Ebu Nancy Innocentia, Abotsi-Foli Gifty Esinam, Gakpo Doreen Faakonam
Department of Adult Health, School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.
Department of Obstetrics and Gynaecology, Korle-Bu Teaching Hospital, Accra, Ghana.
BMC Nurs. 2021 Jan 6;20(1):11. doi: 10.1186/s12912-020-00530-x.
Nurses and midwives play important roles in educating the public on cervical cancer prevention strategies.
This study sought to assess nurses' and midwives' knowledge of, attitudes towards, and acceptance of human papillomavirus (HPV) vaccination in relation to their background characteristics.
A descriptive cross-sectional study using questionnaires was conducted with a convenience sample of 318 female nurses and midwives, ages 20 to 59, at the Korle-Bu Teaching Hospital in Ghana. The data were summarised using frequencies, percentages, chi-square tests, and Fisher's exact tests.
The results indicated that 41.5% (n = 132) of the participants had high levels of knowledge about cervical cancer risk factors, and 17.6% (n = 56) of the respondents had received at least one dose of the HPV vaccine. Reasons for receiving the HPV vaccination included advice from a colleague (12.9%, n = 41) and perceived threat of cervical cancer (11.7%, n = 37). Of the 262 respondents who had not been vaccinated, 24.45% (n = 78) strongly agreed and 28.0% (n = 89) agreed with the statement that there was limited information on HPV vaccination. Also, there were statistically significant associations between age (X = 23.746, p = 0.001), marital status (X = 14.758, p = 0.005), completed level of education (X = 21.692, p = 0.001), and duration of working at the hospital (X = 8.424, p = 0.038) and acceptance of HPV vaccination.
This study demonstrated gaps in knowledge about cervical cancer risk factors and attitudes towards HPV vaccination, indicating the need for targeted measures to improve knowledge and attitudes. Also, measures to increase acceptance of HPV vaccination among nurses and midwives should consider their sociodemographic characteristics.
护士和助产士在向公众宣传宫颈癌预防策略方面发挥着重要作用。
本研究旨在评估护士和助产士关于人乳头瘤病毒（HPV）疫苗接种的知识、态度以及与其背景特征相关的接受情况。
采用问卷调查的描述性横断面研究，对加纳科勒-布教学医院318名年龄在20至59岁的女性护士和助产士进行便利抽样。数据采用频率、百分比、卡方检验和费舍尔精确检验进行汇总。
结果表明，41.5%（n = 132）的参与者对宫颈癌危险因素有较高的了解程度，17.6%（n = 56）的受访者至少接种过一剂HPV疫苗。接种HPV疫苗的原因包括同事的建议（12.9%，n = 41）和对宫颈癌的感知威胁（11.7%，n = 37）。在262名未接种疫苗的受访者中，24.45%（n = 78）强烈同意且28.0%（n = 89）同意关于HPV疫苗接种信息有限的说法。此外，年龄（X = 23.746，p = 0.001）、婚姻状况（X = 14.758，p = 0.005）、完成的教育水平（X = 21.692，p = 0.001）以及在医院的工作时长（X = 8.424，p = 0.038）与HPV疫苗接种的接受情况之间存在统计学上的显著关联。
本研究表明在宫颈癌危险因素知识和对HPV疫苗接种的态度方面存在差距，这表明需要采取针对性措施来提高知识水平和态度。此外，提高护士和助产士对HPV疫苗接种接受度的措施应考虑其社会人口学特征。
