Discipline of Paediatrics and Child Health, University of Sydney, Australia, The Children's Hospital at Westmead, Australia.
Vaccine. 2010 Apr 26;28(19):3398-408. doi: 10.1016/j.vaccine.2010.02.078. Epub 2010 Mar 1.
Australia has implemented a nation-wide program providing HPV vaccination to girls at school. To date, there are no published studies that explore knowledge about HPV and HPV vaccine post-implementation of the national school-based HPV vaccination program.
A purposive sample of schools was selected to reflect a range of vaccination coverage (high versus lower uptake), and different school types (Catholic, Independent or Government). Semi-structured focus groups and interviews were conducted with girls and their parents respectively, until saturation was reached. Transcripts were analysed, letting themes emerge from the data.
A core theme from both girls and parents was lack of knowledge. Supporting themes were lack of knowledge of HPV, lack of knowledge of vaccine, and realisation of their lack of knowledge. Their lack of knowledge was common in three areas: what HPV is, how HPV is transmitted, and the HPV and cervical cancer connection. The lack of knowledge about HPV vaccination was reflected in what the vaccine protects against, how the vaccine works, HPV vaccination recommendations, the vaccine and Pap smear connection, and myths about HPV vaccination. Both girls and parents wanted more information, had a tendency to defer responsibility, and parents expressed judgment of themselves as parents.
Low levels of knowledge and understanding about HPV vaccination among adolescents and parents have implications for adolescents' future health practices, including sexual risk behaviour, condom usage, and cervical screening. Reasons for the low levels of knowledge are explored, as are implications for school-based educational interventions.
澳大利亚实施了一项全国性计划，在学校为女孩提供 HPV 疫苗接种。迄今为止，尚无关于 HPV 及其疫苗在全国性学校 HPV 疫苗接种计划实施后的知识的已发表研究。
选择了有目的的学校样本，以反映不同的疫苗接种覆盖率（高接种率与低接种率）和不同的学校类型（天主教、独立或政府）。分别对女孩及其家长进行了半结构式焦点小组和访谈，直到达到饱和。对转录本进行了分析，让主题从数据中浮现出来。
女孩和家长的核心主题都是缺乏知识。支持性主题包括缺乏 HPV 知识、缺乏疫苗知识，以及意识到自己缺乏知识。他们的知识匮乏主要集中在三个方面：HPV 是什么、HPV 如何传播，以及 HPV 和宫颈癌的联系。缺乏 HPV 疫苗的知识反映在疫苗可以预防的疾病、疫苗的作用机制、HPV 疫苗接种建议、疫苗和巴氏涂片检查的联系，以及关于 HPV 疫苗接种的误区。女孩和家长都希望获得更多的信息，有推卸责任的倾向，而且家长对自己作为家长的表现表示评判。
青少年和家长对 HPV 疫苗接种的知识和理解程度较低，这对青少年未来的健康行为有影响，包括性行为风险、使用避孕套和宫颈癌筛查。探讨了知识水平低的原因，以及对基于学校的教育干预的影响。
