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海地对人乳头瘤病毒的认知:为全国人乳头瘤病毒疫苗接种计划做准备。

Human Papillomavirus Awareness in Haiti: Preparing for a National HPV Vaccination Program.

作者信息

Gichane Margaret W, Calo William A, McCarthy Schatzi H, Walmer Kathy A, Boggan Joel C, Brewer Noel T

机构信息

Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

J Pediatr Adolesc Gynecol. 2017 Feb;30(1):96-101. doi: 10.1016/j.jpag.2016.07.003. Epub 2016 Aug 4.

DOI:10.1016/j.jpag.2016.07.003
PMID:27498340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5545972/
Abstract

STUDY OBJECTIVE

Cervical cancer morbidity and mortality are pressing public health issues that affect women in Haiti. To inform efforts to develop a human papillomavirus (HPV) vaccination program in Haiti, we sought to understand HPV awareness and willingness to get HPV vaccination in Haiti.

DESIGN, SETTING, AND PARTICIPANTS: We interviewed a convenience sample of 475 women and men in 2 clinical settings in Port-au-Prince and Léogâne, Haiti between April and July 2014.

INTERVENTIONS AND MAIN OUTCOME MEASURES

HPV awareness and willingness to get HPV vaccine for daughters.

RESULTS

Few participants (27%, 130/475) had heard of HPV. Awareness of HPV was higher among respondents with a previous sexually transmitted infection compared with those without a previous sexually transmitted infection (odds ratio, 2.38; 95% confidence interval, 1.10-5.13). Adults who had heard of genital warts were also more likely to be aware of HPV compared with those who had not (odds ratio, 4.37; 95% confidence interval, 2.59-7.38). Only 10% (24/250) of parents had previously heard of HPV vaccine; however, after researchers explained the purpose of the vaccine, nearly all (96%, 240/250) said they would be willing to get HPV vaccine for their daughters if it were available.

CONCLUSION

Despite low awareness of HPV in Haiti, interest in HPV vaccination was nearly universal in our study of health care-seeking adults. This high acceptability suggests that HPV vaccination programs instituted in Haiti would be well received.

摘要

研究目的

宫颈癌的发病率和死亡率是影响海地妇女的紧迫公共卫生问题。为了为在海地开展人乳头瘤病毒(HPV)疫苗接种计划提供信息,我们试图了解海地人对HPV的知晓情况以及接种HPV疫苗的意愿。

设计、地点和参与者:2014年4月至7月期间,我们在海地太子港和莱奥甘的2个临床机构对475名男女进行了便利抽样访谈。

干预措施和主要结局指标

HPV知晓情况以及为女儿接种HPV疫苗的意愿。

结果

很少有参与者(27%,130/475)听说过HPV。既往有性传播感染的受访者对HPV的知晓率高于无既往性传播感染的受访者(优势比为2.38;95%置信区间为1.10 - 5.13)。与未听说过尖锐湿疣的成年人相比,听说过尖锐湿疣的成年人也更有可能知晓HPV(优势比为4.37;95%置信区间为2.59 - 7.38)。只有10%(24/250)的父母此前听说过HPV疫苗;然而,在研究人员解释了疫苗的用途后,几乎所有(96%,240/250)父母表示,如果有HPV疫苗,他们愿意为女儿接种。

结论

尽管海地对HPV的知晓率较低,但在我们对寻求医疗服务的成年人的研究中,对HPV疫苗接种的兴趣几乎是普遍存在的。这种高接受度表明,在海地实施的HPV疫苗接种计划将受到欢迎。

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