Department of Obstetrics and Gynecology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Front Public Health. 2024 Jun 4;12:1377343. doi: 10.3389/fpubh.2024.1377343. eCollection 2024.
This study aimed to investigate the knowledge, attitude, and practice (KAP) of human papillomavirus (HPV) and self-sampling among adult women.
The cross-sectional, questionnaire-based study included adult women at Shanghai Pudong Hospital from October 14, 2022, to March 31, 2023. The questionnaire contained demographic information, knowledge, attitude and practice dimensions. Factors associated with KAP and self-sampling were identified by multivariate logistic regression.
A total of 1843 valid questionnaires were collected. The average knowledge, attitude, and practice score was 10.09 ± 5.60, 26.76 ± 3.80, and 6.24 ± 2.20, respectively. Urban residents (estimate = 0.705, < 0.001), suburban residents (estimate = 0.512, < 0.001), as well as individuals with undergraduate degrees and higher (estimate = 0.535, < 0.001), were associated with good knowledge, while individuals lacking a history of HPV infection (estimate = -0.461, 0.001) and married individuals (estimate = -0.185, < 0.001) were less likely to have good knowledge. Higher knowledge scores (estimate = 0.087, 0.001) and individuals with undergraduate education and above (estimate = 1.570, 0.001) were associated with a positive attitude. Being married (estimate = 0.291, 0.049) was associated with good practice, whereas not engaging in sexual activity (estimate = -0.959, 0.001) or lacking a history of HPV infection (estimate = -0.499, 0.011) were associated with unfavorable practices. Minorities (OR = 2.787, = 0.038) and individuals with multiple sexual partners (OR = 2.297 for two partners, OR = 2.767 for three or more partners, = 0.020 and = 0.022) were positively associated with self-sampling. However, higher knowledge (OR 0.952, 0.026) and attitude scores (OR 0.929, 0.015) were negatively associated with self-sampling.
Demographic and behavioral factors significantly influenced KAP scores and self-sampling behaviors regarding HPV. Urban residency, higher education levels, positive attitudes, and minority status correlated with favorable outcomes, while factors like marriage and lack of sexual activity were associated with less favorable practices.
本研究旨在调查 HPV 相关知识、态度和实践（KAP）以及成年女性的自我采样情况。
本横断面问卷调查研究纳入了 2022 年 10 月 14 日至 2023 年 3 月 31 日期间在上海浦东医院就诊的成年女性。问卷包含人口统计学信息、知识、态度和实践等维度。采用多因素 logistic 回归分析 KAP 和自我采样的相关因素。
共收集了 1843 份有效问卷。平均知识、态度和实践得分为 10.09±5.60、26.76±3.80 和 6.24±2.20。城市居民（估计值=0.705，<0.001）、郊区居民（估计值=0.512，<0.001）以及本科及以上学历者（估计值=0.535，<0.001）与良好的知识水平相关，而无 HPV 感染史者（估计值=-0.461，<0.001）和已婚者（估计值=-0.185，<0.001）则不太可能具有良好的知识水平。较高的知识得分（估计值=0.087，<0.001）和本科及以上学历者（估计值=1.570，<0.001）与积极的态度相关。已婚者（估计值=0.291，<0.049）与良好的实践行为相关，而无性行为（估计值=-0.959，<0.001）或无 HPV 感染史（估计值=-0.499，0.011）者与不良行为相关。少数民族（OR=2.787，=0.038）和有多个性伴侣者（与两个性伴侣 OR=2.297，与三个或更多性伴侣 OR=2.767，=0.020 和=0.022）与自我采样呈正相关。然而，较高的知识（OR=0.952，<0.026）和态度得分（OR=0.929，<0.015）与自我采样呈负相关。
人口统计学和行为因素对 HPV 相关知识、态度和实践以及自我采样行为有显著影响。城市居住、较高的教育水平、积极的态度和少数民族身份与良好的结局相关，而婚姻状况和缺乏性行为与不太有利的行为相关。
