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家长对在埃塞俄比亚西北部 Debretabor 镇为其女儿接种人乳头瘤病毒疫苗的意愿及其相关因素:一项基于社区的横断面研究。

Parents' willingness to vaccinate their daughters with human papillomavirus vaccine and associated factors in Debretabor town, Northwest Ethiopia: A community-based cross-sectional study.

机构信息

Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Hum Vaccin Immunother. 2023 Dec 31;19(1):2176082. doi: 10.1080/21645515.2023.2176082. Epub 2023 Feb 15.

Abstract

The Human Papilloma Virus (HPV) is the primary causative agent of cervical cancer. Vaccination against the HPV infection is an effective prevention measure for HPV-related diseases. This study aimed to assess parents' willingness to vaccinate their daughters with Human Papillomavirus vaccine and associated factors in Debre Tabor town. A community-based cross-sectional study was conducted among parents of daughters in Debre Tabor town, and a cluster sampling technique was used to select 738 study participants. A structured and interviewer-administered questionnaire was used to collect the data. Data were entered into EPI data version 4.6 and exported to SPSS version 26 for analysis. Multivariable logistic regression was done and a p-value of ≤ 0.05 was used to declare the level of significance. In this study, parents' willingness for HPV vaccination was found to be 79.10% (95% CI: 76.00, 82.00). Parents having media exposure, had good knowledge of HPV infection, and HPV vaccine, positive attitude, and positive perceived behavioral control toward the HPV vaccine had statistically significant association with willingness for the HPV vaccination of their daughters. Parents' willingness to HPV vaccination for their daughters was higher compared with a previous study done in the setting. Parental knowledge and their beliefs on HPV vaccination, and media exposure play an important role in the HPV vaccination of adolescents. Strengthening community-based education and effective promotion through multimedia on HPV infection and its prevention, addressing parental safety concerns and promoting their positive beliefs about the vaccine are important to increase parents' willingness.

摘要

人乳头瘤病毒(HPV)是宫颈癌的主要致病因素。接种 HPV 感染疫苗是预防 HPV 相关疾病的有效措施。本研究旨在评估德布雷塔博镇父母为女儿接种人乳头瘤病毒疫苗的意愿及其相关因素。在德布雷塔博镇,采用基于社区的横断面研究方法,采用聚类抽样技术选择了 738 名研究参与者。采用结构化和访谈者管理的问卷收集数据。将数据输入 EPI data 版本 4.6,并导出到 SPSS 版本 26 进行分析。进行了多变量逻辑回归,p 值≤0.05 用于表示显著性水平。在这项研究中,父母对 HPV 疫苗接种的意愿为 79.10%(95%CI:76.00,82.00)。有媒体接触、对 HPV 感染和 HPV 疫苗有良好认识、对 HPV 疫苗有积极态度和积极的感知行为控制的父母,与他们为女儿接种 HPV 疫苗的意愿有统计学上的显著关联。与之前在该环境中进行的研究相比,父母为女儿接种 HPV 疫苗的意愿更高。父母的知识及其对 HPV 疫苗接种的信念,以及媒体接触,在青少年 HPV 疫苗接种中起着重要作用。通过多媒体加强基于社区的关于 HPV 感染及其预防的教育和有效宣传,解决父母的安全问题,促进他们对疫苗的积极信念,对于提高父母的意愿非常重要。

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