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中国深圳女性对宫颈癌和人乳头瘤病毒疫苗知识的调查,以及选择国产或进口 2vHPV 疫苗的影响因素分析。

An investigation on cervical cancer and human papillomavirus vaccine knowledge, and analysis of influencing factors for choosing domestic or imported 2vHPV vaccine among females in Shenzhen, China.

机构信息

Department of Immunization Planning, Luohu District Center for Disease Control and Prevention, Shenzhen, China.

Department of Disease Control, Baoan Public Health Service Centre, Shenzhen, China.

出版信息

Hum Vaccin Immunother. 2023 Aug 1;19(2):2225389. doi: 10.1080/21645515.2023.2225389. Epub 2023 Jun 23.

Abstract

In 2020, the domestic (Chinese native) 2v human papillomavirus (HPV) vaccine was approved for use in females. At present, there are obvious differences in demand for different HPV vaccines. We aimed to investigate knowledge level of cervical cancer and HPV vaccine and its influencing factors among the eligible female recipients in Shenzhen, China, and to analyze the factors influencing choice of 2vHPV vaccine (domestic or imported) would be selected. A self-administered questionnaire was carried out on this investigation, and respondents were selected by random sampling method conducted by vaccination doctors. A total of 1197 valid questionnaires were collected, of which 729 (60.9%) were vaccinated with domestic vaccines and 468 (39.1%) were vaccinated with imported. Four hundred and fifty (61.7%) and 306 (65.4%) got a passing grade, respectively (χ = 1.637,  = .201). Logistic regression analysis showed that age ( = .002), ethnicity ( < .001), duration of residence in Shenzhen ( < .001), educational level ( < .001) and occupation ( < .001) were significant. It also showed that the manufacturers ( < .001), efficacy ( < .001), safety ( < .001), cognitive approach ( < .001), public opinion ( < .001), convenient acquisition ( < .001) and knowledge reserve ( = .035) were statistically significant. While price ( = .371) and doctor's suggestion ( = .114) were not. In conclusion, eligible female recipients had a high degree of knowledge regarding cervical cancer and HPV vaccine, education level and occupation were the most important factors for scores. Domestic 2vHPV vaccine was more widely utilized than imported, manufacturer, efficacy, safety, cognitive approach, public opinion, convenient acquisition, and knowledge reserve had an impact on selection for recipients, while price and doctor's suggestion did not.

摘要

2020 年,国内(中国本土)二价人乳头瘤病毒(HPV)疫苗获准用于女性。目前,不同 HPV 疫苗的需求存在明显差异。本研究旨在调查中国深圳符合条件的女性接种者对宫颈癌和 HPV 疫苗的知识水平及其影响因素,并分析影响其选择二价 HPV 疫苗(国产或进口)的因素。通过接种医生的随机抽样方法,采用自填式问卷进行了这项调查。共收集了 1197 份有效问卷,其中 729 名(60.9%)接种了国产疫苗,468 名(39.1%)接种了进口疫苗。分别有 450 名(61.7%)和 306 名(65.4%)获得及格分数(χ²=1.637,P=0.201)。Logistic 回归分析显示,年龄(P=0.002)、民族(P<0.001)、在深圳居住时间(P<0.001)、教育程度(P<0.001)和职业(P<0.001)均有显著差异。制造商(P<0.001)、疗效(P<0.001)、安全性(P<0.001)、认知途径(P<0.001)、舆论(P<0.001)、获取便利性(P<0.001)和知识储备(P=0.035)也有统计学意义。而价格(P=0.371)和医生建议(P=0.114)则没有。总之,符合条件的女性对宫颈癌和 HPV 疫苗的知识水平较高,教育程度和职业是影响分数的最重要因素。国产二价 HPV 疫苗的应用比进口疫苗更为广泛,制造商、疗效、安全性、认知途径、舆论、获取便利性和知识储备是影响接种者选择的因素,而价格和医生建议则不是。

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本文引用的文献

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[Expert recommendations on human papillomavirus vaccine immunization strategies in China].[中国人类乳头瘤病毒疫苗免疫策略专家建议]
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