Han Y F, Zhuang Y N, Li Y, Fang Y
School of Public Health, Xiamen University, Xiamen 361102, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Jan 6;52(1):38-42. doi: 10.3760/cma.j.issn.0253-9624.2018.01.008.
To survey the mothers' acceptance of the HPV vaccination for their adolescent girls in Xiamen and to explore the influencing factors. Mothers of adolescent girls were selected by multistage cluster random sampling. Data of demography of the mothers and girls, the knowledge and attitude of cervical cancer and HPV vaccine of the mothers were collected. The influencing factors of mothers' attitudes were analyzed with univariate and multivariate logistic regression. A total of 2 307 mothers were selected. The average age of mothers was (38.0±4.7) years. 13.1% (300) of the mothers had a family history of malignant tumor. The mothers' acceptance for vaccinating girls was 61.9% (1 428). The awareness rates of HPV and HPV vaccine were 42.5% (980) and 21.4% (493), respectively. Mothers who had family history of cancer (1.36, 95%:1.02-1.82) showed a greater willingness to vaccinate their girls than the mothers who had not. Mothers who had knowledge of HPV (1.32, 95%:1.08-1.62) and HPV (2.03, 95%:1.56-2.66) vaccines showed a greater willingness to vaccinate their girls than the mothers who had not. The mothers' acceptance to vaccinate adolescent girls against cervical cancer needs to be raised, especially for the mothers who had not family history of cancer, no-knowledge of HPV and HPV vaccines.
调查厦门地区母亲对其青春期女儿接种人乳头瘤病毒(HPV)疫苗的接受情况,并探讨影响因素。采用多阶段整群随机抽样方法选取青春期女孩的母亲。收集母亲和女孩的人口学数据、母亲对宫颈癌及HPV疫苗的知识和态度。采用单因素和多因素logistic回归分析母亲态度的影响因素。共选取2307名母亲。母亲的平均年龄为(38.0±4.7)岁。13.1%(300名)的母亲有恶性肿瘤家族史。母亲对女儿接种疫苗的接受率为61.9%(1428名)。HPV及HPV疫苗的知晓率分别为42.5%(980名)和21.4%(493名)。有癌症家族史的母亲(1.36,95%可信区间:1.02 - 1.82)比没有家族史的母亲更愿意让女儿接种疫苗。了解HPV(1.32,95%可信区间:1.08 - 1.62)和HPV疫苗(2.03,95%可信区间:1.56 - 2.66)的母亲比不了解的母亲更愿意让女儿接种疫苗。母亲对青春期女孩接种宫颈癌疫苗的接受率有待提高,尤其是对于没有癌症家族史、不了解HPV及HPV疫苗的母亲。