首页|基于网络问答文本的公众HPV疫苗知信行现状及干预策略分析

基于网络问答文本的公众HPV疫苗知信行现状及干预策略分析

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目的 探究社会公众关于HPV疫苗的关注主题及演化趋势,提出对我国HPV疫苗接种预防宫颈癌的对策及建议.方法 2022年3月14日采用Python爬虫从"知乎"网站中抓取"HPV疫苗"话题下讨论、精华、等待回答中的全部问答文本,采用LDA主题模型分析挖掘公众的关注主题并对其基于知信行理论进行健康行为改变维度划分.结合主题强度指标和时间序列分析法,揭示各关注主题的演化脉络.结果 知乎用户对HPV疫苗相关问题的关注主题有8个;基于"知信行"健康行为改变模型理论,HPV感染及高危因素、HPV疫苗研发与上市、疫苗接种知识和HPV疫苗与宫颈癌预防属于认知维度的主题,HPV疫苗接种犹豫属于信念维度的主题,疫苗的种类及选择、国产与进口疫苗对比、HPV疫苗预约渠道属于行为维度的主题;按主题随时间的发展变化趋势,可将8个主题划分为缓慢发展型、快速增长型、成熟发展型和逐渐衰退型主题.结论 知乎用户关于HPV疫苗关注主题内容既全面又系统,认知维度和行为维度的主题是其核心需求主题;总体来看,用户的关注主题正逐渐从认知维度向接种行为维度转化.本文据此提出我国公众HPV疫苗接种预防宫颈癌的知信行干预策略.
Public Knowledge,attitude and practice and prevention strategies of HPV vaccine based on online Q&A text
Objective To explore the public's concern about human papilloma virus(HPV)vaccine and its evolution trend,so as to put forward countermeasures and suggestions for the prevention of cervical cancer by HPV vaccination in China.Methods On March 14,2022,Python crawlers were used to capture all the Q&A texts in the discussion,essence and waiting for answers under the topic of"HPV vaccine"from the"Zhihu"website.The LDA topic model was used to explore the topic of public concern.Based on the Knowledge-Attitude-Practice(KAP)model theory,the topics were divided by the dimension of health behavior change.Combining the topic intensity index and time series analysis,the evolution context of each concerned topic was revealed.Results There were 8 topics about HPV vaccine in Zhihu users.Based on the health behavior change model of KAP,HPV infection and high-risk factors,HPV vaccine development and marketing,vaccination knowledge,and HPV vaccine and cervical cancer prevention belonged to the topic of knowledge dimension,HPV vaccine vaccination hesitation belonged to the topic of attitude dimension,and vaccine types and selection,comparison between domestic and imported vaccines,and HPV vaccine reservation channels belonged to the topic of practice dimension.According to the trend of topic development over time,eight topics could be divided into slow development,rapid growth,mature development and gradual decline.Conclusions Zhihu users'focusing on HPV vaccine are comprehensive and systematic,and the topics of knowledge dimension and practice dimension are the core needs.In general,the focus of users is gradually changing from the knowledge dimension to the vaccination practice dimension.Accordingly,this paper proposes a KAP intervention strategy for HPV vaccination to prevent cervical cancer in China.

HPV vaccineLDAKAP modelcervical cancer prevention and control

邰杨芳、王紫琼、吕小萍、郭樱、王君慧、华国旻、吴娟

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山西医科大学管理学院,太原 030001

HPV疫苗 LDA 知信行模型 宫颈癌防控

山西省高等学校教学改革创新一般性项目(2021)山西省高等学校教学改革创新一般性项目(2021)山西省研究生教育创新项目

J2021260J20212592021Y429

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(3)
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