Al-Shaikh Ghadeer K, Almussaed Eman M, Fayed Amel A, Khan Farida H, Syed Sadiqa B, Al-Tamimi Tahani N, Elmorshedy Hala N
Department of Obstetrics & Gynecology, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. Tel. +966 (11) 4699339. Fax. +966 (11) 4679557. E-mail.
Saudi Med J. 2014 Oct;35(10):1223-30.
To assess the level of knowledge regarding cervical cancer and the acceptance of the human papilloma virus (HPV) vaccine among Saudi female students in health colleges.
This cross-sectional study of a convenient sample encompassed 1400 students in Health Colleges at Princess Nora Bint Abdul Rahman University, Riyadh, Saudi Arabia was conducted between December 2013 and February 2014. A self-administrated questionnaire was distributed to all participants. Data collected included socio-demographic data, knowledge of cervical cancer risk factors and clinical presentation, Pap smear, and HPV vaccine acceptance. The questionnaire reliability as tested by Cronbach's alpha was 0.82.
The response rate was 89.9%, and data analysis revealed that 95.7% of students had poor knowledge level. The Pap smear was poorly recognized as a screening tool, with 46.7% of students having heard of the test. Senior and medical students had a significantly higher knowledge score. Father's health profession, high monthly income, and presence of cervical cancer among family members or friends increased the level of knowledge. Vaccine acceptance is influenced by its price, approximately 80% of students thought that an affordable vaccine price should not exceed 300 Saudi Riyals. Perceived barriers to the vaccine were fear of injections and vaccine side effects.
There is a lack of knowledge and misinformation regarding cervical cancer, Pap smear, and HPV as a major risk factor for cancer of the cervix. These data can be used as a benchmark to formulate effective awareness programs.
评估沙特阿拉伯利雅得诺拉·宾特·阿卜杜勒·拉赫曼公主大学健康学院女学生对宫颈癌的知识水平以及对人乳头瘤病毒（HPV）疫苗的接受程度。
本横断面研究采用方便抽样法，于2013年12月至2014年2月对沙特阿拉伯利雅得诺拉·宾特·阿卜杜勒·拉赫曼公主大学健康学院的1400名学生进行了调查。向所有参与者发放了一份自填式问卷。收集的数据包括社会人口统计学数据、宫颈癌危险因素和临床表现的知识、巴氏涂片检查以及HPV疫苗接受情况。经克朗巴赫α系数检验，问卷信度为0.82。
应答率为89.9%，数据分析显示95.7%的学生知识水平较差。巴氏涂片检查作为一种筛查工具未得到充分认识，只有46.7%的学生听说过该检查。高年级学生和医学专业学生的知识得分显著更高。父亲的健康职业、高月收入以及家庭成员或朋友中存在宫颈癌患者可提高知识水平。疫苗的接受程度受其价格影响，约80%的学生认为可承受的疫苗价格不应超过300沙特里亚尔。对疫苗的认知障碍包括害怕打针和疫苗副作用。
关于宫颈癌、巴氏涂片检查以及HPV作为宫颈癌主要危险因素的知识存在不足且信息有误。这些数据可作为制定有效宣传计划的基准。
