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针对在人乳头瘤病毒疫苗接种计划暂停期间成长起来、现已到宫颈癌筛查年龄的日本女性的教育干预措施。

Educational intervention for women in Japan coming of age for cervical cancer screening who grew up during the suspended HPV-vaccination-program.

作者信息

Miyoshi Ai, Ueda Yutaka, Yagi Asami, Kimura Toshihiro, Kobayashi Eiji, Hiramatsu Kosuke, Nakagawa Satoshi, Kimura Tadashi

机构信息

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.

出版信息

Hum Vaccin Immunother. 2021 Nov 2;17(11):4418-4422. doi: 10.1080/21645515.2021.1950503.

Abstract

Girls born in 2001 became eligible for subsidized HPV vaccination when they reached 12 years old in 2013, but that was the year when the Japanese MHLW suspended its official governmental recommendation for HPV vaccination. Those girls will now reach 20 years of age this year, 2021, and they will become eligible for cervical cancer screening. We report on the effects of an educational intervention with an information sheet about their current unvaccinated defenselessness for HPV and the necessity for early and repeated cervical cancer screening as a way to improve their intention to have that screening and their attitude toward HPV vaccination. Among the educated women, 75.2% had a positive intention toward having cervical cancer screening, 24.8% had a negative intention. Educational intervention can significantly promote the intention of having cervical cancer screening in women who had experienced the suspension of the MHLW's official recommendation for HPV vaccination. As a result of this simple intervention, they were more likely to think that HPV vaccination was needed for themselves.

摘要

2001年出生的女孩在2013年年满12岁时就有资格获得HPV疫苗接种补贴,但就在这一年,日本厚生劳动省暂停了其对HPV疫苗接种的官方推荐。这些女孩今年(2021年)将年满20岁,她们将有资格进行宫颈癌筛查。我们报告了一项教育干预措施的效果,该措施通过发放一份信息表,告知她们目前未接种HPV疫苗的易感性以及早期和反复进行宫颈癌筛查的必要性,以此来提高她们进行宫颈癌筛查的意愿以及对HPV疫苗接种的态度。在接受教育的女性中,75.2%对进行宫颈癌筛查持积极意愿,24.8%持消极意愿。教育干预可以显著提高那些经历过厚生劳动省暂停HPV疫苗接种官方推荐的女性进行宫颈癌筛查的意愿。通过这种简单的干预,她们更有可能认为自己需要接种HPV疫苗。

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本文引用的文献

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HPV Vaccination and the Risk of Invasive Cervical Cancer.HPV 疫苗接种与浸润性宫颈癌风险。
N Engl J Med. 2020 Oct 1;383(14):1340-1348. doi: 10.1056/NEJMoa1917338.
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Japan's Ongoing Crisis on HPV Vaccination.日本持续的人乳头瘤病毒疫苗接种危机。
Vaccines (Basel). 2020 Jul 6;8(3):362. doi: 10.3390/vaccines8030362.
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Evaluation of future cervical cancer risk in Japan, based on birth year.基于出生年份评估日本未来的宫颈癌风险。
Vaccine. 2019 May 16;37(22):2889-2891. doi: 10.1016/j.vaccine.2019.04.044. Epub 2019 Apr 23.
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HPV vaccination in Japan: what is happening in Japan?日本的人乳头瘤病毒疫苗接种情况:日本正在发生什么?
Expert Rev Vaccines. 2019 Apr;18(4):323-325. doi: 10.1080/14760584.2019.1584040. Epub 2019 Feb 22.

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