Lin Yi-Jung, Fan Lir-Wan, Tu Yu-Ching
Department of Nursing, Shu-Zen College of Medicine and Management, Kaohsiung, Taiwan.
Department of Pediatrics, Division of Newborn Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Asian Nurs Res (Korean Soc Nurs Sci). 2016 Mar;10(1):45-50. doi: 10.1016/j.anr.2016.01.001. Epub 2016 Jan 8.
High-risk types of human papillomavirus (HPV) are a critical etiologic factor behind cervical cancer. Adolescents are a vulnerable group for HPV infection. However, the literature on adolescent women for HPV infection and cervical cancer is limited. This study was to investigate HPV-related knowledge and perceived risk of HPV infection and cervical cancer among Taiwanese adolescent women in order to assess intervention strategies for prevention of cervical cancer and maintenance of reproductive health.
A descriptive cross-sectional study design was implemented. There were 610 adolescent women from three colleges in Southern Taiwan who participated in this study. Data were collected using an anonymous self-administered questionnaire survey.
The results showed that the percentage of appropriate answers to HPV-related knowledge questions was only 36.8%, and smoking as the leading cause of cervical cancer received the lowest mean score for appropriate answers among the HPV-related knowledge items. The perceived risk of HPV infection and cervical cancer were moderate, with relatively lower susceptibility to infection with HPV than to cervical cancer (p < .001). Only 11.5% of the participants reported that they had received information about HPV vaccination from healthcare professionals.
Participants lacked a comprehensive understanding of cervical cancer prevention and were not aware of their susceptibility to HPV infection. Adolescent women rarely obtained HPV-related information from healthcare professionals. Appropriate education strategies should be developed and conducted by healthcare professionals to reduce the risk of cervical cancer threat from adolescence.
高危型人乳头瘤病毒（HPV）是宫颈癌的关键病因。青少年是HPV感染的易感人群。然而，关于青少年女性HPV感染和宫颈癌的文献有限。本研究旨在调查台湾青少年女性中与HPV相关的知识以及对HPV感染和宫颈癌的感知风险，以评估预防宫颈癌和维护生殖健康的干预策略。
采用描述性横断面研究设计。来自台湾南部三所高校的610名青少年女性参与了本研究。数据通过匿名自填式问卷调查收集。
结果显示，HPV相关知识问题的正确回答率仅为36.8%，在HPV相关知识项目中，将吸烟视为宫颈癌主要病因的正确回答平均得分最低。对HPV感染和宫颈癌的感知风险为中等，其中对HPV感染的易感性相对低于对宫颈癌的易感性（p <.001）。只有11.5%的参与者报告称他们从医疗保健专业人员那里获得了有关HPV疫苗接种的信息。
参与者对宫颈癌预防缺乏全面了解，且未意识到自己对HPV感染的易感性。青少年女性很少从医疗保健专业人员那里获得HPV相关信息。医疗保健专业人员应制定并实施适当的教育策略，以降低青春期宫颈癌威胁的风险。
