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一项评估教育对女性医学生宫颈癌及人乳头瘤病毒(HPV)疫苗接种知识和态度影响的研究。

A Study to Assess the Impact of Education on the Knowledge and Attitude Toward Cervical Cancer and HPV (Human Papillomavirus) Vaccination Among Female Healthcare Students.

作者信息

Verma Ishan, Bajpai Rashmi, Arjaria Vibha, Garg Lekhraj, Mungad Ayushi, Singh Devendra, Gavli Jai, Khare Apurva

机构信息

General Medicine, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.

General Medicine, LN Medical College and Research Center, Bhopal, IND.

出版信息

Cureus. 2024 May 8;16(5):e59856. doi: 10.7759/cureus.59856. eCollection 2024 May.

Abstract

Background Cervical cancer ranks among the top five cancers in India, with human papillomavirus (HPV) types 16 and 18 causing up to 70% of related lesions. HPV infection, acquired through various routes, poses risks for both men and women, especially in the age group of 16 to 25 years. Effective prevention is possible through HPV vaccination, with Cervarix and Gardasil approved for use in India. Despite its proven efficacy, HPV vaccine use remains minimal. This study aims to evaluate awareness, willingness, and barriers among female healthcare students while assessing the impact of a health education program on their knowledge and attitude. Methods The present study is an educational interventional study conducted on 489 female students in the healthcare sector in the age group of 19-25 years. Two questionnaires (pre-lecture and post-lecture) were used. After the pre-lecture questionnaire, a session on cervical cancer and vaccine education was delivered by the subject expert. Afterward, the post-lecture questionnaire was given and the impact of session was analyzed using various statistical tools. Result A total of 489 students across MBBS (Bachelor of Medicine, Bachelor of Surgery), BAMS (Bachelor of Ayurvedic Medicine and Surgery), BHMS (Bachelor of Homoeopathic Medicine and Surgery), paramedical, and nursing courses participated in the study. Prior to the lecture, knowledge regarding cervical cancer and vaccines was generally low across subgroups, witnessing improvements ranging from 60% to 100% in various questionnaire sections post-education. Understanding of the importance of a Pap smear (Papanicolaou test) increased significantly from 21% to 79% after the educational session. The most preferred measure to boost coverage was the inclusion of the HPV vaccine in the National Immunization Schedule, with lack of awareness identified as the most significant barrier. Conclusion An educational session not only enhances knowledge but also boosts willingness for cervical cancer vaccination. Inclusion of the vaccine in the National Immunization Schedule not only increases acceptability but also indirectly raises awareness.

摘要

背景

宫颈癌在印度位列五大癌症之一,16型和18型人乳头瘤病毒(HPV)导致高达70%的相关病变。HPV感染可通过多种途径获得,对男性和女性都构成风险,尤其是在16至25岁年龄组。通过HPV疫苗接种可实现有效预防,Cervarix和Gardasil已在印度获批使用。尽管其疗效已得到证实,但HPV疫苗的使用仍然很少。本研究旨在评估女性医学生的知晓率、意愿和障碍,同时评估健康教育项目对她们知识和态度的影响。

方法

本研究是一项针对489名年龄在19 - 25岁的医疗保健行业女学生开展的教育干预研究。使用了两份问卷(讲座前和讲座后)。在讲座前问卷之后,由专业人员进行了一场关于宫颈癌和疫苗接种的教育讲座。之后,发放讲座后问卷,并使用各种统计工具分析讲座的影响。

结果

共有489名来自医学学士与外科学士(MBBS)、阿育吠陀医学与外科学士(BAMS)、顺势疗法医学与外科学士(BHMS)、辅助医疗和护理课程的学生参与了研究。讲座前,各亚组对宫颈癌和疫苗的知识普遍较低,教育后各问卷部分的知晓率提高了60%至100%。教育讲座后,对巴氏涂片(帕帕尼科拉乌试验)重要性的理解从21%显著提高到79%。提高覆盖率的最优先措施是将HPV疫苗纳入国家免疫规划,缺乏知晓被确定为最主要的障碍。

结论

一场教育讲座不仅能增加知识,还能提高宫颈癌疫苗接种的意愿。将疫苗纳入国家免疫规划不仅能提高可接受性,还能间接提高知晓率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9f/11157296/8e3fc6c76521/cureus-0016-00000059856-i01.jpg

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