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阿拉巴马州医学生的 HPV 和 HPV 疫苗接种知识及态度。

HPV and HPV Vaccination Knowledge and Attitudes Among Medical Students in Alabama.

机构信息

University of South Alabama College of Medicine, 307 North University Boulevard, Mobile, AL, 36688, USA.

University of South Alabama Mitchell Cancer Institute, 1660 Springhill Avenue, Mobile, AL, 36604, USA.

出版信息

J Cancer Educ. 2021 Feb;36(1):168-177. doi: 10.1007/s13187-019-01613-3.

Abstract

In addition to being the most common sexually transmitted infection, the human papillomavirus (HPV) is associated with six types of cancer in men and women. The HPV vaccine provides long-lasting, effective protection from high-risk HPV infection, thus serving as a means of cancer prevention. An effective healthcare provider recommendation is well-established as the most significant influence on HPV vaccine uptake, and, as emerging providers, it is critical that medical students receive comprehensive training in this area. However, the type and extent of such training for current medical students in the USA is unclear. An online survey assessing HPV and HPV vaccine knowledge, attitudes, and vaccine status was distributed to all medical students at an Alabama university. Scales were developed to assess composite HPV and HPV knowledge scores and HPV vaccination intentions. Of those age-eligible, 32.1% reported completion of the HPV vaccine series while 15.2% reported partial completion. Knowledge of both HPV and HPV vaccination significantly increased with program year (p < 0.0001 and p = 0.0069, respectively); however, there were knowledge gaps across all years regarding HPV-associated cancers. Attitudes and intentions showed a similar association, with more advanced students demonstrating more positive attitudes toward HPV vaccination (p = 0.0003). There is a need within the current curriculum to include more education and training on HPV, HPV vaccination, and counseling-particularly for students in the first 2 years of their program. Implementation of a classroom module or interactive workshop would likely improve knowledge and attitudes, better preparing students for their future role as potential immunizers.

摘要

除了是最常见的性传播感染外,人乳头瘤病毒(HPV)也与男性和女性的六种癌症有关。HPV 疫苗为高危 HPV 感染提供了持久、有效的保护,因此是预防癌症的一种手段。医疗机构的有效推荐已被证明是影响 HPV 疫苗接种率的最重要因素,作为新兴的医疗服务提供者,医学生在这方面接受全面的培训至关重要。然而,目前在美国,医学生接受此类培训的类型和程度尚不清楚。一项评估 HPV 和 HPV 疫苗知识、态度和疫苗接种状况的在线调查,分发给阿拉巴马大学的所有医学生。制定了量表来评估综合 HPV 和 HPV 知识评分以及 HPV 疫苗接种意向。在符合年龄条件的人群中,32.1%报告完成了 HPV 疫苗系列接种,而 15.2%报告完成了部分接种。HPV 和 HPV 疫苗接种的知识均随着项目年份的增加而显著增加(p<0.0001 和 p=0.0069);然而,所有年份都存在 HPV 相关癌症的知识差距。态度和意向也表现出类似的关联,较高级别的学生对 HPV 疫苗接种表现出更积极的态度(p=0.0003)。当前课程中需要包括更多关于 HPV、HPV 疫苗接种和咨询的教育和培训,特别是对于项目前 2 年的学生。实施课堂模块或互动研讨会可能会提高知识和态度,使学生更好地为未来作为潜在免疫接种者的角色做好准备。

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