福建省在校大学生对HPV及其疫苗知信行的现况调查  

Investigation of knowledge of HPV and acceptance of HPV vaccination among college students in Fujian Province

作　　者：徐婷珊 林锦峰 何海琳 施丽婷 李静怡 刘祥铨 XU Tingshan;LIN Jinfeng;HE Hailin;SHI Liting;LI Jingyi;LIU Xiangquan(Department of Public Health and Medical Technology,Xiamen Medical College,Xiamen 361023,Fujian,China;Institute of Marxism,Xiamen Medical College,Xiamen 361023,Fujian,China)

机构地区：[1]厦门医学院公共卫生与医学技术系,福建厦门361023 [2]厦门医学院马克思主义学院,福建厦门361023

出　　处：《中国校医》2024年第5期338-341,368,共5页Chinese Journal of School Doctor

摘　　要：目的了解福建省在校大学生对人乳头瘤病毒(HPV)及其疫苗的知信行情况,分析其影响因素,为促进大学生健康管理和癌症防治提供数据支撑。方法自行设计调查表,采用便利抽样法,抽取福建高校1755名在校大学生进行问卷调查。大学生HPV及其疫苗知晓率、接种意愿率的组间比较采用χ^(2)检验,影响大学生HPV疫苗接种意愿的多因素分析采用logistic回归模型。结果调查对象对HPV及其疫苗的总知晓率为62.24%,接种意愿率为95.44%,女大学生接种率为19.78%。不同性别、专业及知晓率的学生接种意愿率不同,差异均有统计学意义(P<0.05)。不同生源地、生活费、性行为经历的学生接种意愿率差异无统计学意义(P>0.05)。多因素回归分析显示:女生相较于男生(OR=0.085,95%CI=0.047~0.155)、了解男生也会感染HPV的同学(OR=6.524,95%CI=3.934~10.818)及身边有人接种过HPV疫苗的同学(OR=1.952,95%CI=1.184~3.218)更愿意接种疫苗。结论大学生对HPV及疫苗知识的知晓率和疫苗接种意愿较高,但接种率偏低。建议构建“家校社”一体化健康教育与健康促进模式、加强财政支持、完善疫苗产业链等,以进一步提高HPV疫苗的接种率。Objective By investigating the knowledge,attitudes and practices among college students in Fujian Province concerning HPV and HPV vaccination,this evidence-based study aimed to improve self-health management and cancer prevention among college students.Methods A self-designed questionnaire was used to investigate 1755 college students in Fujian Province based on convenience sampling.Theχ^(2) test was used for comparison of HPV and its vaccine awareness rate and vaccination willingness rate among college students,and a multiple Logistic regression model was used to analyze the factors associated with the HPV vaccination intention rate among the students.Results The overall rate of awareness of HPV and its vaccine among college students was 62.24%.The vaccination willingness rate was 95.44%,but the vaccination rate among female college students was 19.78%.There were statistically significant differences in the willingness to accept vaccination among different genders,majors and awareness levels(P<0.05).There was no significant difference in the willingness to accept vaccination related to place of origin,living expenses and sexual behavior(P>0.05).Multivariate regression analysis showed that females were more willing to accept vaccination than males(OR=0.085,95%CI=0.047-0.155),with similar results for students who know that boys can also get infected with HPV(OR=6.524,95%CI=3.934-10.818)and those whose acquaintances had been vaccinated with HPV vaccine(OR=1.952,95%CI=1.184-3.218).Conclusion The high rate of awareness of HPV and HPV vaccination among college students contrasts with the low vaccination rate.Therefore,in order to increase the HPV vaccination rate among college students,we recommend the development of an integrated“home-school-community”model for health education and improvement with the help of greater financial support and input from the vaccine industry.

关 键 词：大学生 人乳头瘤病毒 疫苗 健康知识 态度 实践 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]