Liu Anthony, Ho Frederick K, Chan Lily Kl, Ng Joanne Yw, Li Sophia L, Chan Godfrey Cf, Leung Ting Fan, Ip Patrick
Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China.
Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong, China.
J Paediatr Child Health. 2018 Mar;54(3):302-310. doi: 10.1111/jpc.13693. Epub 2017 Sep 6.
The human papillomavirus (HPV) vaccine is effective in preventing cervical cancer, but its global uptake rate in vulnerable populations is unsatisfactory. Physician's recommendation is an important determinant for vaccine uptake, but we have limited understanding on the contributing factors of physician's recommendation. This study investigated whether the knowledge, attitudes and vaccination status of medical students would affect their intention to recommend HPV vaccination.
This is a population-representative survey of medical schools in Hong Kong.
Participants included 1022 Chinese medical students (46.9% of all in Hong Kong; 46.3% female). Better HPV-related knowledge and a more positive attitude towards HPV vaccination were important factors predicting vaccine uptake and intention to recommend. HPV vaccination status and intention to receive the vaccine were positively associated with intention to recommend among females.
Better HPV-related medical education may be a feasible way to promote the HPV vaccine in regions without universal coverage. Medical students who have not received the HPV vaccine should also be encouraged to receive the vaccine.
人乳头瘤病毒（HPV）疫苗在预防宫颈癌方面有效，但其在弱势群体中的全球接种率并不理想。医生的建议是疫苗接种的一个重要决定因素，但我们对医生建议的影响因素了解有限。本研究调查了医学生的知识、态度和疫苗接种状况是否会影响他们推荐HPV疫苗接种的意愿。
这是一项对香港医学院校具有人群代表性的调查。
参与者包括1022名中国医学生（占香港所有医学生的46.9%；女性占46.3%）。更好的HPV相关知识以及对HPV疫苗接种更积极的态度是预测疫苗接种和推荐意愿的重要因素。HPV疫苗接种状况和接种意愿在女性中与推荐意愿呈正相关。
在未实现全面覆盖的地区，加强HPV相关医学教育可能是推广HPV疫苗的一种可行方式。还应鼓励未接种HPV疫苗的医学生接种该疫苗。
