Women's Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
J Sch Health. 2011 Nov;81(11):680-7. doi: 10.1111/j.1746-1561.2011.00644.x.
School-based human papillomavirus (HPV)/cervical cancer vaccination programs have been implemented widely, but few studies have investigated the knowledge and views of school staff about this new vaccine.
Prior to the introduction of the HPV vaccine in 2009, we surveyed staff at 14 socioeconomically diverse schools to assess views toward this new program, including staff's information needs, ideas on promoting return of consent forms, and uptake of the vaccine among minority groups.
Of 583 invited staff, 456 participated (78%). About 58% of the participants knew about the link between HPV and cervical cancer, and that HPV is passed on during sexual contact. When asked if vaccination would increase sexual activity at a younger age, 71% disagreed, 6% agreed, and 23% were unsure. The majority of staff agreed that vaccine uptake could be improved through provision of information and consent forms in indigenous and Pacific languages; ensuring parents are well informed and girls educated about the vaccine; involving community groups and by extending availability of the vaccine into community settings as well as school and primary care. Three fourths of the staff surveyed wanted more information about the program before and during its implementation.
This important group of stakeholders requires appropriate information so that they can support girls and their parents in deciding whether to have the vaccine. School staff members are potential health advocates with whom consultation should occur before and during the implementation of such programs.
学校为基础的人乳头瘤病毒(HPV)/宫颈癌疫苗接种计划已经广泛实施,但很少有研究调查学校工作人员对这种新疫苗的了解和看法。
在 2009 年 HPV 疫苗推出之前,我们对 14 所社会经济背景不同的学校的工作人员进行了调查,以评估他们对该新计划的看法,包括工作人员的信息需求、推广同意书返还的想法,以及少数族裔群体对疫苗的接种率。
在 583 名受邀的工作人员中,有 456 名(78%)参加了调查。约 58%的参与者了解 HPV 与宫颈癌之间的联系,以及 HPV 是通过性接触传播的。当被问及接种疫苗是否会增加年轻人的性行为时,71%的人不同意,6%的人同意,23%的人不确定。大多数工作人员认为,可以通过提供土著和太平洋语言的信息和同意书、确保家长充分了解和对女孩进行疫苗教育、让社区团体参与进来,并将疫苗的供应范围扩大到社区、学校和初级保健,来提高疫苗接种率。四分之三的被调查工作人员希望在该计划实施前和实施期间获得更多关于该计划的信息。
这群重要的利益相关者需要适当的信息,以便他们能够支持女孩及其父母决定是否接种疫苗。学校工作人员是潜在的健康倡导者,在实施此类计划之前和期间都应与他们进行协商。