HPV 是否会影响我的生育能力？HPV 阳性女性的生殖担忧：一项定性研究。
'Does HPV affect my fertility?' Reproductive concerns of HPV-positive women: a qualitative study.
机构信息
Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Eastern Nosrat St. Tohid Sq., 141973317, Tehran, Iran.
Gynecology Oncology Department, Imam Khomeini Hospital Complex (IKHC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
出版信息
Reprod Health. 2021 Apr 1;18(1):72. doi: 10.1186/s12978-021-01126-7.
BACKGROUND
Reproductive health changes can occur following infection with Human papillomavirus. HPV is the most prevalent sexually transmitted infection causing a variety of clinical manifestations ranging from warts to cancer. This study aimed to explore the reproductive concerns of women infected with HPV.
METHODS
In this qualitative study, we used the conventional content analysis approach, with the aid of MAXQDA.10 software, to analyze data extracted from the face-to-face semi-structured interviews with 20 Iranian HPV-positive women (sampled by maximum variation purposive sampling). The accuracy of this research was ensured according to the four criteria proposed by Guba and Lincoln.
RESULTS
Exploring participants' reproductive concerns, three main categories were identified from the interviews including concerns about fertility potential, pregnancy and non-pregnancy reproductive issues. HPV-positive women concerned about reduced female/ male fertility due to HPV, the impact of the HPV on the fetal health, adverse pregnancy outcomes such as miscarriage and preterm delivery, and mother-to-child transmission of HPV during breastfeeding. HPV-positive women with abnormal cytology results were anxious that becoming pregnant or taking hormonal contraception might worsen their abnormalities. Most married women were reluctant to use a condom. Participants requested further information about the potential reproductive risks of the HPV vaccine. They also wanted to know about the safety of HPV vaccine during pregnancy and breastfeeding.
CONCLUSIONS
HPV-positive women had some reproductive concerns that should be considered in the designing of educational-consulting interventions. Women need to be better understood and informed about the impact of HPV on their reproductive health. Health care providers may lack knowledge about these specific areas, and they could benefit from additional up-to-date information to address women's reproductive concerns.
背景
人乳头瘤病毒（HPV）感染后会导致生殖健康发生变化。HPV 是最常见的性传播感染，可引起各种临床表现，从疣到癌症不等。本研究旨在探讨 HPV 感染女性的生殖健康问题。
方法
在这项定性研究中，我们使用了常规内容分析方法，并借助 MAXQDA.10 软件，对 20 名伊朗 HPV 阳性女性（采用最大变异目的抽样）的面对面半结构化访谈中提取的数据进行了分析。根据 Guba 和 Lincoln 提出的四项标准，确保了本研究的准确性。
结果
通过探索参与者的生殖健康问题，从访谈中确定了三个主要类别，包括对生育潜力、妊娠和非妊娠生殖问题的担忧。HPV 阳性女性担心 HPV 会降低女性/男性的生育能力、HPV 对胎儿健康的影响、流产和早产等不良妊娠结局，以及 HPV 在母乳喂养期间母婴传播。细胞学结果异常的 HPV 阳性女性担心怀孕或服用激素避孕药可能会使异常情况恶化。大多数已婚女性不愿意使用避孕套。参与者要求进一步了解 HPV 疫苗的潜在生殖风险。他们还想了解 HPV 疫苗在怀孕期间和母乳喂养期间的安全性。
结论
HPV 阳性女性存在一些生殖健康问题，在设计教育咨询干预措施时应予以考虑。需要更好地了解和告知 HPV 对女性生殖健康的影响。卫生保健提供者可能缺乏这些特定领域的知识，他们可以从额外的最新信息中受益，以解决女性的生殖健康问题。
Zotero 插件