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巴西圣保罗公立高中青少年对 HPV 和性传播感染的知识:一项横断面研究。

Adolescents' knowledge of HPV and sexually transmitted infections at public high schools in São Paulo: A cross-sectional study.

机构信息

Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Clinics (Sao Paulo). 2022 Nov 17;77:100138. doi: 10.1016/j.clinsp.2022.100138. eCollection 2022.

DOI:10.1016/j.clinsp.2022.100138
PMID:36403429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9678670/
Abstract

PURPOSE

To assess the knowledge of students from public high schools in poor communities about HPV and Sexually Transmitted Infections and their attitude towards and prevention of such diseases.

PATIENTS AND METHODS

Cross-sectional study with adolescents from public schools of São Paulo - Brazil. Participants were selected for an interview by a randomization program. A questionnaire about knowledge, attitudes, and preventive practices regarding STIs, including HPV, according to sex was administered and answers were analyzed by the Poisson regression model with robust variance.

RESULTS

Median age of the 269 participants was 16 years. The majority was of African descent (68.8%, n = 185), most (74%, n = 199) were religious and the vast majority (90.7%, n = 244) lived with their parents. The Poisson regression revealed statistically significant sex-related differences regarding the following questions: "Do you know how it is prevented?" (PR = 1.12 [1.03‒1.23], p = 0.007); "Have you ever been concerned with HPV?" (PR = 1.10 [1.02‒1.19], p = 0.011); "Have you ever sought health care due to concerns about HPV?" (PR = 1.09 [1.04‒1.14], p < 0.001); "Do you know what a Pap Smear is?" (PR = 1.24 [1.13‒1.36], p < 0.001); "Do you know what the cervix is?" (PR = 1.23 [1.13‒1.34], p < 0.001); "Do you know what cervical cancer is?" (PR = 1.13 [1.04‒1.22], p = 0.004).

CONCLUSIONS

The present results show that adolescents from public schools in poor communities in São Paulo City know little about HPV and cervical cancer. Male adolescents know less than female adolescents and are less concerned with health care.

摘要

目的

评估贫困社区公立高中学生对 HPV 和性传播感染的了解程度,以及他们对这些疾病的态度和预防措施。

患者和方法

这是一项在巴西圣保罗公立学校进行的青少年横断面研究。通过随机程序选择参与者进行访谈。根据性别,我们制定了一个关于性传播感染(包括 HPV)知识、态度和预防措施的问卷,并使用泊松回归模型进行分析,该模型采用稳健方差。

结果

269 名参与者的中位年龄为 16 岁。大多数参与者为非洲裔(68.8%,n=185),74%(n=199)的参与者信教,绝大多数(90.7%,n=244)与父母同住。泊松回归分析显示,以下问题存在统计学显著的性别差异:“您是否知道如何预防 HPV?”(PR=1.12[1.03-1.23],p=0.007);“您是否曾关注过 HPV?”(PR=1.10[1.02-1.19],p=0.011);“是否因为担心 HPV 而去看过医生?”(PR=1.09[1.04-1.14],p<0.001);“您知道巴氏涂片检查是什么吗?”(PR=1.24[1.13-1.36],p<0.001);“您知道子宫颈是什么吗?”(PR=1.23[1.13-1.34],p<0.001);“您知道宫颈癌是什么吗?”(PR=1.13[1.04-1.22],p=0.004)。

结论

本研究结果表明,来自圣保罗市贫困社区公立学校的青少年对 HPV 和宫颈癌知之甚少。男青少年的了解程度低于女青少年,对医疗保健的关注度也较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b08d/9678670/e72c91ba7c5d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b08d/9678670/e72c91ba7c5d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b08d/9678670/e72c91ba7c5d/gr1.jpg

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