国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (1): 40-44.

• 论著 • 上一篇    下一篇

上海某社区工作人员和医务人员对HPV及疫苗的认知调查

佘茜，丁以标，王勇，姚玉萍   

  1. 200137  上海市浦东新区高桥社区卫生服务中心
  • 收稿日期:2019-07-30 修回日期:2019-09-23 出版日期:2020-01-15 发布日期:2020-01-15
  • 通讯作者: 姚玉萍，E-mail：13816652345@163.com E-mail:190573731@qq.com
  • 基金资助:
    上海市浦东新区卫生系统优秀青年医学人才培养计划（PWRq2016-23）

Survey on the Cognition of HPV and HPV Vaccine among Community Workers and Doctors in a Township of Shanghai

SHE Qian，DING Yi-biao，WANG Yong，YAO Yu-ping   

  1. Gaoqiao Community Health Service Center，Pudong District，Shanghai 200137，China
  • Received:2019-07-30 Revised:2019-09-23 Published:2020-01-15 Online:2020-01-15
  • Contact: YAO Yu-ping，E-mail：13816652345@163.com E-mail:190573731@qq.com

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摘要： 目的：了解上海市浦东新区高桥镇社区工作人员和医务人员对人乳头瘤病毒（HPV）及其疫苗的认知和态度，为已上市的HPV疫苗推广提供基础资料。方法：以高桥镇所辖区各居民委员会工作人员和2所社区卫生服务中心医务人员为研究对象，以填写调查问卷的形式进行调查。结果：社区工作人员和医务人员在HPV传播途径（81.81% vs. 85.79%）和高危因素（31.06% vs. 39.47%）两项知识认知情况中，差异无统计学意义（P＞0.05）；在其他HPV基本知识的比较中，医务人员掌握情况比社区工作人员好（均P＜0.05）。二者在是否愿意自己或配偶接种和是否愿意让女儿接种的问题上，差异有统计学意义（P＜0.05），社区工作人员更愿意自己或配偶接种疫苗，而让女儿接种的意愿低于医务人员。社区工作人员和医务人员在HPV疫苗可接受的来源、付费途径、价格、选择种类及接种地点的选择上，差异均有统计学意义（P＜0.05），社区工作人员更倾向于接受由政府提供的疫苗，更青睐用较少的花费得到较多的效益。直系及三代以内旁系亲属中有癌症患者是社区工作人员和医务人员HPV疫苗接种意愿的影响因素（OR=4.006，95%CI：2.071～7.747，P=0.000）。结论：应加强社区工作人员和医务人员对于HPV预防措施和感染高危因素等知识的学习；对于HPV疫苗的宣传应将重点放在疫苗的安全性和功效性上，并应根据人群的健康观状况采取针对性的宣教；在疫苗的采购上宜由政府介入，规模化采购。

关键词: 宫颈肿瘤, 乳头状瘤病毒科, 乳头状瘤病毒疫苗, 危险因素, 认知, 接种

Abstract:  Objective: To investigate the cognition and attitude towards HPV and HPV vaccination among community workers and primary medical stuffs in a township of Shanghai, and to provide some basic information for the HPV vaccine promotion. Methods：All stuffs from each neighborhood committee and medical stuffs from two Community Health Service Centers in Gaoqiao Township of Shanghai were investigated using the designed questionnaire. Results：On the whole, the basic knowledge of HPV in community doctors was better than that in community workers (P＜0.05). However, there was no significant difference in the knowledge of HPV transmission routes (81.81% vs. 85.79%) and risk factors (31.06% vs. 39.47%) between the two groups （P＞0.05）. Significant differences  were also found in the vaccination intention of themselves, sex partners or daughters; the acceptable sources, payment way and price, and the location of HPV vaccine injection between the two groups (P＜0.05). Community workers were more likely to vaccinate themselves or their spouses, and to accept the vaccine certified by the government and low cost. Relative with cancer (direct relative and collateral relative within three generations) was a factor associated with inoculate willingness (OR=4.006, 95%CI: 2.071-7.747, P=0.000). Conclusions：It is important to strengthen the knowledge of HPV prevention measures and infection factors among community workers and medical stuffs. The publicity of HPV vaccine should be focused on its safety and efficacy. The promotion of HPV vaccine should be based on the different background of population. The government should get involved in the procurement of vaccines, and manage the large-scale procurement.

Key words: Uterine cervical neoplasms, Papillomaviridae, Papillomavirus vaccines, Risk factors, Cognition, Vaccination