Ishiwada Naruhiko, Suzuki Chieri, Hasebe Sana, Tsuchiya Ayako, Takeuchi Noriko, Hishiki Haruka, Sato Yasunori, Sugita Katsuo
Department of Infectious Diseases, Medical Mycology Research Center, Chiba University , Chiba-shi, Japan.
Division of Child Health, Faculty of Education, Chiba University , Chiba-shi, Japan.
Hum Vaccin Immunother. 2020 Nov 1;16(11):2752-2757. doi: 10.1080/21645515.2020.1732163. Epub 2020 Mar 11.
The Japanese government suspended proactive recommendation of human papillomavirus (HPV) vaccination due to several reports of adverse events related to it in 2013. After that, the immunization rate of HPV vaccine quickly declined in Japan. Health science teachers (HSTs) are qualified and licensed teachers in charge of health care and health education for students in Japanese schools. HSTs have not recommended HPV vaccination to female students, since active governmental recommendation for HPV vaccination was halted for 5 y. We conducted a primary survey targeting HSTs ( = 39) and university students taking the HST training course ( = 123). In each group, awareness regarding HPV vaccine and disease burden was evaluated and factors related to and barriers to HPV vaccine recommendation were identified. The primary survey found that many HSTs and university students recognized their insufficient knowledge regarding the HPV vaccine. Based on the primary survey's results, infectious disease specialists, collaborating with Japanese HSTs, developed educational slide sets on HPV vaccine. A secondary survey was conducted before and after the lecture with HSTs ( = 162), where we evaluated their intelligibility and intention to recommend HPV vaccination for female students. In the post-lecture, secondary survey, the number of HSTs who recommended the HPV vaccine to their students had statistically increased from 76 before the lecture, to 103 ( < .05). An educational lecture using appropriate materials improved HSTs' vaccine confidence and intention to recommend the HPV vaccine to their students, verifying the study's hypothesis.
2013年，由于几份与人类乳头瘤病毒（HPV）疫苗相关的不良事件报告，日本政府暂停了对HPV疫苗的积极推荐。此后，日本HPV疫苗的接种率迅速下降。健康科学教师（HSTs）是负责日本学校学生医疗保健和健康教育的合格持证教师。由于政府对HPV疫苗的积极推荐已停止5年，HSTs未向女学生推荐HPV疫苗。我们针对HSTs（n = 39）和参加HST培训课程的大学生（n = 123）进行了一项初步调查。在每组中，评估了对HPV疫苗和疾病负担的认知，并确定了与HPV疫苗推荐相关的因素和障碍。初步调查发现，许多HSTs和大学生认识到他们对HPV疫苗的知识不足。根据初步调查结果，传染病专家与日本HSTs合作，制作了关于HPV疫苗的教育幻灯片集。在讲座前后对HSTs（n = 162）进行了二次调查，我们评估了他们对向女学生推荐HPV疫苗的理解程度和意愿。在讲座后的二次调查中，向学生推荐HPV疫苗的HSTs数量从讲座前的76人增加到103人，具有统计学意义（P < 0.05）。使用适当材料进行的教育讲座提高了HSTs对疫苗的信心以及向学生推荐HPV疫苗的意愿，验证了该研究的假设。
