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Rev Assoc Med Bras (1992). 2019 Jun 3;65(5):625-632. doi: 10.1590/1806-9282.65.5.625.

巴西里约热内卢州医生对人乳头瘤病毒传播和预防的认识。

Knowledge about human papillomavirus transmission and prevention among physicians in Rio de Janeiro state, Brazil.

机构信息

Universidade Federal Fluminense, Faculdade de Medicina - Niterói (RJ), Brazil.

Universidade Federal Fluminense, Instituto de Saúde Coletiva, Departamento de Epidemiologia e Bioestatística - Niterói (RJ), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2023 Apr 21;69(4):e20220291. doi: 10.1590/1806-9282.20220291. eCollection 2023.

DOI:10.1590/1806-9282.20220291
PMID:37098929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176655/
Abstract

OBJECTIVE

This study aimed to assess physicians' knowledge about human papillomavirus infection and its prevention.

METHODS

Descriptive web-based survey with 15 objective questions targeted to physicians affiliated with the Regional Council of Medicine from Rio de Janeiro state, Brazil. Participants were invited by e-mail and the Council social networks, between January and December 2019.

RESULTS

The study sample had 623 participants, with a median age of 45 years, predominantly women (63%). The most frequent specialties were Obstetrics and Gynecology (21.1%), Pediatrics (11.2%), and Internists (10.5%). Concerning human papillomavirus knowledge, 27.9% of the participants were able to identify accurately all possible forms of transmission, and none of them could recognize all the risk factors of infection. Nevertheless, 95% recognized that asymptomatic infection could occur in both sexes. Regarding knowledge about clinical manifestations, diagnosis, and screening, only 46.5% were able to identify all human papillomavirus-related cancers, 42.6% were aware of the periodicity of Pap smears, and 39.4% indicated that serological test was not adequate for diagnosis. The recommended age group for human papillomavirus vaccination was recognized by 94% of the participants, as well as the need for a Pap smear and the use of condoms, even after vaccination.

CONCLUSIONS

There is good knowledge about prevention and screening for human papillomavirus infections; many gaps were identified regarding transmission, risk factors, and associated diseases among physicians in Rio de Janeiro state.

摘要

目的

本研究旨在评估医生对人乳头瘤病毒感染及其预防的了解。

方法

这是一项基于网络的描述性研究,针对的是来自巴西里约热内卢州医学理事会的医生,共有 15 个客观问题。研究对象是在 2019 年 1 月至 12 月期间通过电子邮件和理事会的社交网络邀请的。

结果

研究样本共有 623 名参与者,平均年龄为 45 岁,主要为女性(63%)。最常见的专业是妇产科(21.1%)、儿科(11.2%)和内科(10.5%)。在人乳头瘤病毒知识方面,27.9%的参与者能够准确识别所有可能的传播途径,且无人能识别出所有感染的危险因素。然而,95%的人认为男女都可能发生无症状感染。关于临床表现、诊断和筛查方面的知识,只有 46.5%的人能够识别出所有与人乳头瘤病毒相关的癌症,42.6%的人知道巴氏涂片的周期性,39.4%的人认为血清学检测不适用于诊断。94%的参与者认识到人乳头瘤病毒疫苗接种的推荐年龄组,以及巴氏涂片和使用避孕套的必要性,即使在接种疫苗之后也是如此。

结论

医生对人乳头瘤病毒感染的预防和筛查有很好的了解;但在传播、危险因素和与该疾病相关的疾病方面,仍有许多知识空白。