Sopracordevole F, Cigolot F, Lucia E, Marchesoni D
Struttura Ospedaliera Complessa di Ginecologia Oncologica, Centro di Riferimento Oncologico di Aviano, 33081 Aviano, Pordenone, Italia.
Minerva Ginecol. 2009 Apr;61(2):81-7.
Knowledge of human papilloma virus (HPV) infection and related genital lesions and vaccine is related to the success of the vaccination program. Authors have assessed knowledge, attitudes and beliefs on HPV and vaccination in a sample of women, in order to optimize any educational interventions.
This study enrolled 212 consecutive women with no history of HPV-related genital lesions by means of an anonymous questionnaire. The questionnaire included 21 questions (19 with a multiple choice and 2 with open answers) to check awareness of HPV infection and related lesions, HPV transmission, vaccine and vaccination program expectations, sexual/precautionary behaviours after vaccination and the need felt for more information.
Forty-two percent of women in the study population know about HPV-related genital lesions, and 43% are aware of the right way of transmission; 75% have learned about the vaccine. In this last group 28% know that the vaccine efficiency is mainly limited to the HPV types included in the vaccine, 19.8% know that one of the vaccines can also prevent genital condylomata and 88% have heard about this vaccination program.
There is still a lack of information or access to information about HPV and more needs to be done to raise awareness of HPV vaccination. A percentage of 74.4 of women wish to receive more information and thinks that schools and family planning clinics should play a central role in teenagers' health education. There is a need to further train healthcare workers involved in the vaccination program in order to optimize their counselling to teenagers and parents.
了解人乳头瘤病毒（HPV）感染、相关生殖器病变及疫苗知识与疫苗接种计划的成功实施相关。作者对一组女性样本的HPV及疫苗接种知识、态度和信念进行了评估，以优化任何教育干预措施。
本研究通过匿名问卷调查连续纳入212名无HPV相关生殖器病变病史的女性。问卷包含21个问题（19个多项选择题和2个开放式答案问题），用于检查对HPV感染及相关病变、HPV传播、疫苗及疫苗接种计划期望、接种疫苗后的性/预防行为以及对更多信息的需求的认知情况。
研究人群中42%的女性了解HPV相关生殖器病变，43%知晓正确的传播途径；75%了解疫苗。在这最后一组中，28%知道疫苗效果主要限于疫苗所含的HPV类型，19.8%知道其中一种疫苗还可预防生殖器湿疣，88%听说过该疫苗接种计划。
关于HPV仍缺乏信息或获取信息的途径，提高HPV疫苗接种意识仍有更多工作要做。74.4%的女性希望获得更多信息，并认为学校和计划生育诊所应在青少年健康教育中发挥核心作用。有必要对参与疫苗接种计划的医护人员进行进一步培训，以优化他们对青少年和家长的咨询服务。
