Institutes of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.
Bahçelievler State Hospital, Istanbul, Turkey.
Public Health Nurs. 2024 Nov-Dec;41(6):1342-1352. doi: 10.1111/phn.13408. Epub 2024 Aug 29.
This study was conducted to determine women's health beliefs about HPV and HPV vaccination and factors associated with health beliefs. This cross-sectional study was conducted with 300 women aged 21-64 in Turkey. Data were collected using the human papillomavirus (HPV) knowledge scale (HPV-KS) and the health belief model scale for human papillomavirus and its vaccination (HBMS-HPVV). The mean age of the women who participated in the study was 35.16 ± 9.52 years. Of them, 72.3% heard of the HPV test, 30.3% had an HPV test, 62% heard of HPV vaccination, and 9.7% had HPV vaccination. Educational level, hearing about the HPV vaccine, and HPV knowledge level were significant predictors of perceived benefit (p < .001). HPV knowledge level significantly predicted perceived susceptibility (p < .001). HPV knowledge level and hearing about HPV tests and vaccines were significant predictors of perceived severity (p < .001). A high level of education, a high level of HPV knowledge, and hearing about HPV tests and the HPV vaccine positively affect women's health beliefs. Health belief model-based education programs should be used to improve women's HPV knowledge and health beliefs about HPV and the HPV vaccine. In addition to women's health beliefs, cervical cancers can only be prevented by including the HPV vaccine in national immunization programs and increasing the coverage of HPV screening tests.
本研究旨在确定女性对 HPV 和 HPV 疫苗的健康信念以及与健康信念相关的因素。这是一项在土耳其进行的横断面研究,共纳入 300 名年龄在 21-64 岁的女性。使用人乳头瘤病毒(HPV)知识量表(HPV-KS)和人乳头瘤病毒及其疫苗的健康信念模型量表(HBMS-HPVV)收集数据。参与研究的女性平均年龄为 35.16±9.52 岁。其中,72.3%听说过 HPV 检测,30.3%进行了 HPV 检测,62%听说过 HPV 疫苗接种,9.7%接种了 HPV 疫苗。教育程度、听说过 HPV 疫苗以及 HPV 知识水平是感知益处的显著预测因素(p<0.001)。HPV 知识水平显著预测感知易感性(p<0.001)。HPV 知识水平和听说过 HPV 检测和疫苗是感知严重程度的显著预测因素(p<0.001)。高教育程度、高水平的 HPV 知识以及听说过 HPV 检测和 HPV 疫苗,均能正向影响女性的健康信念。应采用基于健康信念模型的教育计划来提高女性对 HPV 和 HPV 疫苗的 HPV 知识和健康信念。除了女性的健康信念外,只有将 HPV 疫苗纳入国家免疫规划并提高 HPV 筛查检测的覆盖率,才能预防宫颈癌。