School of Psychology, Keele University, Keele, Staffs, United Kingdom.
Waitemata District Health Board (DHB) and Auckland DHB, Auckland, New Zealand.
PLoS One. 2018 Dec 31;13(12):e0197648. doi: 10.1371/journal.pone.0197648. eCollection 2018.
Human papillomavirus (HPV) is a common sexually transmitted infection that is implicated in 99.7% of cervical cancers and several other cancers that affect both men and women. Despite the role that HPV plays in an estimated 5% of all cancers and the evolving role of HPV vaccination and testing in protecting the public against these cancers, preliminary research in New Zealand health professionals suggest knowledge about HPV may not be sufficient.
A total of 230 practice nurses, smear takers and other clinical and laboratory staff who attended a range of training events completed a cross-sectional survey between April 2016 and July 2017. The survey explored four broad areas: demographics and level of experience, HPV knowledge (general HPV knowledge, HPV triage and test of cure (TOC) knowledge and HPV vaccine knowledge), attitudes towards the HPV vaccine and self-perceived adequacy of HPV knowledge.
The mean score on the general HPV knowledge questions was 13.2 out of 15, with only 25.2% of respondents scoring 100%. In response to an additional question, 12.7% thought (or were unsure) that HPV causes HIV/AIDS. The mean score on the HPV Triage and TOC knowledge questions was 7.4 out of 10, with only 9.1% scoring 100%. The mean score on the HPV vaccine knowledge questions was 6.0 out of 7 and 44.3% scored 100%. Only 63.7% of respondents agreed or strongly agreed that they were adequately informed about HPV, although 73.3% agreed or strongly agreed that they could confidently answer HPV-related questions asked by patients. Multivariate analyses revealed that knowledge in each domain predicted confidence in responding to patient questions. Furthermore, the number of years since training predicted both HPV knowledge and Triage and TOC knowledge.
Although overall level of knowledge was adequate, there were significant gaps in knowledge, particularly about the role of HPV testing in the New Zealand National Cervical Screening Programme. More education is required to ensure that misinformation and stigma do not inadvertently result from interactions between health professionals and the public.
人乳头瘤病毒（HPV）是一种常见的性传播感染，据估计，99.7%的宫颈癌和其他几种影响男性和女性的癌症都与 HPV 有关。尽管 HPV 在所有癌症中约占 5%，HPV 疫苗接种和检测在保护公众免受这些癌症方面的作用也在不断发展，但新西兰卫生专业人员的初步研究表明，他们对 HPV 的了解可能还不够。
2016 年 4 月至 2017 年 7 月期间，共有 230 名参加各种培训活动的执业护士、涂片师以及其他临床和实验室工作人员完成了一项横断面调查。该调查探讨了四个广泛的领域：人口统计学和经验水平、HPV 知识（HPV 一般知识、HPV 分流和治疗后检测（TOC）知识以及 HPV 疫苗知识）、对 HPV 疫苗的态度以及自我感知的 HPV 知识充足性。
一般 HPV 知识问题的平均得分为 15 分中的 13.2 分，只有 25.2%的受访者得分为 100 分。在回答一个额外的问题时，12.7%的人认为（或不确定）HPV 会导致艾滋病。HPV 分流和 TOC 知识问题的平均得分为 10 分中的 7.4 分，只有 9.1%的人得分为 100 分。HPV 疫苗知识问题的平均得分为 7 分中的 6.0 分，44.3%的人得分为 100 分。只有 63.7%的受访者表示他们对 HPV 有足够的了解，尽管 73.3%的受访者表示他们有信心回答患者提出的与 HPV 相关的问题。多变量分析显示，每个领域的知识都预测了对患者问题做出回应的信心。此外，自培训以来的年数预测了 HPV 知识和 TOC 知识。
尽管总体知识水平足够，但知识仍存在显著差距，特别是在 HPV 检测在新西兰国家宫颈癌筛查计划中的作用方面。需要进一步教育，以确保健康专业人员与公众之间的互动不会无意中产生误解和污名化。
