人乳头瘤病毒感染：意大利男同性恋、女同性恋和双性恋者的知识、态度和行为。
Human papillomavirus infection: knowledge, attitudes, and behaviors among lesbian, gay men, and bisexual in Italy.
机构信息
Department of Experimental Medicine, Second University of Naples, Naples, Italy.
出版信息
PLoS One. 2012;7(8):e42856. doi: 10.1371/journal.pone.0042856. Epub 2012 Aug 8.
BACKGROUND
This cross-sectional study assess knowledge, attitudes, and behavior towards the human papillomavirus (HPV) and the vaccination among a random sample of 1000 lesbian, gay men, and bisexual women and men.
METHODS
A face-to-face interview sought information about: socio-demographic characteristics, knowledge about HPV infection, perception of risk towards HPV infection and/or cervical, anal, and oropharyngeal cancers, perception of the benefits of a vaccination to prevent cervical, anal, and oropharyngeal cancers, sexual behaviors, health-promoting behaviors, and willingness to receive the HPV vaccine.
RESULTS
Only 60.6% had heard about the HPV infection and this knowledge was significantly higher in female, in those being a member of a homosexual association, in those having had the first sexual experience at a younger age, in those having received information about the HPV infection from physicians, and in those having no need of information about HPV infection. A higher perceived risk of contracting HPV infection has been observed in those younger, lesbian and gay men, who have heard of HPV infection and knew the risk factors and its related diseases, who have received information about HPV infection from physicians, and who need information about HPV infection. Only 1.7% have undergone HPV immunization and 73.3% professed intent to obtain it in the future. The significant predictors of the willingness to receive this vaccine were belief that the vaccination is useful, perception to be at higher risk of contracting HPV infection, and perception to be at higher risk of developing cervical, anal, and oropharyngeal cancers.
CONCLUSIONS
Information and interventions are strongly needed in order to overcome the lack of knowledge about HPV infection and its vaccination. Inclusion of boys in the national vaccination program and initiate a catch-up program for men who have sex with men up to 26 years may reduce their burden of HPV-related disease.
背景
本横断面研究评估了 1000 名男同性恋、女同性恋和双性恋者随机样本的人乳头瘤病毒（HPV）相关知识、态度和行为，以及 HPV 疫苗接种情况。
方法
通过面对面访谈收集社会人口学特征、HPV 感染相关知识、HPV 感染和/或宫颈癌、肛门癌和口咽癌风险感知、HPV 疫苗预防宫颈癌、肛门癌和口咽癌的益处感知、性行为、促进健康行为、以及接种 HPV 疫苗的意愿等信息。
结果
仅有 60.6%的参与者听说过人乳头瘤病毒感染，女性、同性恋协会成员、初次性行为年龄较小、从医生处获得 HPV 感染相关信息、以及需要 HPV 感染相关信息的参与者，其 HPV 感染相关知识更高。HPV 感染风险感知更高的是年龄较小、男同性恋和女同性恋者，他们听说过 HPV 感染，了解 HPV 感染的危险因素及其相关疾病，从医生处获得 HPV 感染相关信息，以及需要 HPV 感染相关信息。仅 1.7%的参与者接受了 HPV 免疫接种，73.3%的人表示将来愿意接种。愿意接种该疫苗的显著预测因素包括认为接种疫苗有用、感知到更高的 HPV 感染风险，以及感知到更高的宫颈癌、肛门癌和口咽癌风险。
结论
为了克服 HPV 感染及其疫苗接种相关知识的缺乏，需要进行信息和干预。将男孩纳入国家免疫接种计划，并为 26 岁以下的男男性行为者启动补种计划，可能会降低他们 HPV 相关疾病的负担。
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