School of Nursing, Hong Kong Polytechnic University, Hong Kong, China.
The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
PLoS One. 2018 Jun 18;13(6):e0198615. doi: 10.1371/journal.pone.0198615. eCollection 2018.
The highly infectious human papillomavirus (HPV) causes both genital warts and cervical cancer in women. In 2009, the prevalence of genital warts in Hong Kong was 203.7 per 100,000 person-years. Cervical cancer, more seriously, was the eight most common cancer among women and girls in Hong Kong, accounting for 2.3% of all new cancer cases in females in 2014. Cervical cancer is a significant global public health problem and HPV is a major risk factor leading to the development of cervical cancer. HPV is also the most common sexually transmitted disease among university students. This is the first study to examine the acceptability of HPV vaccines and associations with perceptions related to HPV and HPV vaccines among the male baccalaureate student population locally.
A self-administrative cross-sectional survey was used to assess whether male baccalaureate students from eight local Hong Kong universities intended to be immunized for HPV. The study also asked questions concerning how its subjects perceived HPV and HPV vaccines using the Health Belief Model. Data collection spanned from June to September 2015. A multiple stepwise regression model was used to examine associations between cognitive factors and subjects' intention to take up the HPV vaccine.
A total of 1,004 (83.7%) students aged 18 and 26 participated in this study. 23.3% found vaccinating for HPV acceptable, a level correlating with a number of indicators. Subjects were more likely to find vaccinating acceptable if 1) they knew something about HPV vaccines; 2) they understood that men were susceptible to infection by HPV; 3) they realised they could benefit by HPV vaccination, and 4) they were aware of the arguments for and against HPV vaccination, as disseminated by either the media or peers.
HPV remains a significant public health concern in Hong Kong and China more broadly. This study's findings show a disconnect between the perceived and actual risk of being infected with the HPV vaccine among male baccalaureate students. This disconnect may be bridged by informing young men of the benefits of their being vaccinated against HPV, by removing the psychological and financial barriers that prevent them from taking up the vaccine and by improving how primary healthcare providers motivate them to get immunized.
人乳头瘤病毒（HPV）具有高度传染性，可导致生殖器疣和女性宫颈癌。2009 年，香港生殖器疣的发病率为每 10 万人年 203.7 例。更严重的宫颈癌是香港女性和女孩中第八大常见癌症，占 2014 年所有女性新发癌症病例的 2.3%。宫颈癌是一个严重的全球公共卫生问题，HPV 是导致宫颈癌发展的主要危险因素。HPV 也是大学生中最常见的性传播疾病。这是第一项研究，旨在调查 HPV 疫苗的可接受性及其与本地男性学士学位学生群体对 HPV 和 HPV 疫苗的认知相关因素的关联。
采用自我管理的横断面调查评估来自香港八所本地大学的男性学士学位学生是否打算接种 HPV 疫苗。该研究还使用健康信念模型询问了其研究对象对 HPV 和 HPV 疫苗的看法。数据收集时间为 2015 年 6 月至 9 月。采用多元逐步回归模型来检验认知因素与研究对象接种 HPV 疫苗意愿之间的关联。
共有 1004 名（83.7%）年龄在 18 岁至 26 岁的学生参加了这项研究。23.3%的人认为接种 HPV 疫苗是可以接受的，这一水平与许多指标相关。如果以下情况成立，研究对象更有可能认为接种 HPV 疫苗是可以接受的：1）他们了解 HPV 疫苗；2）他们了解男性易受 HPV 感染；3）他们认识到接种 HPV 疫苗可受益；4）他们了解媒体或同龄人传播的关于 HPV 疫苗接种的正反两方面的论点。
HPV 仍然是香港和更广泛的中国的一个重大公共卫生问题。本研究结果表明，男性学士学位学生对感染 HPV 疫苗的感知风险与实际风险之间存在脱节。通过告知年轻男性接种 HPV 疫苗的好处、消除阻止他们接种疫苗的心理和经济障碍以及改善初级保健提供者激励他们接种疫苗的方式，可以弥合这一差距。
