Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, 110020, China.
J Cancer Educ. 2020 Dec;35(6):1197-1205. doi: 10.1007/s13187-019-01582-7.
This study aimed to research the understanding and knowledge of cervical cancer, human papilloma virus (HPV), and HPV vaccination, and the acceptance of HPV vaccination, among a population of women in northeastern China. A cross-sectional survey was carried out by questionnaire to investigate knowledge of cervical cancer, HPV, and HPV vaccination. The 230 female participants were native residents of northeastern China, and their ages ranged between 18 and 65 years. Questionnaires were randomly acquired by the respondents from online and paper questionnaire distribution. The questionnaire included questions on three major aspects to record people's perceptions of cervical cancer, HPV, and vaccines. Of the sample of 230 women surveyed, 80.9% had heard of cervical cancer, but understanding was only 15.7%; 38.3% knew about HPV; 20% knew about HPV vaccine; 39.6% agreed to receive HPV vaccination, and the remainder were mainly concerned about its safety and effectiveness. Data analysis showed that age, family income, and whether there was experience of screening all influenced knowledge of cervical cancer, but this was not statistically significant. The level of education had no obvious effect on the degree of knowledge about cervical cancer; however, with an improvement in education, women's awareness of HPV vaccine improved significantly (p < 0.05). Women who have received cervical cancer screening had significantly greater knowledge about cervical cancer and HPV than those with no screening (p < 0.05). Women in northeastern China have little knowledge of cervical cancer, HPV, and HPV vaccine, lack disease knowledge, and hold a skeptical attitude about HPV vaccination. Medical institutions are the main channel providing information to these women.
本研究旨在调查中国东北地区女性对宫颈癌、人乳头瘤病毒(HPV)和 HPV 疫苗的认识和了解,以及对 HPV 疫苗接种的接受程度。采用问卷调查的方法进行了一项横断面研究,以调查对宫颈癌、HPV 和 HPV 疫苗接种的知识。230 名女性参与者均为中国东北地区的本地居民,年龄在 18 至 65 岁之间。通过受访者从在线和纸质问卷分发中随机获取问卷。问卷包括三个主要方面的问题,以记录人们对宫颈癌、HPV 和疫苗的看法。在接受调查的 230 名女性中,80.9%听说过宫颈癌,但仅有 15.7%表示了解;38.3%知道 HPV;20%知道 HPV 疫苗;39.6%同意接种 HPV 疫苗,其余的主要关注疫苗的安全性和有效性。数据分析显示,年龄、家庭收入以及是否有筛查经历均会影响对宫颈癌的认知,但无统计学意义。受教育程度对宫颈癌知识的程度没有明显影响;然而,随着教育水平的提高,女性对 HPV 疫苗的认识显著提高(p<0.05)。接受过宫颈癌筛查的女性对宫颈癌和 HPV 的了解明显高于未接受筛查的女性(p<0.05)。中国东北地区的女性对宫颈癌、HPV 和 HPV 疫苗知之甚少,缺乏疾病知识,对 HPV 疫苗接种持怀疑态度。医疗机构是向这些女性提供信息的主要渠道。