Donders Gilbert G G, Bellen Gert, Declerq Ann, Berger Judith, Van Den Bosch Thierry, Riphagen Ine, Verjans Marcel
Department of Obstetrics and Gynaecology of the H Hart Hospital, Tienen, Belgium.
Eur J Obstet Gynecol Reprod Biol. 2009 Jul;145(1):93-5. doi: 10.1016/j.ejogrb.2009.04.003. Epub 2009 May 5.
Test knowledge of HPV, cervix cancer awareness and acceptance of HPV vaccination of women now and a year ago.
Questionnaires were filled out by 305 women visiting four gynaecologists of the Regional Hospital Heilig Hart, Tienen, Belgium during two subsequent weeks. Fisher T or Chi(2) were used as statistical methods to compare the data with the survey of 381 women exactly one year before.
Knowledge about HPV as a cause of cervix cancer and the presence of a vaccine rose from roughly 50% in 2007 to over 80% in 2008 (p<0.0001). Level of education and having daughters, sons or no children no longer influenced the level of knowledge or willingness to accept the vaccine. Most parents favor the age group 12-16 years as an ideal time for vaccination. In contrast with the 2007 survey, women below 26 years had now acquired almost equivalent knowledge to older women about the virus, cervix cancer and the vaccine, but they were far less likely to accept the vaccine due to its cost, unless it would be reimbursed (OR 4.2 (1.6-11) p=0.0055).
One year after introduction of the first two HPV vaccines, over 75% of women attending an ambulatory gynaecology clinic know HPV causes cervix cancer and that you can get vaccinated against it. Compared with a year earlier, young and lower educated women had dramatically improved their knowledge. However, women below 26 years are less prepared to pay the cost for vaccination if it is not reimbursed.
检测女性当前以及一年前对人乳头瘤病毒（HPV）的了解程度、宫颈癌知晓情况和对HPV疫苗的接受程度。
在两周内，比利时蒂嫩圣心地区医院的4名妇科医生接待了305名女性并让她们填写问卷。采用Fisher T检验或卡方检验作为统计方法，将这些数据与正好一年前对381名女性的调查数据进行比较。
将HPV视为宫颈癌病因以及知晓有疫苗的人数比例从2007年的约50%升至2008年的80%以上（p<0.0001）。教育程度以及是否育有女儿、儿子或无子女不再影响知识水平或接受疫苗的意愿。大多数家长倾向于12 - 16岁这个年龄段作为理想的接种时间。与2007年的调查相比，26岁以下的女性现在对该病毒、宫颈癌和疫苗的了解程度已与年长女性几乎相当，但由于疫苗费用问题，她们接受疫苗的可能性要小得多，除非疫苗能得到报销（比值比4.2（1.6 - 11），p = 0.0055）。
在首批两种HPV疫苗推出一年后，超过75%前往门诊妇科诊所的女性知道HPV会引发宫颈癌且可以接种疫苗预防。与一年前相比，年轻女性和受教育程度较低的女性的知识水平有了显著提高。然而，如果疫苗费用不能报销，26岁以下的女性不太愿意为此付费。
