Mairaing Karicha, Suwannarurk Komsun, Thaweekul Yudthadej, Poomtavorn Yenruedee
Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Faculty ofMedicine, Thammasat University, Pathumthani, Thailand.
J Med Assoc Thai. 2012 Jan;95 Suppl 1:S33-41.
To compare the basic knowledge scores, attitudes and acceptability to HPV immunization before and after acknowledge about HPV, cervical cancer and vaccine to study group.
An anonymous survey was applied to women attending the outpatient clinic, Thammasat University Hospital from April 2010 to October 2010. Basic knowledge about cervical cancer, HPV, HPV vaccine, attitudes and acceptability to HPV immunization were collected via a self administered questionnaire.
A total of 173 mothers completed the survey responses rate of 86.5% (173/200). There is no difference in characteristic and lifestyles of the responders. The basic knowledge scores was higher in the subjects who had higher education level and regular cervical screening history. Most of subjects (> 85%) recognized that HPV is associated with cervical cancer but more than half of them confused about route of transmission. Basic knowledge scores is increased in all acceptability group (strongly agree to strongly disagree) after be informed about HPV and vaccine was observed. Most subjects (78.6%) agree to their daughters' vaccination indicating the high vaccine acceptances. The leading factors to maternal acceptances were free vaccination, negative attitudes such as sexual behavior of daughters and positive attitudes such as vaccine efficacy.
HPV vaccine acceptance seems to be depended on cost and efficacy than maternal knowledge. The vaccine is not widely used. The cost-effectiveness analysis should be provided by government. Education and communication in public media are aimed for increasing coverage of vaccination in the future.
Maternal acceptances of vaccine depend on high efficacy and low cost.
比较研究组在了解人乳头瘤病毒（HPV）、宫颈癌及疫苗前后对HPV免疫接种的基础知识得分、态度和可接受性。
对2010年4月至2010年10月在泰国国立法政大学医院门诊就诊的女性进行匿名调查。通过自填问卷收集有关宫颈癌、HPV、HPV疫苗的基础知识、对HPV免疫接种的态度和可接受性。
共有173名母亲完成了调查，回复率为86.5%（173/200）。应答者的特征和生活方式无差异。教育水平较高且有定期宫颈癌筛查史的受试者基础知识得分更高。大多数受试者（>85%）认识到HPV与宫颈癌有关，但其中一半以上的人对传播途径感到困惑。在了解HPV和疫苗后，所有可接受性组（从强烈同意到强烈不同意）的基础知识得分均有所提高。大多数受试者（78.6%）同意为女儿接种疫苗，表明疫苗接受度较高。母亲接受疫苗的主要因素是免费接种、对女儿性行为等负面态度以及对疫苗效果等正面态度。
HPV疫苗的接受度似乎更多地取决于成本和效果而非母亲的知识水平。该疫苗尚未广泛使用。政府应提供成本效益分析。未来公共媒体的教育和宣传旨在提高疫苗接种覆盖率。
母亲对疫苗的接受度取决于高效和低成本。
