Záhumenský Jozef, Pšenková Petra, Nadzámová Alexandra, Drabiščáková Paula, Hruban Lukáš, Weinberger Vít, Kacerovský Marian, Dosedla Erik
Second Department of Gynaecology and Obstetrics, University Hospital Bratislava, Bratislava, Slovak Republic.
Department of Obstetrics and Gynaecology, Masaryk University Hospital, Brno, Czech Republic.
Cent Eur J Public Health. 2020 Sep;28(3):178-186. doi: 10.21101/cejph.a5989.
This study aims to identify the differences in the use of HPV vaccination between female medical students in the Czech and Slovak Republics and their possible causes.
We performed a cross-sectional survey among female students of general medicine in all faculties of medicine in the Czech and Slovak Republics.
We obtained 630 questionnaires from the Czech Republic and 776 questionnaires from the Slovak Republic. In the Czech Republic, 65.4% of female medical students underwent HPV vaccination, while in the Slovak Republic, the figure was 21.1%. In the Czech Republic, residency and religion of students did not influence their rate of vaccination. However, in the Slovak Republic, village residency with less than 5,000 inhabitants lowered the probability of vaccination with OR = 0.56 (95% CI: 0.38-0.84), and the Catholic religion lowered the probability of vaccination with OR = 0.40 (95% CI: 0.28-0.57). Czech students were informed about the possibility of vaccination by a paediatrician in 55.7% of cases, while the figure for Slovak students was 26.8%. In the Czech Republic, 75.7% of students participated in regular cervical oncologic screening, while in the Slovak Republic, the figure was 57.7%. Vaccination of relatives would be recommended by 86.5% and 80.5% of Czech and Slovak students, respectively.
The adoption of an oncologic prevention programme and the more extensive propagation by paediatricians are probably the medical reasons for the higher HPV vaccination among Czech students. Demographic factors - village residency and religion - are also important.
本研究旨在确定捷克共和国和斯洛伐克共和国的女医学生在HPV疫苗接种使用方面的差异及其可能原因。
我们对捷克共和国和斯洛伐克共和国所有医学院校的普通医学专业女学生进行了横断面调查。
我们从捷克共和国获得了630份问卷，从斯洛伐克共和国获得了776份问卷。在捷克共和国，65.4%的女医学生接种了HPV疫苗，而在斯洛伐克共和国，这一比例为21.1%。在捷克共和国，学生的居住地和宗教信仰并未影响其接种率。然而，在斯洛伐克共和国，居住在居民不足5000人的村庄会降低接种概率，比值比（OR）=0.56（95%置信区间：0.38 - 0.84），天主教信仰也会降低接种概率，OR = 0.40（95%置信区间：0.28 - 0.57）。55.7%的捷克学生是通过儿科医生了解到接种可能性的，而斯洛伐克学生的这一比例为26.8%。在捷克共和国，75.7%的学生参加了定期的宫颈肿瘤筛查，而在斯洛伐克共和国，这一比例为57.7%。分别有86.5%的捷克学生和80.5%的斯洛伐克学生建议为亲属接种疫苗。
采用肿瘤预防计划以及儿科医生更广泛的宣传可能是捷克学生HPV疫苗接种率较高的医学原因。人口统计学因素——村庄居住情况和宗教信仰——也很重要。
