Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China.
Department of Gynaecology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China.
Cancer Res Treat. 2020 Jan;52(1):207-217. doi: 10.4143/crt.2019.053. Epub 2019 Jul 1.
A cross-sectional survey was conducted to evaluate the differences on awareness and attitude towards human papillomavirus (HPV) and its vaccine between local and migrant residents who participated in cervical cancer screening in Shenzhen, China.
A total of 9,855 females sampled from healthcare institutions in 20 street blocks through the Cervical Cancer Prevention Network were surveyed in this study by a self-administered questionnaire. Multivariate logistic regression was conducted to explore the role of the hukou and resident status in the willingness to receive HPV vaccination.
Local residents had a relatively higher awareness of HPV (62.0% vs. 35.6% vs. 29.9%, p < 0.001) and its vaccine (35.3% vs. 15.4% vs. 14.8%, p < 0.001), as well as a higher willingness to receive HPV vaccination (68.5% vs. 62.5% vs. 56.2%, p < 0.001) than non-permanent residents and floating population. Except for age, education level, marital status, monthly income, having daughter(s), and heard of HPV and its vaccine, the hukou and resident status significantly associated with the willingness to receive HPV vaccination (local residents vs. floating population: odds ratio, 1.216; 95% confidence interval, 1.057 to 1.398). None significant difference on the associated factors was found between local residents and internal migrants (p for interactions > 0.05).
Inequalities in awareness and attitude towards HPV and its vaccine existed between local and migrant residents in Shenzhen. The hukou and resident status did impact on the willingness to receive HPV vaccination, therefore, it is critical to implement effective health education campaigns on HPV and its vaccine among internal migrants.
本研究采用横断面调查方法，评估中国深圳参与宫颈癌筛查的本地居民和流动人口对人乳头瘤病毒（HPV）及其疫苗的认知和态度差异。
本研究共对通过宫颈癌防治网络在 20 个街道街区的医疗机构中抽取的 9855 名女性进行了问卷调查。采用多变量 logistic 回归分析探讨户籍和居民身份在接种 HPV 疫苗意愿中的作用。
本地居民对 HPV（62.0% vs. 35.6% vs. 29.9%，p < 0.001）及其疫苗（35.3% vs. 15.4% vs. 14.8%，p < 0.001）的认知度以及接种意愿（68.5% vs. 62.5% vs. 56.2%，p < 0.001）均显著高于非永久性居民和流动人口。除年龄、受教育程度、婚姻状况、月收入、女儿数量以及是否听说过 HPV 和 HPV 疫苗外，户籍和居民身份与接种 HPV 疫苗的意愿显著相关（本地居民 vs. 流动人口：比值比，1.216；95%置信区间，1.057 至 1.398）。本地居民和国内流动人口在相关因素方面无显著差异（p 交互值>0.05）。
深圳本地居民和流动人口对 HPV 和 HPV 疫苗的认知和态度存在差异。户籍和居民身份会影响接种 HPV 疫苗的意愿，因此，针对国内流动人口实施有效的 HPV 和 HPV 疫苗健康教育活动至关重要。
