某高校大学生对宫颈癌、HPV及疫苗认知情况与接种意愿调查

A survey on knowledge and attitude toward cervical cancer,HPV and vaccine among a University students

目的调查某高校大学生对宫颈癌和HPV相关知识的认知现状,了解大学生接种HPV疫苗的意愿并探究其影响因素。方法采用分层-整群抽样方法,抽取某医学院两个校区大学生,就宫颈癌、HPV及其疫苗认知情况与接种意愿进行电子问卷调查。结果共获得2285份有效问卷。大学生对宫颈癌、HPV及其疫苗的认知得分中,最低分0分,最高分25分,平均(11.45±5.785)分;愿意接种的占83.3%,不愿意接种的16.7%。其中,女性(OR=4.942,95%CI:3.883~6.291,P<0.001)、对国家免疫计划内疫苗信赖程度高(OR=1.369,95%CI:1.160~1.616,P<0.001)、HPV及其相关知识得分较高(OR=1.039,95%CI:1.017~1.062,P<0.001)、认为HPV疫苗是安全(OR=1.963,95%CI:1.498~2.572,P<0.001)大学生接种意愿高。结论大学生对于宫颈癌、HPV相关知识的认知程度不够深入,还存在很多误区。较高的HPV相关知识水平和HPV疫苗的安全性的提高是大学生接种HPV疫苗的主要促进因素。

Objective To investigate the current status of the cervical cancer and HPV-related knowledge of students in university,and know the willingness of college students to inoculate HPV vaccines as well as the critical factors for this issue.Methods Based on the tratified-cluster sampling method,medical students of two campuses were engaged in the electronic questionnaire investigations in the aspects of recognition of cervical cancer,HPV and the willingness to receive vaccine.Results We have collected 2285 valid questionnaires in the end of the investigation.Among the cognitive scores of cervical cancer,HPV and HPV vaccine,the lowest score was 0,the highest score was 25,and the average score was(11.45±5.785).In the aspect of willingness for reciving HPV vaccine,83.3% students were willing to be vaccinate,but 16.7% students were unwillingness to be vaccinate.Among them,female(OR=4.942,95% CI:3.883 to 6.291,P <0.001),the students who have high level of trust in the national immunization program(OR=1.369,95% CI:1.160 to1.616,P <0.001) pr have higher scores in HPV and related knowledge(OR=1.039,95% CI:1.017~1.062,P<0.001) pr believe that HPV vaccines are safe(OR=1.963,95% CI:1.498 to 2.572,P <0.001) have a higher willingness to be vaccinate.Conclusion The awareness of cervical cancer and HPV-related knowledge among college students are not sufficient.Besides,there are still many misunderstandings in this filed.Hence,the higher levels of HPV-related knowledge and safety of HPV vaccines are the critical factors for them to receive the HPV vaccines.