School of Psychology, Keele University, Keele, Staffordshire, UK.
Jo's Cervical Cancer Trust, London, UK.
Eur J Public Health. 2020 Feb 1;30(1):10-16. doi: 10.1093/eurpub/ckz113.
Human papillomavirus (HPV) is a common sexually transmitted infection implicated in 5% of cancers worldwide including most cervical cancer cases. In the UK, the HPV vaccine has been offered routinely to girls aged 11-13 since 2008 while cervical screening is offered to women aged 25-64. HPV testing will soon replace cytology as the primary screening method. This research evaluates what healthcare professionals (HCPs) across the UK know about HPV.
A total of 643 UK-based HCPs from primary and secondary care took part in an anonymous cross-sectional survey between March and April 2018. The survey measured general HPV knowledge; HPV triage and test of cure knowledge; HPV vaccine knowledge; attitudes to the HPV vaccine and self-perceived adequacy of knowledge.
Participants had a generally good understanding of HPV and the vaccination but there were gaps in detailed knowledge of the National Health Service HPV testing processes. There were some gaps in knowledge about the health sequelae of HPV for males. Years since HPV training was associated with triage and test of cure and vaccine knowledge scores. Furthermore, nurses and doctors in colposcopy clinics had much greater odds of having higher knowledge across all domains than other roles. In total, 76.2% of participants felt adequately informed about HPV and 35.6% made suggestions for improvements in training, many of which requested additional frequency and topics.
Our results suggest that additional training is needed to ensure HCPs are equipped to deal with the changing landscape of HPV screening and vaccination in the UK.
人乳头瘤病毒（HPV）是一种常见的性传播感染，在全球范围内导致 5%的癌症，包括大多数宫颈癌病例。在英国，自 2008 年以来，HPV 疫苗已常规提供给 11-13 岁的女孩，而宫颈癌筛查则提供给 25-64 岁的女性。HPV 检测很快将取代细胞学成为主要筛查方法。本研究评估了英国各地的医疗保健专业人员（HCP）对 HPV 的了解。
2018 年 3 月至 4 月期间，共有 643 名来自初级和二级保健的英国 HCP 参与了一项匿名横断面调查。该调查衡量了一般 HPV 知识；HPV 分流和治疗后检测知识；HPV 疫苗知识；对 HPV 疫苗的态度和自我感知知识充足程度。
参与者对 HPV 和疫苗有较好的总体理解，但对国民保健服务 HPV 检测流程的详细知识存在差距。对于 HPV 对男性健康的后果，知识也存在一些差距。HPV 培训后的年限与分流和治疗后检测以及疫苗知识得分相关。此外，阴道镜诊所的护士和医生在所有领域的知识水平都更高，比其他角色的可能性更大。总的来说，76.2%的参与者认为自己对 HPV 有足够的了解，35.6%的人对培训提出了改进建议，其中许多人要求增加频率和主题。
我们的结果表明，需要额外的培训，以确保 HCP 具备应对英国 HPV 筛查和疫苗接种不断变化的环境的能力。
