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印度社区层面人乳头瘤病毒疫苗接种的知识、态度和实践证据:系统评价和荟萃分析。

Evidence of Knowledge, Attitude, and Practice Regarding Human Papilloma Virus Vaccination at the Community Level in India: A Systematic Review and Meta-analysis.

机构信息

Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences Bhubaneswar, Odisha, India.

Department of Community Medicine, Shri Jagannath Medical College and Hospital, Puri, Odisha, India.

出版信息

Asian Pac J Cancer Prev. 2024 Mar 1;25(3):793-800. doi: 10.31557/APJCP.2024.25.3.793.

Abstract

BACKGROUND

Effective vaccines for the prevention of cervical cancers are available in India. The existing knowledge and attitude regarding the Human Papillomavirus (HPV) vaccine varies widely among available studies. Our study aimed to estimate pooled prevalence related to knowledge, attitude, and practice of HPV vaccination in India.

METHODOLOGY

We conducted systematic searches in PUBMED, EMBASE, CINHAL, PROQUEST, and Cochrane Library databases using database-specific search strategies. The random effects model was used for estimating the pooled proportion of knowledge, attitude, and practice. The outlier studies were identified using the Baujat test. Egger's regression test and funnel plots were used to identify publication bias.

RESULTS

Database-specific search strategies yielded 2,377 records from five databases. We identified 48 studies for full-text retrieval after screening titles and abstracts. Finally, 27 studies were included in the meta-analysis. The pooled prevalence of knowledge regarding HPV vaccines in India was 0.22 (CI;0.14-0.31, I2 =99.5%). The pooled prevalence of positive attitudes towards the uptake of HPV vaccines in India was 0.45 (CI;0.33-0.57, I2 =100%). The pooled prevalence of coverage of HPV vaccines in India was 0.04 (CI;0.02-0.07, I2 =96%). Significant publication bias was present for the studies' reported knowledge and coverage.

CONCLUSION

The knowledge, attitude, and coverage of the HPV vaccine were low in India. It suggests effective strategies to improve knowledge and attitudes towards HPV vaccination in India.

摘要

背景

在印度,预防宫颈癌的有效疫苗已经问世。现有研究中,人们对人乳头瘤病毒(HPV)疫苗的了解和态度差异很大。本研究旨在评估印度 HPV 疫苗接种的知识、态度和实践的综合流行率。

方法

我们在 PUBMED、EMBASE、CINHAL、PROQUEST 和 Cochrane Library 数据库中使用特定于数据库的搜索策略进行了系统搜索。使用随机效应模型估算知识、态度和实践的综合流行率。使用 Baujat 检验识别异常值研究。Egger 回归检验和漏斗图用于识别发表偏倚。

结果

从五个数据库的特定于数据库的搜索策略中产生了 2377 条记录。在筛选标题和摘要后,我们确定了 48 项进行全文检索的研究。最后,27 项研究纳入荟萃分析。印度 HPV 疫苗知识的综合流行率为 0.22(CI;0.14-0.31,I2 =99.5%)。印度对 HPV 疫苗接种的积极态度的综合流行率为 0.45(CI;0.33-0.57,I2 =100%)。印度 HPV 疫苗覆盖率的综合流行率为 0.04(CI;0.02-0.07,I2 =96%)。报道的知识和覆盖范围的研究存在显著的发表偏倚。

结论

印度 HPV 疫苗的知识、态度和覆盖率都很低。这表明印度需要采取有效的策略来提高对 HPV 疫苗接种的认识和态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1584/11152397/b82ff5825481/APJCP-25-793-g001.jpg

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