Department of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong.
Patient Educ Couns. 2011 Jul;84(1):118-22. doi: 10.1016/j.pec.2010.06.018. Epub 2010 Jul 21.
To evaluate the effects of school-based cervical cancer education on Hong Kong Chinese adolescent girls.
Adolescent girls (n=953) in local secondary schools attended a tailored educational program on cervical cancer prevention. Self-administered questionnaires were used before and after the program to measure its effects on participants' knowledge, attitude and perceived social norms towards human papillomavirus (HPV) vaccination and their intention to be HPV vaccinated.
Before the program, HPV vaccine acceptance was favorable but relevant knowledge was low. After the program, participants had greater knowledge and a more positive attitude (both p<0.001), with more girls anticipating family (41.6% before vs. 58.9% after) and peer support (32.8% before vs. 56.9% after). There were 11.3% more girls who indicated an intention to accept the vaccine afterward. More knowledge, a more positive attitude and perceived support from significant others predicted a stronger intention to be HPV vaccinated.
The educational program had a positive impact on participants' perceptions towards HPV vaccination and their intention to be vaccinated.
School-based cervical cancer education is a viable means to meet the substantial educational needs of adolescents. Promotion of HPV vaccination should also include educating and influencing perceptions of families and peers.
评估基于学校的宫颈癌教育对香港华裔少女的影响。
当地中学的少女（n=953）参加了针对宫颈癌预防的定制教育计划。在计划前后使用自我管理问卷来衡量其对参与者对 HPV 疫苗接种的知识、态度和感知社会规范以及接种 HPV 疫苗的意愿的影响。
在计划之前，HPV 疫苗的接受度良好，但相关知识水平较低。在计划之后，参与者的知识水平更高，态度更积极（均 p<0.001），更多的女孩期望得到家人（41.6%之前 vs. 58.9%之后）和同龄人的支持（32.8%之前 vs. 56.9%之后）。随后表示有意接受疫苗的女孩增加了 11.3%。更多的知识、更积极的态度以及来自重要他人的支持预测了更强的 HPV 疫苗接种意愿。
教育计划对参与者对 HPV 疫苗接种的看法及其接种意愿产生了积极影响。
基于学校的宫颈癌教育是满足青少年大量教育需求的可行手段。HPV 疫苗接种的推广还应包括教育和影响家庭和同龄人的观念。
