医学实习生人乳头瘤病毒疫苗相关知识知晓及接种行为影响因素
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1.江苏联合职业技术学院南京卫生分院;2.南京高新医院内科;3.南京医科大学附属江宁医院预防保健科

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2021年长三角免疫规划领军人才研究项目(CSJP005):4价人乳头瘤病毒疫苗接种后HPV16/18感染及其免疫微环境特点


Knowledge related to human papillomavirus vaccine and factors influencing vaccination behavior among medical interns
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Nanjing high-tech hospital

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    摘要:

    采用自行设计问卷对江苏省4所医院实习生进行随机整群抽样后匿名调查人乳头瘤病毒及疫苗相关知识知晓情况和疫苗接种行为,探讨接种行为影响因素。发放问卷1250份,回收有效问卷 1230 份。结果显示医学实习生宫颈癌知晓率为53.6%,人乳头瘤病毒知晓率为33.3%,疫苗知晓率为54.7%。疫苗获知途径依次为学校教育(42.0%)、官方宣传(36.1%)、媒体传播(35.2%)和人际交流(30.2%);60%以上受访者认为疫苗安全性、有效性和免疫持续时间影响疫苗推广,54.3%受访者能接受的疫苗费用小于500元。受访女生疫苗接种率为15.7%,多因素Logistic回归分析显示能接受疫苗费用越高、知晓HPV疫苗、认为HPV愈后会再感染、通过人际交流获知疫苗、学历高促进接种行为,而通过电视网络等媒体获知疫苗是接种行为的消极因素。因此提高疫苗接种率需要采取综合措施,重视人际交流的传播方式。

    Abstract:

    A self-designed questionnaire was used to anonymously investigate the awareness of human papillomavirus and vaccine related knowledge and vaccination behavior among interns from four hospitals in Jiangsu Province, and to explore the influencing factors of vaccination behavior. A total of 1250 questionnaires were distributed and 1230 valid questionnaires were recalled. The results showed that the awareness rate of cervical cancer was 53. 6% , that of HPV was 33. 3% and 54.7% of the students were heared of HPV vaccination. School education (42.0%) , official propaganda (36.1%) , media transmission (35.2%) , and interpersonal communication (30.2%) were the most common routes of transmission. More than 60% of the respondents believed that the safety, efficacy and immune duration of the vaccine would affect the promotion of the vaccine, and 54.3% of the respondents were able to receive the vaccine at a cost less than 500 yuan. The vaccination rate of 944 female students was 15.7% . Multiple logistic regression analysis showed that the better economic condition, getting the knowledge of the vaccine through interpersonal communication, and the higher the education level, were the important factors to promote the vaccination behavior. The rate of receiving vaccination is still low. It is necessary to adopt comprehensive measures to improve the vaccination rate, and emphasis should be placed on interpersonal communication as a means of transmission.

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  • 收稿日期:2023-07-04
  • 最后修改日期:2023-09-26
  • 录用日期:2023-09-28
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