中国疾病预防控制机构工作人员人乳头瘤病毒疫苗认知和推荐意愿调查
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摘要
目的了解疾病预防控制机构(Center for disease control and prevention,CDC)工作人员人乳头瘤病毒(Human papillomavirus,HPV)疫苗的知识知晓率和推荐意愿。方法采用方便抽样抽取全国20个省份的CDC工作人员,开展HPV疫苗知晓和推荐意愿的手机网络问卷调查,对数据进行描述性分析。结果调查对象HPV疫苗知识总知晓率为53.33%(376/705)。Logistic回归分析显示,东部地区调查对象知晓率高于西部地区(OR=1.72,95%CI:1.13-2.60),女性高于男性(OR=1.82, 95%CI:1.30-2.55),家庭人数多的调查对象高于家庭人数少的调查对象(OR=1.98, 95%CI:1.17-3.33);非免疫规划岗位人员均低于免疫规划岗位人员(OR=0.20、0.15、0.18、0.15, 95%CI:0.11-0.35、0.09-0.27、0.10-0.34、0.08-0.26)。96.88%(683/705)的调查对象愿意向他人推荐HPV疫苗;不愿意推荐的原因主要为担心误导别人,占72.73%(16/22)。结论 CDC工作人员HPV疫苗的认知水平低而推荐意愿高。需加强CDC人员HPV疫苗知识培训和健康教育。
Objective To assess knowledge about human papilloma virus(HPV) vaccine and willingness to recommend the vaccine among staff of centers for disease control and prevention(CDCs) in China. Methods We obtained a convenience sample of CDC staff from 20 provinces of China. We conducted a mobile Internet questionnaire survey about HPV vaccine and staff willingness to recommend the vaccine; we analyzed the survey descriptively. Results The overall awareness of HPV vaccine was 53.33%(376/705). Logistic regression showed that awareness was higher in eastern areas than in western areas(OR=1.72, 95% CI: 1.13-2.60), in females than in males(OR=1.82, 95% CI: 1.30-2.55),and in large families than in small families(OR=1.98, 95% CI: 1.17-3.33). Awareness was lower in non-immunization departments than in the immunization department(OR=0.20, 0.15, 0.18, and 0.15, 95% CI: 0.11-0.35, 0.09-0.27, 0.10-0.34,and 0.08-0.26, respectively). 96.88%(683/705) of subjects were willing to recommend HPV vaccine for others. 72.73%(16/22) of subjects who were not willing to recommend worried about providing misleading information. Conclusions Awareness of HPV vaccine was low, although willingness to recommend HPV vaccine was high among CDC staff. We should raise awareness and knowledge about HPV vaccine among CDC staff.
Objective To assess knowledge about human papilloma virus(HPV) vaccine and willingness to recommend the vaccine among staff of centers for disease control and prevention(CDCs) in China. Methods We obtained a convenience sample of CDC staff from 20 provinces of China. We conducted a mobile Internet questionnaire survey about HPV vaccine and staff willingness to recommend the vaccine; we analyzed the survey descriptively. Results The overall awareness of HPV vaccine was 53.33%(376/705). Logistic regression showed that awareness was higher in eastern areas than in western areas(OR=1.72, 95% CI: 1.13-2.60), in females than in males(OR=1.82, 95% CI: 1.30-2.55),and in large families than in small families(OR=1.98, 95% CI: 1.17-3.33). Awareness was lower in non-immunization departments than in the immunization department(OR=0.20, 0.15, 0.18, and 0.15, 95% CI: 0.11-0.35, 0.09-0.27, 0.10-0.34,and 0.08-0.26, respectively). 96.88%(683/705) of subjects were willing to recommend HPV vaccine for others. 72.73%(16/22) of subjects who were not willing to recommend worried about providing misleading information. Conclusions Awareness of HPV vaccine was low, although willingness to recommend HPV vaccine was high among CDC staff. We should raise awareness and knowledge about HPV vaccine among CDC staff.
引文
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[2]CHEN W,ZHENG R,BAADE PD,et al.Cancer statistics in China,2015[J].Ca:a Cancer Journal for Clinicians,2016,66(2):115-132.
[3]DAS R,MACHALEK DA,MOLESWORTH EG,et al.Using Facebook to recruit young Australian men into a cross-sectional human papillomavirus study[J].Journal ofMedical Internet Research,2017,19(11):e389.
[4]REMSCHMIDT C,WALTER D,SCHMICH P,e t al.Knowledge,a t t i tude,and upt ake related t o human papil lomavi rus vaccinat ion among young women in Germany recruited via a social media site[J].Human Vaccines&Immunotherapeutics,2014,10(9):2527-2535.
[5]徐靖,李燕琴.大学生对人乳头瘤病毒及HPV疫苗的认知及态度分析[J].右江民族医学院学报,2014,36(1):72-73.XU Jing,LI Yanqin.Analysis ofcognition and attitude on human papillomavirus and HPV vaccine among college students[J].Journal ofYoujiang Medical University for Nationalities,2014,36(1):72-73.
[6]黄荷,赵方辉,谢瑶,等.成都市大学生对HPV及HPV预防性疫苗的认知态度调查[J].现代预防医学,2013,40(16):3071-3073+3080.HUANG H e,ZHAO Fanghui,XIE Yao,et al.Knowledge and attitude toward HPV and prophylactic HPV vaccine among col lege s t udent s in Chengd u[J].Modern Preventive Medicine,2013,40(16):3071-3073+3080.
[7]李静,屠铮,赵超,等.北京市社区妇女人乳头瘤病毒感染率及其对HPV和疫苗认知情况的调查分析[J].中国肿瘤,2008,17(3):168-172.LI Jing,TU Zheng,ZHAO Chao,et al.An investigation ofHPV prevalence among women living in Beijing and their cognition and attitude toward HPV and HPV vaccine[J].Chinese Cancer,2008,17(3):168-172.
[8]陆瑾,牟文,周文瑜,等.上海市大学生、政府人员和医务人员人乳头瘤病毒疫苗认知及态度调查[J].中国疫苗和免疫,2016,22(1):70-75.LU J in,MU Wen,ZHOU Wenyu,et al.Survey ofawareness and attitudes ofhuman papilloma virus vaccine among ol lege students,governmental officials and medical staffin Shanghai[J].Chinese Journal ofVaccines and Immunization,2016,22(1):70-75.
[9]胡海珊,魏雪灵,任泽舫,等.广州市初中生家长对HPV疫苗接种的态度及影响因素调查[J].中华疾病控制杂志,2014,18(7):659-662.HU Haishan,WEI Xueling,REN Zefang,et al.Investigation on acceptance ofHPV vaccination and its determinants among the parents ofjunior high school students in Guangzhou city[J].Chinese Journal ofDisease Control&Prevention,2014,18(7):659-662.
[10]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.PU Chen,LIU Chunrong,ZHANG Xi,et al.Knowledge and attitudes towa rd HPV and i t s vaccines among pa rent s ofmiddle school s tudent s in Chengdu[J].Modern Preventive Medicine,2018,45(2):299-302+347.