inspection and Supervision Office,Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院肿瘤防治办公室,乌鲁木齐830011 [2]新疆医科大学公共卫生学院,乌鲁木齐830011 [3]新疆医科大学附属肿瘤医院纪检监察室,乌鲁木齐830011

出　　处：《医学新知》2024年第6期622-629,共8页New Medicine

基　　金：中国医学科学院(北京协和医学院)/新疆医科大学附属肿瘤医院科研合作项目[医科公卫(2019)-13]。

摘　　要：目的了解中学女生家长选择人乳头瘤病毒(human papilloma virus,HPV)疫苗的偏好及支付意愿,为政策制定者和疫苗管理部门提供决策依据。方法采用简单随机抽样和方便抽样相结合的方法,于2022年6月对乌鲁木齐市200名中学女生家长进行问卷调查,调查问卷利用离散选择实验的方式编制,采用混合Logit回归模型、支付意愿分析中学女生家长HPV疫苗选择偏好。结果自付费用、宫颈癌保护率、副反应3个属性对家长HPV疫苗的选择偏好均有显著影响(P<0.05)。亚组分析结果显示,城镇和农村中学女生家长HPV疫苗选择偏好一致,且二者均最为看重疫苗的宫颈癌保护率,其次为疫苗副反应。结论相关机构应依据HPV疫苗选择偏好,在自付费用、宫颈癌保护率、副反应方面积极探索HPV疫苗接种方案,同时加强中学女生健康宣教,提高HPV疫苗接种率。Objective To understand parents'preferences and willingness to pay for human papilloma virus(HPV)vaccine for female students of secondary school,so as to provide a decision-making basis for policymakers and vaccine authorities.Methods A combination of simple random sampling and convenience sampling was used to conduct a discrete selection experimental questionnaire survey of 200 parients of secondary female students in Urumqi city in June 2022.The questionnaire was developed using a discrete choice experiment,and a mixed Logit regression model was used to analyze student parental HPV vaccine selection preferences.Results The self-paid cost,cervical cancer protection rate and side reaction all significantly affected the HPV vaccine choice preference(P<0.05).Overall,the parents of urban and rural students preferred the same HPV vaccine choice,and both valued the cervical cancer protection rate of the vaccine the most,followed by vaccine side effects.Conclusion Relevant institutions should actively explore HPV vaccination plans in terms of self funded expenses,cervical cancer protection rate,and side effects based on the preferences of HPV vaccines.At the same time,health education for middle school girls should be strengthened so as to improve the HPV vaccination rate.

关 键 词：宫颈癌 HPV疫苗 选择偏好 离散选择 

分 类 号：R73[医药卫生—肿瘤]