上海市基层医务人员HPV及疫苗的认知与接种意愿调查  

A survey of HPV and vaccine cognition and vaccination intention among primary health care workers in Shanghai

作　　者：陈雷 陆元英 沈亚红 张巧英 施海芳 尚明璐 张晓 CHEN Lei;LU Yuanying;SHEN Yahong;ZHANG Qiaoying;SHI Haifang;SHANG Minglu;ZHANG Xiao(Department of Public Health,Xiaokunshan Community Health Service Center,Shanghai 201616,China;Department of Public Health,Maogang Community Health Service Center,Shanghai 201616,China)

机构地区：[1]上海市松江区小昆山镇社区卫生服务中心公共卫生科,上海201616 [2]上海市松江区泖港镇社区卫生服务中心公共卫生科,上海201607

出　　处：《公共卫生与预防医学》2025年第2期86-90,共5页Journal of Public Health and Preventive Medicine

基　　金：松江区加强公共卫生体系建设三年行动计划(2023-2025年)(SJGW6-06)。

摘　　要：目的了解上海市松江区基层医务人员对人乳头瘤病毒(human papilloma virus,HPV)及其疫苗的认知情况与接种意愿,为提升HPV疫苗的接种意愿和做好宫颈癌的一级预防提供参考。方法2023年7~8月采用偶遇抽样法对上海市松江区17家社区卫生服务中心在职医务工作人员开展问卷调查,采用描述性分析、χ^(2)检验、logistic回归方法进行统计学分析。结果调查共回收有效问卷951份,医务人员HPV知晓率92.74%,HPV疫苗知晓率93.38%。HPV知识满分6分,平均得分为(3.99±1.34)分,HPV疫苗知识满分10分,平均得分为(5.63±1.61)分。有881位(92.64%)医务人员愿意接种或愿意推荐他人接种HPV疫苗。多因素分析显示:担心自己感染HPV(OR=2.648,95%CI:1.459~4.806)、HPV疫苗知识得分合格(OR=1.717,95%CI:1.012~2.912)、HPV疫苗价格负担重(OR=0.343,95%CI:0.157~0.746)、担心接种疫苗有副作用(OR=0.443,95%CI:0.243~0.805)是医务人员接种意愿的影响因素。结论上海市松江区基层医务工作人员对HPV及疫苗的相关认知存在不足,应多渠道加强医务人员的继续教育,补全HPV相关知识体系,消除医务人员对疫苗的顾虑。Objective To understand the awareness and willingness of primary medical staff in Songjiang District,Shanghai towards human papillomavirus(HPV)and its vaccines,and to provide references for improving the vaccination willingness of HPV vaccine and primary prevention of cervical cancer.Methods From July to August 2023,a questionnaire survey was conducted among the in-service medical staff in 17 community health service centers in Songjiang District,Shanghai,using the random sampling method.Descriptive analysis,x^(2) test and logistic regression were used for statistical analysis.Results A total of 951 valid questionnaires were collected during the survey.The awareness rate of HPV among medical staff was 92.74%,and the awareness rate of HPV vaccine was 93.38%.The maximum score for HPV knowledge was 6 points,with an average score of(3.99±1.34)points.The maximum score for HPV vaccine knowledge was 10 points,with an average score of(5.63±1.61)points.881(92.64%)medical staff were willing to receive or recommend HPV vaccination.Multivariate analysis showed that concerns about being infected with HPV(OR=2.648,95%CI:1.459-4.806),qualified score on HPV vaccine knowledge(OR=1.717,95%CI:1.012-2.912),high price burden of HPV vaccine(OR=0.343,95%CI:0.157-0.746),and concerns about side effects of vaccination(OR=0.443,95%CI:0.243-0.805)were the influencing factors for medical staff′s willingness to vaccinate.Conclusion There is insufficient knowledge of HPV and its vaccines among primary medical personnel in Songjiang District,Shanghai.It is necessary to strengthen the continuing education of medical personnel through multiple channels,supplement the HPV-related knowledge system,and eliminate their concerns about vaccines.

关 键 词：人乳头瘤病毒疫苗 基层医务人员 认知 接种意愿 

分 类 号：R181[医药卫生—流行病学]