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孟加拉国符合条件的女儿的父母对人乳头瘤病毒(HPV)疫苗的认知及其社会人口学决定因素:一项全国性研究。

Awareness of HPV vaccine and its socio-demographic determinants among the parents of eligible daughters in Bangladesh: A nationwide study.

作者信息

Eva Fahima Nasrin, Khan Md Abdullah Saeed, Islam Tariful, Monisha Umme Kulsum, Meem Nur-E-Safa, Hossain Mohammad Ali, Goutam Arpita, Zerin Tahmina, Alam Nishat, Nath Rima, Sifat Shamma, Sultana Sayla, Sultana Mosammat Sadeka, Saha Sumit Kumar, Sarker Naifa Enam, Rahman Mohammad Lutfor, Nabi Mohammad Hayatun, Hawlader Mohammad Delwer Hossain

机构信息

Department of Public Health, North South University, Dhaka, 1229, Bangladesh.

Public Health Promotion and Development Society (PPDS), Dhaka, 1205, Bangladesh.

出版信息

Heliyon. 2024 May 8;10(10):e30897. doi: 10.1016/j.heliyon.2024.e30897. eCollection 2024 May 30.

Abstract

BACKGROUND

Vaccination against Human papillomavirus (HPV) is recommended to avoid HPV infections and its associated diseases, including cervical cancer. However, there is no awareness study among Bangladeshi population. Hence, this nationwide study was conducted to explore HPV vaccine awareness and its determinants among parents of eligible adolescent girls.

METHODS

This study was conducted among the parents of daughters aged 9-15 years from 42 out of 64 randomly selected districts of Bangladesh between June 28 to August 2, 2023. A multistage sampling method was used to enroll 2151 study participants from all eight divisions of Bangladesh. A semi-structured questionnaire was used for face-to-face interviews in this study. The statistical software Stata (Version 17) was used for statistical analyses.

RESULTS

The average age of the participants was 38.18 (±5.86) years. Only 22.32 % of the participants were aware of the HPV vaccine. Every additional year of age increased the likelihood of being aware of the HPV vaccine by 3 % (AOR: 1.03; 95%CI: 1.00-1.06). Participants residing in the urban area had 3.56 times higher odds of awareness than rural and semi-urban people. Businessmen and housewives had 60 % (AOR: 0.40; 95 % CI: 0.22-0.69) and 77 % (AOR: 0.23; 95 % CI: 0.16-0.33) lower odds in comparison to job holders. The lower-income group exhibited significantly higher odds of awareness (AOR: 0.25, 95%CI: 0.16-0.39) compared to the middle and the higher-income group. Participants who never went through routine health check-ups had 77 % lower odds of being aware than those who availed of regular routine check-ups (AOR: 0.23; 95%CI: 0.16-0.34).

CONCLUSION

Awareness of the HPV vaccine among the general population of Bangladesh is very low. Age, residence, occupation, monthly income, and routine medical check-ups were associated with HPV vaccine awareness. A nationwide awareness campaign would increase this awareness level among the Bangladeshi population, especially among the parents of daughters.

摘要

背景

推荐接种人乳头瘤病毒(HPV)疫苗以预防HPV感染及其相关疾病,包括宫颈癌。然而,孟加拉国人群中尚无相关认知度研究。因此,开展了这项全国性研究,以探讨符合条件的青春期女孩父母对HPV疫苗的认知及其决定因素。

方法

2023年6月28日至8月2日期间,在孟加拉国64个随机抽取的地区中的42个地区,对年龄在9至15岁女儿的父母进行了这项研究。采用多阶段抽样方法从孟加拉国所有八个行政区招募了2151名研究参与者。本研究使用半结构化问卷进行面对面访谈。使用统计软件Stata(版本17)进行统计分析。

结果

参与者的平均年龄为38.18(±5.86)岁。只有22.32%的参与者知晓HPV疫苗。年龄每增加一岁,知晓HPV疫苗的可能性增加3%(调整优势比:1.03;95%置信区间:1.00-1.06)。居住在城市地区的参与者知晓的几率比农村和半城市地区的人高3.56倍。与有工作的人相比,商人和家庭主妇知晓的几率分别低60%(调整优势比:0.40;95%置信区间:0.22-0.69)和77%(调整优势比:0.23;95%置信区间:0.16-0.33)。与中等收入和高收入群体相比,低收入群体知晓的几率显著更高(调整优势比:0.25,95%置信区间:0.16-0.39)。从未进行过常规健康检查的参与者知晓的几率比进行过定期常规检查的参与者低77%(调整优势比:0.23;95%置信区间:0.16-0.34)。

结论

孟加拉国普通人群对HPV疫苗的认知度非常低。年龄、居住地点、职业、月收入和常规体检与HPV疫苗认知度相关。全国性的宣传活动将提高孟加拉国人群,特别是女儿父母的认知水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c7/11109798/783b8166403b/gr1.jpg

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