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[人乳头瘤病毒疫苗接种:下诺曼底地区学校家长对儿童疫苗的认知与接受情况以及2015 - 2016学年的宣传活动]

[Human papillomaviruses vaccination: Parental awareness and acceptance of the vaccine for children in Lower Normandy schools and informative campaign during the 2015-2016 school year].

作者信息

Eve S, Pham A-D, Blaizot X, Turck M, Raginel T

机构信息

Département de médecine générale, Normandie université, faculté de médecine, 2, rue des Rochambelles, 14032 Caen cedex 5, France.

Department of Biostatistics and Clinical Research, CHU de Caen, 14000 Caen, France.

出版信息

Rev Epidemiol Sante Publique. 2017 Aug;65(4):255-263. doi: 10.1016/j.respe.2017.01.119. Epub 2017 Apr 12.

Abstract

BACKGROUND

The vaccine against human papillomavirus (HPV) can be administered starting at the age of 9 years. Parents thus play a major role in the choice of vaccination. The objective of this study was to investigate parental awareness about anti-HPV vaccination in Lower Normandy and to measure their vaccinal intentions before an informative campaign.

METHODS

The study population included parents of children aged 10-11 years enrolled in school (2015-2016) in Lower Normandy, France. The initial study was observational and descriptive. With the agreement of the academic directors, 16 middle schools were selected. A questionnaire was delivered to the school children and collected in September 2015 by the school nurses.

RESULTS

Within the selected middle schools, 1427 questionnaires were delivered. School nurses collected 1168 questionnaires (81.9%) among which 1155 could be analyzed because they contained answers (80.9%). Out of 575 girls aged 10-11 years, 523 (91.0%) were not vaccinated against HPV. Among parents of non-vaccinated schoolgirls who answered, 48.4% did not know if they intended to have their children vaccinated (251 of 519 questionnaires). There was a significant association between the socio-professional status of the parents who answered and their intention to vaccinate their daughters against HPV (P=0.03). Parents were significantly more likely to immunize their children when they previously knew about the vaccine (P<0.001) and when they had good knowledge about the vaccine (P<0.05). Parents who previously had their daughters vaccinated were also significantly more likely to have their sons vaccinated against HPV (P<0.001).

CONCLUSION

The significant association between knowledge about the vaccine and intentions to have their children vaccinated allows us to predict the effectiveness of information campaigns on vaccination rates.

摘要

背景

人乳头瘤病毒(HPV)疫苗可从9岁开始接种。因此,父母在疫苗接种选择中起着重要作用。本研究的目的是调查下诺曼底地区父母对HPV疫苗接种的知晓情况,并在开展宣传活动前衡量他们的接种意愿。

方法

研究人群包括2015 - 2016年在法国下诺曼底地区入学的10 - 11岁儿童的父母。初始研究为观察性和描述性研究。经学术主任同意,选取了16所中学。2015年9月,学校护士向在校学生发放问卷并回收。

结果

在所选定的中学中,共发放了1427份问卷。学校护士回收了1168份问卷(回收率81.9%),其中1155份因包含答案而可进行分析(有效率80.9%)。在575名10 - 11岁的女孩中,523名(91.0%)未接种HPV疫苗。在未接种疫苗的女生家长的回答中,48.4%不知道他们是否打算让孩子接种疫苗(519份问卷中有251份)。回答问卷的家长的社会职业地位与其让女儿接种HPV疫苗的意愿之间存在显著关联(P = 0.03)。当家长之前了解过该疫苗(P < 0.001)以及对疫苗有充分了解时(P < 0.05),他们让孩子接种疫苗的可能性显著更高。之前让女儿接种过疫苗的家长让儿子接种HPV疫苗的可能性也显著更高(P < 0.001)。

结论

对疫苗的了解与让孩子接种疫苗的意愿之间的显著关联使我们能够预测宣传活动对疫苗接种率的效果。

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