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[全科医疗中女性对人乳头瘤病毒相关疾病的认知]

[Knowledge of human papilloma virus-associated disease among women in general practice].

作者信息

Petersen Lone Kjeld, Nielsen Jesper, Vaesel Hanne, Brønsgaard Poul Hede, Kolby Peter, Madsen Klaus Gregaard

机构信息

Sanofi Pasteur MSD, Parallelvej 12, DK-2800 Lyngby.

出版信息

Ugeskr Laeger. 2009 Mar 30;171(14):1173-7.

PMID:19338735
Abstract

INTRODUCTION

Cervical cancer is caused by oncogenic human papilloma virus (HPV) serotypes. Types 16 and 18 are responsible for approximately 75% of all cases in Europe. Low-malignant serotypes like HPV 6 and 11 are the cause of approximately 90% of all cases of conyloma accuminata. Approximately 75% of the adult population has or will become infected by one or more HPV serotypes. The purpose of the study was to investigate the level of knowledge of the cause of cervical cancer, cervical dysplasia and condylomas among women seen in Danish general practice, and to investigate the women's expectations to communication with regard to prophylactic initiatives and, finally, to determine which aspects would influence their wish for HPV-vaccination.

MATERIAL AND METHODS

Patient questionnaire in 26 general practices between September 2006 through February 2007.

RESULTS

A total of 425 women aged 14-39 years were included in the study. Only 1.2% of the women correctly stated HPV as the cause of cervical cancer and 0.7% stated HPV as the cause of condylomas. In all, 96.2% thought that general practitioners should actively inform their patients of prophylactic initiatives such as vaccination against cervical cancer. Among all women, 96.4% considered HPV-vaccination.

CONCLUSION

In this population, knowledge about the cause of cervical cancer and condylomas was limited. There was a clear wish - and expectation - to be actively informed on prophylactic initiatives by the general practitioner.

摘要

引言

宫颈癌由致癌性人乳头瘤病毒(HPV)血清型引起。在欧洲,16型和18型HPV约占所有宫颈癌病例的75%。低恶性血清型如HPV 6型和11型是约90%的尖锐湿疣病例的病因。约75%的成年人口已经或将会感染一种或多种HPV血清型。本研究的目的是调查丹麦全科医疗中女性对宫颈癌、宫颈发育异常和尖锐湿疣病因的了解程度,调查女性对预防性措施沟通的期望,最后确定哪些方面会影响她们接种HPV疫苗的意愿。

材料与方法

2006年9月至2007年2月期间,在26家全科诊所开展患者问卷调查。

结果

共有425名年龄在14 - 39岁的女性纳入本研究。只有1.2%的女性正确指出HPV是宫颈癌的病因,0.7%的女性指出HPV是尖锐湿疣的病因。总体而言,96.2%的人认为全科医生应积极向患者告知预防性措施,如宫颈癌疫苗接种。在所有女性中,96.4%考虑接种HPV疫苗。

结论

在这一人群中,对宫颈癌和尖锐湿疣病因的了解有限。女性明确希望并期望全科医生积极告知预防性措施。

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