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肯尼亚西部青少年女性母亲和人乳头瘤病毒(HPV)疫苗接种。

Mothers of adolescent girls and Human Papilloma Virus (HPV) vaccination in Western Kenya.

机构信息

Moi University, Eldoret, Kenya.

International Center of Reproductive Health, Ghent University, Ghent, Belgium.

出版信息

Pan Afr Med J. 2021 Feb 4;38:126. doi: 10.11604/pamj.2021.38.126.21359. eCollection 2021.

Abstract

INTRODUCTION

human papilloma virus (HPV) which is preventable is the main cause of cervical cancer and it targets mostly young adolescents. The study was to determine the practice desire, attitude and knowledge of mothers of adolescent girls on HPV vaccination in Western Kenya.

METHODS

this was a descriptive cross-sectional study design. Data was obtained using semi-structured questionnaires and analyzed using both descriptive and inferential statistics at 95% confidence level using the SPSS software version 22. A p-value ≤ 0.05 was considered statistically significant.

RESULTS

ninety five percent of the mothers had intentions to vaccinate their daughters and also had a positive attitude and their response to HPV vaccination was significantly lower than those without intentions p=0.02, 95% CI, OR=0.48 (0.90-0.89). Vaccination against HPV was low at 9.4% with a mean age of 34 years. Our results found a high level of cervical cancer awareness (85.0%), HPV and vaccine awareness respectively (62.0%, and 64.0%). "Vaccination of my daughters will prompt early sexual activity and the cost of HPV vaccination being a barrier to vaccination" had a statistically significant influence on the practice of vaccination. Negative attitude to daughters´ early onset of sexual activity significantly reduced up take while positive attitude to cost of HPV vaccine significantly increased up take of HPV vaccination with p value of 0.007 and 0.04 respectively.

CONCLUSION

awareness of HPV and HPV vaccine prevention is low among mothers of adolescent girls in Western Kenya. There was a positive attitude and high desire towards the use of HPV vaccination therefore a need for awareness, policy and unify efforts to reduce cervical cancer burden.

摘要

引言

人乳头瘤病毒(HPV)是可预防的宫颈癌的主要病因,主要针对青少年。本研究旨在确定肯尼亚西部青少年女孩的母亲对 HPV 疫苗接种的实践意愿、态度和知识。

方法

这是一项描述性的横断面研究设计。使用半结构式问卷获得数据,并使用 SPSS 软件版本 22 进行描述性和推断性统计分析,置信水平为 95%。p 值≤0.05 被认为具有统计学意义。

结果

95%的母亲有意为女儿接种疫苗,并且态度积极,她们对 HPV 疫苗接种的反应明显低于没有意愿的母亲(p=0.02,95%置信区间,OR=0.48(0.90-0.89)。HPV 疫苗接种率低,为 9.4%,平均年龄为 34 岁。我们的研究结果发现,对宫颈癌的认识程度较高(85.0%),对 HPV 和疫苗的认识程度分别为(62.0%和 64.0%)。“为女儿接种疫苗会促使其过早发生性行为,而 HPV 疫苗接种的费用是接种疫苗的障碍”对疫苗接种实践有统计学意义的影响。对女儿过早开始性行为的消极态度显著降低了接种率,而对 HPV 疫苗费用的积极态度则显著增加了 HPV 疫苗的接种率,p 值分别为 0.007 和 0.04。

结论

肯尼亚西部青少年女孩的母亲对 HPV 和 HPV 疫苗预防的认识程度较低。尽管对 HPV 疫苗接种持积极态度,但由于缺乏认识、政策和协调一致的努力,以减少宫颈癌负担。

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