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| Awareness of human papillomavirus vaccine knowledge and willingness to receive human papillomavirus vaccination among women in Hainan Province |
| DOU Qianru, HUANG Cuimin, CAO Xia, FAN Lichun
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| Department of Healthcare, Hainan Women and Children's Medical Center, Haikou, Hainan 570206, China |
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Abstract Objective To investigate the awareness of human papillomavirus (HPV) vaccine knowledge among women in Hainan Province and the willingness to receive HPV vaccination among women and their daughters, so as to provide insights into HPV vaccine promotion and cervical cancer control. Methods Women aged 20 to 64 years who participated in the cervical cancer screening program in Hainan Province from July 2021 to February 2022 were enrolled, and participants' demographics, awareness of knowledge about HPV vaccine, and willingness to receive HPV vaccination among themselves and their daughters using a questionnaire survey. The factors affecting willingness to receive HPV vaccination were identified using a multivariable logistic regression model. Results A total of 4 300 questionnaires were allocated and 4 023 valid questionnaires were recovered, with an effective recovery rate of 93.56%. The respondents had a mean age of (35.52±6.48) years, and their daughters had a mean age of (8.93±4.83) years. There were 826 participants knowing HPV vaccine-related knowledge, with an awareness rate of 20.35%. The proportions of willingness to receive HPV vaccination were 75.07% among respondents and 71.36% among their daughters. Multivariable logistic regression analysis identified age (20 to <30 years, OR=1.474, 95%CI: 1.167-1.862; 30 to <40 years, OR=1.455, 95%CI: 1.199-1.765), urban-registered residence (OR=1.251, 95%CI: 1.016-1.541), monthly household income (3 000 to <5 000 Yuan, OR=1.568, 95%CI: 1.314-1.873; 5 000 Yuan and more, OR=1.231, 95%CI: 1.014-1.496), affordable fees for a single dose of HPV vaccination (100 to <500 Yuan, OR=1.358, 95%CI: 1.159-1.590; 500 Yuan and higher, OR=1.609, 95%CI: 1.188-2.180), and awareness of HPV vaccine-related knowledge (OR=4.473, 95%CI: 3.416-5.855) as factors affecting respondents' willingness to receive HPV vaccination, and participation in New Rural Cooperative Medical Insurance (OR=1.652, 95%CI: 1.087-2.511), affordable fees for a single dose of HPV vaccination (100 to <500 Yuan, OR=1.905, 95%CI: 1.633-2.221; 500 Yuan and higher, OR=1.683, 95%CI: 1.275-2.223), awareness of HPV vaccine-related knowledge (OR=3.625, 95%CI: 2.847-4.615), daughter's active request for HPV vaccination (OR=1.695, 95%CI: 1.293-2.222), and frequency of sexual health education for daughters (frequently, OR=2.142, 95%CI: 1.789-2.564; occasionally, OR=1.707, 95%CI: 1.416-2.059) as factors affecting the willingness to receive HPV vaccination among respondents' daughters. Conclusions The awareness of HPV vaccine-related knowledge is low among women aged 20 to 64 years in Hainan Province, and the women's and their daughters' willingness to receive HPV vaccination is associated with age, household registration, economic level, price of HPV vaccine and awareness of HPV vaccine-related knowledge.
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Received: 16 December 2022
Revised: 14 February 2023
Published: 17 April 2023
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[1] ICO/IARC HPV Information Centre.Human papillomavirus and related diseases report:China[EB/OL].[2023-02-14].https://hpvcentre.net/statistics/reports/CHN.pdf?t=1661238532460.
[2] 王瑾瑶,张年萍,白志强,等.1993—2017年中国宫颈癌发病率和死亡率长期趋势的年龄-时期-队列模型分析[J].中国全科医学,2022,25(13):1564-1568.
[3] 梁辉,唐婷婷,吕华坤,等.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.
[4] 何佳露,洪琳佳,刘垚鑫,等.杭州9~14岁女童家长对HPV及疫苗认知和接种意愿调查[J].中国公共卫生,2020,36(10):1478-1481.
[5] 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.
[6] 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.
[7] LEM A,ALN B,RMLA C,et al.Declines in HPV vaccine type prevalence in women screened for cervical cancer in the United States:evidence of direct and herd effects of vaccination[J].Vaccine,2019,37(29):3918-3924.
[8] SHAPIRO G K,PEREZ S,NAZ A,et al.Investigating Canadian parents' HPV vaccine knowledge,attitudes and behaviour:a study protocol for a longitudinal national online survey[J/OL].BMJ Open,2017,7(10)[2023-02-14].http://doi.org/10.1136/bmjopen-2017-017814.
[9] 史金晶. 四省监护人对9~14岁女孩接种人乳头瘤病毒疫苗接受度的现况调查[D].北京:中国疾病预防控制中心,2020.
[10] 张习习,史金晶,张肇南,等.中小学女生及其母亲人乳头瘤病毒疫苗接种现况和家长对疫苗接种的健康信念调查[J].中国疫苗和免疫,2022,28(2):184-188.
[11] PALMER T,WALLACE L,POLLOCK K G,et al.Prevalence of cervical disease at age 20 after immunisation with bivalent HPV vaccine at age 12-13 in Scotland:retrospective population study[J/OL].BMJ,2019(4)[2023-02-14].https://doi.org/10.1136/bmj.l1161.
[12] FALCARO M,CASTAON A,NDLELA B,et al.The effects of the national HPV vaccination programme in England,UK,on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence:a register-based observational study[J].Lancet,2021,398(10316):2084-2092.
[13] 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. |
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