宫颈癌和 HPV 知识与认知：关岛大学生教育干预。
Cervical Cancer and HPV Knowledge and Awareness: An Educational Intervention among College Students in Guam.
机构信息
University of Guam Cancer Research Center, United States.
Division of Social Work, School of Health, University of Guam, United States.
出版信息
Asian Pac J Cancer Prev. 2023 Feb 1;24(2):443-449. doi: 10.31557/APJCP.2023.24.2.443.
BACKGROUND
Compared to the U.S. population, cervical cancer (CC) incidence is significantly higher among the CHamoru, Micronesian, and Caucasian populations in Guam. From 2008-2012, CC was the fifth most common cancer diagnosed on the island. Despite the prevalence of CC and low HPV vaccine uptake, there is a concerning lack of awareness and preventative behavior among young adults. This study was aimed at influencing college students' knowledge and awareness of CC, CC screening, HPV, and the HPV vaccination.
METHODS
We delivered a 30-minute educational intervention to a sample of 108 university students in a classroom setting. The effect of the educational intervention was measured through a pre-and post-test on CC and HPV health behaviors, knowledge, and awareness. Results were analyzed using SPSS and an exact McNemar's test was used to examine the difference in the proportion of correct answers to the tests. Two-way mixed ANOVA was used to examine between (gender, ethnicity, and class level) and within subjects (pre-and post-test) program effects.
RESULTS
Of the 108 participants, only 39 (36.1%) reported being vaccinated for HPV, 23 (21.3%) had not been vaccinated, and 46 (42.6%) did not know if they had been vaccinated for HPV. Only forty-one (60.3%) female participants had had a Pap smear. When comparing the pre-to-posttest responses, most questions had an increase in correct responses. Time also influenced CCA and HPV knowledge and awareness scores as there was a significant increase in scores from the pre- to post-test.
CONCLUSION
The educational intervention was an effective tool for increasing knowledge and awareness of CC, HPV, and HPV vaccination among college students. While study results demonstrate the educational intervention's success as a baseline measure of knowledge, the inclusion of behavioral outcome measures, such as intent to get vaccinated or screened, could result in more robust future studies.
背景
与美国人口相比，在关岛的查莫罗人、密克罗尼西亚人和白种人群体中，宫颈癌（CC）的发病率明显更高。从 2008 年至 2012 年，CC 是该岛第五种最常见的癌症。尽管 CC 患病率高，HPV 疫苗接种率低，但年轻人对其认识不足，预防意识薄弱。本研究旨在提高大学生对 CC、CC 筛查、HPV 和 HPV 疫苗接种的认识。
方法
我们在课堂环境中向 108 名大学生样本提供了 30 分钟的教育干预。通过对 CC 和 HPV 健康行为、知识和认识的预测试和后测试来衡量教育干预的效果。使用 SPSS 分析结果，并使用确切的 McNemar 检验检验测试中正确答案比例的差异。使用双向混合 ANOVA 检验组间（性别、种族和班级水平）和组内（预测试和后测试）的方案效果。
结果
在 108 名参与者中，只有 39 名（36.1%）报告接种了 HPV 疫苗，23 名（21.3%）未接种疫苗，46 名（42.6%）不知道是否接种了 HPV 疫苗。只有 41 名（60.3%）女性参与者接受过巴氏涂片检查。比较预测试和后测试的反应，大多数问题的正确答案都有所增加。时间也会影响 CCA 和 HPV 知识和认识得分，因为从预测试到后测试的得分有显著提高。
结论
教育干预是提高大学生对 CC、HPV 和 HPV 疫苗接种认识的有效工具。虽然研究结果表明教育干预作为知识的基线测量是成功的，但纳入行为结果测量，例如接种或筛查的意愿，可能会导致未来更有影响力的研究。
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