摘要
目的 了解目前柳州市育龄女性对宫颈癌筛查及HPV疫苗接种认知现状,分析其影响因素,为推进宫颈癌筛查及疫苗接种工作提供相应的政策建议.方法 选取2021年7月-2023年2月柳州市不同职业育龄女性1800人,统计其基本信息及对HPV和宫颈癌筛查相关知识的认知情况、接种HPV疫苗和参与宫颈癌筛查的情况.一对一访谈式进行问卷调查,分析其影响因素.结果 18~29岁的女性对HPV疫苗接种率最高,为21.98%;年龄在18~29岁、文化程度在大专及以上、政府及企事业单位女性对宫颈癌筛查认知度分别为71.98%、60.97%、48.07%;小学及以下文化、收入在5000元以下的女性对宫颈癌筛查认知度最低,分别为12.04%、13.98%.影响疫苗接种和宫颈癌筛查的最主要原因是认知度低下,其次是价格因素、担心疫苗安全性和有效性.结论 柳州市育龄女性对HPV及宫颈癌筛查相关知识的认知不足,需提高公众对HPV及宫颈癌筛查相关知识的认知度,建议制定适合我国国情的疫苗接种和宫颈癌筛查政策,普及疫苗接种,扩大筛查范围,降低宫颈癌的发病率.
Abstract
Objective To understand the current awareness status of cervical cancer screening and HPV vaccination among women of childbearing age in Liuzhou City,analyze its influencing factors,and provide corresponding policy recommendations for promoting cervical cancer screening and vaccination.Methods A total of 1800 women of childbearing age with different occupations in Liuzhou from July 2021 to February 2023 were selected,and their basic information,knowledge of HPV and cervical cancer screening,HPV vaccination and participation in cervical cancer screening were statistically analyzed.One-on-one interview questionnaire survey was conducted to analyze its influencing factors.Results The willingness of women aged 18-29 to receive HPV vaccination was 21.98%.The awareness rate of cervical cancer screening was 71.98%,60.97%and 48.07%in women aged 18-29 years,with college degree or above,government,enterprises and institutions,respectively.Women with primary school education and below,and income below 5000 yuan had the lowest awareness of cervical cancer screening,12.04%and 13.98%,respectively.The most important reason affecting vaccination and cervical cancer screening is low awareness,followed by price factors,concerns about vaccine safety and effectiveness.Conclusion Women of childbearing age in Liuzhou have insufficient knowledge of HPV and cervical cancer screening.It is necessary to improve the public's knowledge of HPV and cervical cancer screening.It is suggested to formulate vaccination and cervical cancer screening policies suitable for China's national conditions,popularize vaccination,expand the scope of screening,and reduce the incidence of cervical cancer.
基金项目
广西卫生健康委自筹经费科研课题(Z20211547)