Mishra Amrita
Technoscience and Regulation Research Unit, Clinical Research Center, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Int Q Community Health Educ. 2010;31(1):71-98. doi: 10.2190/IQ.31.1.f.
This article reviews qualitative research on public knowledge and attitudes to HPV vaccines, focusing on socio-economically challenged populations. Keyword searches were conducted on MEDLINE and ISI Web of Science for relevant peer-reviewed literature in English. A high acceptance of HPV vaccines was found despite low knowledge about HPV (types, prevalence, transmission, health risks, and cervical screening). Facilitators of HPV vaccine uptake included fear of cancer and desire to protect children's health. Barriers included low knowledge levels, perception of HPV vaccines as potential causes of sexual disinhibition, concerns about vaccine costs, social stigma, adverse effects, and parental unwillingness to permit vaccination of pre-adolescent children. Despite acceptance of HPV vaccines, implementation in low-resource settings faces social and economic difficulties. To pursue and strengthen cervical screening in these settings, public education about HPV is key.
本文回顾了关于公众对人乳头瘤病毒（HPV）疫苗的知识和态度的定性研究，重点关注社会经济条件较差的人群。通过在医学文献数据库（MEDLINE）和科学网（ISI Web of Science）上进行关键词搜索，查找以英文发表的相关同行评审文献。研究发现，尽管人们对HPV（类型、流行率、传播途径、健康风险和宫颈癌筛查）的了解程度较低，但对HPV疫苗的接受度较高。HPV疫苗接种的促进因素包括对癌症的恐惧以及保护儿童健康的愿望。障碍包括知识水平低、认为HPV疫苗可能导致性抑制、对疫苗成本的担忧、社会污名、不良反应以及父母不愿意让青春期前儿童接种疫苗。尽管HPV疫苗已被接受，但在资源匮乏地区实施仍面临社会和经济困难。为了在这些地区推行并加强宫颈癌筛查，对HPV进行公众教育是关键。
