某市妇女子宫颈癌筛查及HPV疫苗认知调查

Cervical cancer screening and acceptance of HPV vaccine in women of Shanxi province

目的了解山西省某市城乡居民在子宫颈癌筛查以及接受人乳头瘤病毒(HPV)疫苗接种的情况。方法采用整群抽样调查方法,对某市城区和农村≥25岁女性进行子宫颈癌筛查并对HPV疫苗接受情况进行调查。结果共调查2 269名女性,其中城市居民341人,农村居民1 928人;有43.4%的城区和76.5%的农村女性知晓子宫颈癌,72.4%的城区和78.9%的农村女性了解子宫颈癌筛查的目的 ,23.8%的城市和6.1%的农村女性知晓HPV的传播途径,78.3%的城区和92.2%的农村女性愿意支付部分筛查产生的费用,且愿意支付的费用在每人100元以内;而对预防子宫颈癌的HPV疫苗,仅有50.7%城区和34.6%农村女性愿意接种,不愿意接种的主要原因是价格因素。结论降低子宫颈癌筛查和接种HPV疫苗的费用,或及早实现HPV疫苗生产的国产化以降低价格,加大人群子宫颈癌防治的宣传教育,对子宫颈癌的防治有重要意义。

Objective To explore the status of cervical cancer screening and the acceptance of human papilloma virus（HPV） vaccine in urban and rural women. Methods Cluster sampling was used to select women above 25 years old living in urban and rural areas in Shanxi province for a questionnaire survey. Results A total of 2 269 women（341 in the urban and 1 928 in the rural） were selected.There were 43.4% of urban respondents and 76.5% of rural respondents knowing cervical cancer,72.4% of the urban and 78.9% of the rural knowing the purpose of cervical cancer screening,23.8% of the urban and 6.1% of the rural knowing the transmission route of HPV,and 78.3% of the urban and 92.2% of the rural willing to pay the cost within 100 RMB yuan per person for the screening.Only 50.7% of urban respondents and 34.6% rural respondents were willing to inoculate HPV vaccine because of high price of the vaccine. Conclusion Decreasing the price of cervical cancer screening and HPV vaccine and promoting health education on cervical cancer are significant for the prevention and treatment of cervieal cancer.