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从波兰患者的角度看 HPV 相关疾病的一级预防。

Primary prevention of HPV-related diseases from the patients' perspective in Poland.

机构信息

Faculty of Health Sciences, Jagiellonian University Medical College.

Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.

出版信息

Eur J Cancer Prev. 2024 Jul 1;33(4):299-308. doi: 10.1097/CEJ.0000000000000866. Epub 2023 Nov 30.

Abstract

OBJECTIVES

This study aimed to assess the knowledge of human papillomavirus (HPV) and attitudes toward HPV vaccination (HPVv) among female patients in Poland, investigating the impact of sociodemographic factors on these aspects. The study also explored awareness of state-funded bivalent vaccination and gauged willingness to vaccinate children, especially in the aspect of the newly introduced nonavalent vaccine.

MATERIAL AND METHODS

An 11-question questionnaire was administered to newly referred patients at a dysplasia consultation center in Kraków University Hospital between February and December 2022. Statistical analysis using IBM SPSS Statistics 25 evaluated sociodemographic characteristics, HPV knowledge, attitudes toward HPVv and correlations among responses.

RESULTS

By December 2022, 187 completed forms were received, primarily from women aged 30-40 years, residing in large cities, and with higher education qualifications. While most were aware of HPV's association with cancer and abnormal cytology, over 40% were unaware of its asymptomatic nature. Higher education is correlated with better HPV awareness. Participants generally showed positive attitudes toward HPVv for themselves and their children, yet only a small fraction had received the vaccine. Education significantly influenced HPV knowledge, with higher education levels linked to better awareness and willingness to vaccinate children. Awareness of HPV is positively correlated with knowledge test performance and vaccination attitudes.

CONCLUSION

The study revealed a lack of awareness regarding government co-financing for the bivalent vaccine. Campaigns endorsing reimbursed vaccination were found to be inadequate, highlighting the need for corrective measures to enhance awareness and improve vaccination rates, particularly for individuals outside the age range between 12 and 13 years relying on self-financing or sporadic government initiatives.

摘要

目的

本研究旨在评估波兰女性患者对人乳头瘤病毒(HPV)的认识和对 HPV 疫苗接种(HPVv)的态度,调查社会人口因素对这些方面的影响。本研究还探讨了对国家资助的二价疫苗的认识,并评估了为儿童接种疫苗的意愿,特别是在新引入的九价疫苗方面。

材料和方法

2022 年 2 月至 12 月,在克拉科夫大学医院的发育异常咨询中心,对新转诊的患者进行了一项 11 个问题的问卷调查。使用 IBM SPSS Statistics 25 进行统计分析,评估社会人口特征、HPV 知识、对 HPVv 的态度以及反应之间的相关性。

结果

截至 2022 年 12 月,共收到 187 份完整的表格,主要来自 30-40 岁、居住在大城市和受过高等教育的女性。虽然大多数人都知道 HPV 与癌症和异常细胞学有关,但超过 40%的人不知道其无症状性质。较高的教育程度与更好的 HPV 意识相关。参与者普遍对自己和孩子接种 HPVv 持积极态度,但只有一小部分人接种过疫苗。教育显著影响 HPV 知识,较高的教育水平与更好的意识和为孩子接种疫苗的意愿相关。HPV 意识与知识测试表现和接种态度呈正相关。

结论

研究显示,人们对二价疫苗政府共同资助缺乏认识。发现支持报销接种的宣传活动不足,这突出表明需要采取纠正措施来提高认识并提高接种率,特别是对于那些年龄在 12 至 13 岁之外、依赖自费或零星政府倡议的人。

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本文引用的文献

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Knowledge and attitudes of mothers toward HPV vaccination: A cross-sectional study in Kazakhstan.
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Cancer Treat Res Commun. 2023;34:100668. doi: 10.1016/j.ctarc.2022.100668. Epub 2022 Dec 8.
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