Please wait a minute...
文章检索
预防医学  2021, Vol. 33 Issue (9): 884-888    DOI: 10.19485/j.cnki.issn2096-5087.2021.09.005
  论著 本期目录 | 过刊浏览 | 高级检索 |
中小学生家长关于女儿接种HPV疫苗的知识和意愿调查
梁辉1, 唐婷婷2, 吕华坤1, 胡昱1, 陈雅萍1, 潘雪娇1, 丁林玲1, 胡晓松1, 汪颖1
1.浙江省疾病预防控制中心免疫规划所,浙江 杭州 310051;
2.云南省疾病预防控制中心
Awareness and willingness to vaccinate daughters with human papillomavirus vaccines among parents of primary and middle school students
LIANG Hui*, TANG Tingting, LÜ Huakun, HU Yu, CHEN Yaping, PAN Xuejiao, DING Linling, HU Xiaosong, WANG Ying
*Institute for Immunization and Prevention, Zhejiang Provincial Center of Disease Control and Prevention,Hangzhou, Zhejiang 310051, China
全文: PDF(897 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解中小学女生家长人乳头瘤病毒(HPV)疫苗知识知晓水平,以及为女儿接种HPV疫苗的意愿,为促进中小学女生HPV疫苗接种提供参考。方法 采用多阶段分层整群抽样方法,从杭州市拱墅区、嘉兴市秀洲区和湖州市吴兴区的城区和郊区各抽取1所小学和1所初中,选取小学四~六年级和初中一~三年级女生父母亲为调查对象。采用《中小学女生父母对女儿接种HPV疫苗意愿的调查问卷》调查人口学信息、HPV疫苗相关知识和为女儿接种HPV疫苗的意愿;采用多因素Logistic回归模型分析接种意愿的影响因素。结果 发放调查问卷1 500份,回收有效问卷1 466份,回收有效率为97.73%。父亲应答313人,占21.35%;母亲应答1 153人,占78.65%。家长HPV疫苗知晓率为16.81%。为女儿接种HPV疫苗意愿率为49.86%。多因素Logistic回归分析结果显示,女儿接种过自费疫苗(OR=1.935,95%CI:1.473~2.541)、知晓宫颈癌(OR=1.424,95%CI:1.065~1.904)、知晓HPV疫苗接种剂次(OR=1.672,95%CI:1.216~2.301)、知晓HPV疫苗最佳接种时期(OR=1.392,95%CI:1.032~1.876)、知晓HPV疫苗接种后仍需宫颈癌筛查(OR=1.596,95%CI:1.227~2.075)的家长为女儿接种HPV疫苗的意愿较高;认为HPV疫苗贵(OR=0.154,95%CI:0.099~0.240)的家长为女儿接种HPV疫苗的意愿较低。结论 中小学女生家长HPV疫苗知晓率为16.81%,为女儿接种HPV疫苗意愿率为49.86%;HPV疫苗相关知识知晓水平和疫苗价格是中小学生家长为女儿接种HPV疫苗意愿的影响因素。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
关键词 人乳头瘤病毒疫苗接种意愿中小学生家长    
AbstractObjective To investigate the awareness of human papillomavirus ( HPV ) vaccine and willingness to vaccinate daughters among parents of primary and middle school students, so as to provide the reference for the promotion of HPV vaccine in primary and middle school girls. Methods Using multi-stage stratified cluster sampling method, the parents of girls in in Grade Four to Nine from schools in Gongshu District of Hangzhou, Xiuzhou District of Jiaxing and Wuxing District of Huzhou were selected. A questionnaire survey was conducted to collect demographic information, HPV vaccine related knowledge and willingness to vaccinate daughters with HPV vaccines. The multivariate logistic regression model was used to analyze the influencing factors for the willingness to vaccinate daughters with HPV vaccines among parents. Results Totally 1 500 questionnaires were sent out, and 1 466 were effectively collected, with an effective rate of 97.73%. There were 313 fathers responded, accounting for 21.35%; and 1 153 mothers responded, accounting for 78.65%. The awareness rate of HPV vaccine was 16.81%. The rate of willing to vaccinate daughters with HPV vaccines was 49.86%. The multivariate logistic regression analysis showed that the patients who ever vaccinated daughters with self-paid vaccines ( OR=1.935, 95%CI: 1.473-2.541 ), knew cervical cancer ( OR=1.424, 95%CI: 1.065-1.904 ), knew HPV vaccine dose ( OR=1.672, 95%CI:1.216-2.301 ), knew the best vaccination period ( OR=1.392, 95%CI: 1.032-1.876 ), knew the need of cervical cancer screening even after vaccination ( OR=1.596, 95%CI:1.227-2.075) were more willing to vaccinate daughters with HPV vaccines, while the parents who thought HPV vaccine expensive ( OR=0.154, 95%CI: 0.099-0.240 ) were less willing to vaccinate daughters with HPV vaccines. Conclusions The rates of HPV vaccine awareness and willingness to vaccinate daughters are 16.81% and 49.86% among parents of primary and middle school students. Their knowledge of HPV vaccine and the price of the vaccine may affect their willingness to vaccinate daughters.
Key wordshuman papillomavirus    vaccine    vaccination willingness    primary and secondary school students    parents
收稿日期: 2021-02-23      修回日期: 2021-06-08      出版日期: 2021-09-10
中图分类号:  R186  
  R737.3  
基金资助:浙江省医药卫生科技计划项目(2018KY333,2019KY053,2020KY523)
通信作者: 汪颖,E-mail:ywang@cdc.zj.cn   
作者简介: 梁辉,硕士,主管医师,主要从事免疫规划工作
引用本文:   
梁辉, 唐婷婷, 吕华坤, 胡昱, 陈雅萍, 潘雪娇, 丁林玲, 胡晓松, 汪颖. 中小学生家长关于女儿接种HPV疫苗的知识和意愿调查[J]. 预防医学, 2021, 33(9): 884-888.
LIANG Hui, TANG Tingting, LÜ Huakun, HU Yu, CHEN Yaping, PAN Xuejiao, DING Linling, HU Xiaosong, WANG Ying. Awareness and willingness to vaccinate daughters with human papillomavirus vaccines among parents of primary and middle school students. Preventive Medicine, 2021, 33(9): 884-888.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.09.005      或      http://www.zjyfyxzz.com/CN/Y2021/V33/I9/884
[1] ARBYN M,WEIDERPASS E,BRUNI L,et al.Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis[J].Lancet Glob Health,2020,8(2):191-203.
[2] 陶思源,彭介入,王英,等. 子宫颈癌及癌前病变患者直接经济负担及其影响因素研究[J].中华预防医学杂志,2018,52(12):1281-1286.
[3] BRUNI L,ALBERO G,SERRANO B,et al.ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in China.Summary Report 17 June2019[R/OL].[2021-06-08].https://hpvcentre.net/statistics/reports/CHN.pdf.
[4] ARBYN M,TOMMASINO M,DEPUYDT C,et al.Are 20 human papillomavirus types causing cervical cancer?[J].J Pathol,2014,234(4):431-435.
[5] 魏丽惠,王悦,李明珠.规范使用人乳头瘤病毒疫苗,努力消除子宫颈癌[J].中国实用妇科与产科杂志,2020,36(7):579-584.
[6] KJAER S K,NYGARD M,SUNDSTRÖM K,et al.Final analysis of a 14-year long-term follow-up study of the effectiveness and immunogenicity of the quadrivalent human papillomavirus vaccine in women from four nordic countries[J/OL].Clin Med,2020,23 [2021-06-08].https://www.sciencedirect.com/science/article/pii/S2589537020301450.DOI:10.1016/j.eclinm.2020.100401.
[7] World Health Organization.Human papillomavirus vaccines: WHO position paper,May 2017-Recommendations[J].Vaccine,2017,35(43):5733-5755.
[8] 中华医学会妇科肿瘤学分会,中国优生科学协会阴道镜和宫颈病理学分会.人乳头瘤病毒疫苗临床应用中国专家共识[J].中国医学前沿杂志(电子版),2021,13(2):1-12.
[9] DENG C,CHEN X,LIU Y.Human papillomavirus vaccination:coverage rate,knowledge,acceptance,and associated factors in college students in mainland China[J].Hum Vaccin Immunother,2021,17(3):828-835.
[10] NGUYE-HUU N H,THILLY N,DERROUGH T,et al.Human papillomavirus vaccination coverage,policies,and practical implementation across Europe[J].Vaccine,2020,38(6):1315-1331.
[11] 史金晶,张肖肖,郑徽,等.中国大陆青少年家长人乳头瘤病毒疫苗认知度和接受度Meta分析[J].中国疫苗和免疫,2019,25(4):464-470.
[12] WANG M C,CHOU C Y,MA M C,et al.Parental intention regarding the administration of the HPV vaccine for adolescent daughters in Taiwan[J].Women Health,2016,56(4):361-375.
[13] WANG W,MA Y,WANG X,et al.Acceptability of human papillomavirus vaccine among parents of junior middle school students in Jinan, China[J].Vaccine,2015,33(22):2570-2576.
[14] ZHANG S K,PAN X F, WANG S M,et al.Perceptions and acceptability of HPV vaccination among parents of young adolescents: a multicenter national survey in China[J].Vaccine,2013,31(32):3244-3249.
[15] LIN W,WANG Y,LIU Z,et al.Awareness and attitude towards human papillomavirus and its vaccine among females with and without daughter(s) who participated in cervical cancer screening in Shenzhen,China[J].Trop Med Int Health,2019,24(9):1054-1063.
[16] 韩耀风,庄鋆妮,李昀,等.厦门市母亲接受女儿接种HPV疫苗情况及相关因素[J].中华预防医学杂志,2018,52(1):38-42.
[17] 胡塔静,朱祺,陈文花,等.上海市松江区学生家长对人乳头瘤病毒及其疫苗的认知和疫苗接种意愿调查[J].中国病毒病杂志,2018,8(3):216-222.
[18] 徐佳薇,王青,杨琳.重庆市儿童母亲人乳头瘤病毒疫苗接种意愿和影响因素研究[J].中国疫苗和免疫,2019,25(3):299-302.
[19] 冀慧方,张志伟,李强,等.黄渡社区女性居民人乳头瘤病毒认知及疫苗接种意愿调查[J].预防医学,2020,32(6):625-628.
[20] 蒲晨,刘春容,张希,等.成都市中学生家长对人乳头瘤病毒及其预防性疫苗的认知及态度调查[J].现代预防医学,2018,45(2):299-302,347.
[21] 朱义雯,邓桢,巴观平,等.基于创新扩散理论的人乳头瘤病毒疫苗接种行为分析[J].预防医学,2021,33(5):457-461.
[1] 刘艳, 沈建勇, 张超, 孙秀秀, 王雨达, 郑佳仪, 张子喆. 2012—2022年湖州市百日咳流行特征分析[J]. 预防医学, 2023, 35(9): 811-813.
[2] 张超, 罗小福, 刘艳, 沈建勇, 徐秦儿, 韩利萍, 马力. 湖州市老年人接种流感灭活疫苗疑似预防接种异常反应监测结果[J]. 预防医学, 2023, 35(8): 701-704.
[3] 陈敏, 文金生. 腺病毒载体的黄病毒属病毒疫苗研究进展[J]. 预防医学, 2023, 35(8): 677-681.
[4] 窦倩如, 黄翠敏, 曹霞, 樊利春. 海南省女性HPV疫苗相关知识和接种意愿调查[J]. 预防医学, 2023, 35(4): 359-364.
[5] 李改芳, 冯勤梅, 仇丽霞. 基于技术接受与使用统一理论2的妇科门诊就诊患者HPV疫苗接种行为研究[J]. 预防医学, 2023, 35(4): 295-297,326.
[6] 钱晓萍, 凌健, 刘腾. 吴兴区6岁以下儿童手足口病流行特征分析[J]. 预防医学, 2023, 35(3): 243-245,249.
[7] 王炸亚, 叶莉霞, 吴锋. 宁波市2018—2021年出生儿童肠道病毒71型疫苗接种情况分析[J]. 预防医学, 2023, 35(10): 895-898.
[8] 唐学雯, 龚黎明, 周洋, 严睿, 邓璇, 朱瑶, 何寒青. 浙江省1例AFP病例检出脊髓灰质炎疫苗高变异株病毒的流行病学调查[J]. 预防医学, 2023, 35(1): 65-67.
[9] 江伟, 刘艳, 杜渐, 许玉洋, 车鑫仁, 王婧, 王骏, 张学潮, 顾雯雯, 张小平. 2017—2021年杭州市HPV疫苗疑似预防接种异常反应监测结果[J]. 预防医学, 2023, 35(1): 71-73,77.
[10] 张超, 沈建勇, 罗小福, 徐秦儿, 韩利萍. 2015—2021年湖州市MMR疫苗疑似预防接种异常反应监测结果[J]. 预防医学, 2023, 35(1): 74-77.
[11] 严睿, 林乃珩, 李智, 孙翔, 王斌冰, 朱瑶, 何寒青, 吕华坤. 医务人员含麻疹成分疫苗接种意愿调查[J]. 预防医学, 2022, 34(9): 876-880.
[12] 龚震宇, 龚训良. 全球消除脊髓灰质炎进展[J]. 预防医学, 2022, 34(8): 861-862.
[13] 石晶, 赵春艳, 张国峰. 通州区男大学生HPV疫苗认知及接种意愿调查[J]. 预防医学, 2022, 34(6): 571-576.
[14] 江南, 高静, 吴燕芳, 杨艳娜. 通州区中小学生视力不良的影响因素分析[J]. 预防医学, 2022, 34(6): 616-621.
[15] 陈剑, 任飞林, 郭聪聪, 林君芬. 接种新冠病毒疫苗意愿的影响因素分析[J]. 预防医学, 2022, 34(6): 611-615.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed