Department of Obstetrics and Gynecology, University of Gaziantep, Gaziantep, Turkey.
J Obstet Gynaecol Res. 2020 Jun;46(6):907-916. doi: 10.1111/jog.14247. Epub 2020 Mar 18.
To investigate the level of knowledge among high school and university students about the human papillomavirus (HPV) and its vaccine.
Our study included 3039 Grade 9-12 students from 12 high schools and university students enrolled in medical and non-medical departments. The students completed a 30-item questionnaire, which included three demographic items (sex, age and grade) and measured knowledge regarding HPV, HPV vaccine, smear test and cervical cancer. Students responded by selecting one of the choices "true/false/I don't know."
One thousand seven hundred and forty eight high school students (57.5%) and 1291 university students (42.5%) completed the questionnaire. One thousand three hundred and fourty one students were male (44.1%) and 1698 were female (55.9%). Mean age was 18.8 (min: 14 max: 33). The university group had significantly more correct responses (P = 0.001). The high school group had significantly more unknown responses (P = 0.001). In both groups, female and male students had comparable correct responses (High school; female: 25.28%, male: 24.45%, P = 0.42; University; female: 62.46%, male: 63.09%, P = 0.35). While medical students had more correct responses than both nursing students and students from non-medical university departments, nursing students had more correct responses than students from the non-medical university departments (P = 0.001).
Knowledge about HPV is limited in adolescence, which marks the beginning of sexual activity. Educational programs targeted at adolescents are needed to negate the increasing rate of HPV-related gynecological cancers in our population. The HPV vaccine should urgently be introduced to the routine immunization schedule.
调查高中生和大学生对人乳头瘤病毒(HPV)及其疫苗的认知水平。
本研究纳入了 12 所高中的 3039 名 9-12 年级学生和医学及非医学专业的大学生。学生们完成了一份包含 30 个项目的问卷,其中包括 3 项人口统计学项目(性别、年龄和年级),并评估了他们对 HPV、HPV 疫苗、巴氏涂片检查和宫颈癌的认知。学生通过选择“是/否/不知道”来回答问题。
1748 名高中生(57.5%)和 1291 名大学生(42.5%)完成了问卷。1341 名男生(44.1%)和 1698 名女生(55.9%)。平均年龄为 18.8 岁(最小:14 岁,最大:33 岁)。大学生组的正确回答率显著更高(P = 0.001)。高中生组的未知回答率显著更高(P = 0.001)。在两个群体中,男女生的正确回答率相当(高中组:女生 25.28%,男生 24.45%,P = 0.42;大学组:女生 62.46%,男生 63.09%,P = 0.35)。与非医学专业的大学生相比,医学专业的学生有更多的正确回答,但护理专业的学生比非医学专业的学生有更多的正确回答(P = 0.001)。
青少年时期对 HPV 的认知有限,而此时正值性行为开始的阶段。需要针对青少年开展教育项目,以降低 HPV 相关妇科癌症在人群中的发生率。应紧急将 HPV 疫苗纳入常规免疫计划。