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Uptake of Two Doses of HPV Vaccines in Nakuru County, Kenya: A Case of Rongai and Nakuru West Sub-Counties
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作者 Tabitha Chepkemoi Phylis Jerotich 《Journal of Biosciences and Medicines》 CAS 2023年第1期1-7,共7页
Background: HPV vaccines were introduced globally as one of the most effective strategies to prevent cervical cancer. HPV vaccines were rolled out in Kenya in 2019 targeting girls aged 10 - 14 years, but the uptake ha... Background: HPV vaccines were introduced globally as one of the most effective strategies to prevent cervical cancer. HPV vaccines were rolled out in Kenya in 2019 targeting girls aged 10 - 14 years, but the uptake has not been satisfactory. The Purpose of the Study: The aim of the study was to assess the level of HPV uptake among girls aged 10 - 14 years in Rongai and Nakuru West Sub-Counties in Nakuru County. Method: This was a cross-sectional study where data on HPV uptake was retrieved from all the public health facilities located in Rongai and Nakuru West Sub-Counties, Nakuru County, entered into Microsoft Excel then transferred to SPSS version 26 for analysis of HPV vaccine uptake since the year 2019 to June 2022. Data Analysis: Descriptive statistics were used where tables and graphs were generated to represent the percentages and trends of HPV vaccine uptake. Results: The average percentage of HPV uptake in Nakuru West Sub-County since the rollout of vaccination was 17% while that of Rongai Sub-County was 15%. In 2019, HPV 1 uptake was generally low for both Sub-Counties, the results show no HPV 2 vaccines were administered during that year. In 2020, Nakuru West reported an increase in HPV 1 uptake, while Rongai reported a drop in HPV 1 uptake. Both Sub-Counties reported an increase in HPV 2 in 2020 as compared to the previous year. The highest HPV 1 & 2 uptakes were reported in 2021 in both Sub-Counties. The uptake of both HPV 1 & 2 kept increasing subsequently. Conclusion: The overall uptake of HPV vaccines for Doses 1 and 2, in both Rongai and Nakuru West Sub-Counties, is low. However, there has been a consistent increase in uptake of the two doses in the two Sub-Counties since 2019. Therefore, raising public awareness of the importance of HPV vaccination could improve uptake. 展开更多
关键词 Cervical Cancer Huma Papilloma Virus HPV Vaccines HPV Vaccines Uptake girls aged 10 - 14 years
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苏州市9~15岁女生母亲HPV疫苗免费供应方案选择意愿调查 被引量:2
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作者 王天宇 邓景景 +5 位作者 栾琳 徐娟 郑本锋 龚甜 张琢玉 张钧 《中国公共卫生》 CAS CSCD 北大核心 2023年第6期758-761,共4页
目的对适龄9~15岁女生母亲的宫颈癌知识、人乳头瘤病毒(HPV)疫苗知识和对不同HPV疫苗免费供应方案的选择意愿进行调查,为卫生行政部门制定相关免疫接种策略提供依据。方法于2022年10月通过“苏州预防接种”官方微信公众服务号向苏州市9... 目的对适龄9~15岁女生母亲的宫颈癌知识、人乳头瘤病毒(HPV)疫苗知识和对不同HPV疫苗免费供应方案的选择意愿进行调查,为卫生行政部门制定相关免疫接种策略提供依据。方法于2022年10月通过“苏州预防接种”官方微信公众服务号向苏州市9~15岁女生母亲推送自行设计的问卷进行在线网络调查。结果共1648人参与调查,回收有效问卷1484份。如果政府开展适龄女生双价HPV疫苗免费接种项目,4种HPV疫苗免费供应方案选择人数由多至少依次为:699人(47.10%)选择方案二(免费接种中标国产双价HPV疫苗或自费补差价接种其他疫苗的方案)、565人(38.07%)选择方案一(采用参照二针国产双价HPV疫苗价格的现金补贴方案)、161人(10.85%)选择方案三(免费接种中标国产双价HPV疫苗或全自费接种其他疫苗的方案)和59人(3.98%)选择方案四(保证供应但纯自费接种方案)。不同学历(χ^(2)=53.77,P<0.05)、家庭月收入(χ^(2)=49.07,P<0.05)和认知得分(χ^(2)=8.19,P=0.04)对HPV疫苗免费供应方案的选择差异有统计学意义。多元logistics回归模型结果显示,相较于方案四,家庭月收入≤5000元是选择方案一(OR=5.65)、方案二(OR=5.31)和方案三(OR=14.34)的影响因素;选择方案一的影响因素还有家庭月收入10001~15000元(OR=2.59);方案三的影响因素还有月收入5001~10000元(OR=2.60)。在4种方案中选择接种九价疫苗的人均占比最多,分别为94.16%(532/565)、83.26%(582/699)、55.28%(89/161)和98.31%(58/59)。结论苏州市9~15岁女生母亲选择方案二的人数最多,家庭月收入和学历是HPV疫苗免费供应方案选择的影响因素。所有接种方案中家长对九价疫苗的选择最多,应尽快推进国产高性价比的九价HPV疫苗的研发、生产与供应。 展开更多
关键词 9~15岁女生 HPV疫苗 免费供应方案 苏州
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