非醫(yī)學(xué)專業(yè)大學(xué)生對人乳頭瘤病毒及其疫苗認(rèn)知現(xiàn)況調(diào)查分析
發(fā)布時間：2019-05-18 12:18
【摘要】：目的：通過對非醫(yī)學(xué)專業(yè)類大學(xué)生群體的問卷調(diào)查，研究他們對于HPV、HPV相關(guān)疾病和疫苗相關(guān)知識的認(rèn)知水平以及他們對于HPV疫苗的接種意愿。為HPV疫苗應(yīng)用的決策者提供依據(jù)，找出國內(nèi)推廣HPV疫苗存在的潛在障礙，為制定我國HPV預(yù)防性疫苗的接種政策提出科學(xué)建議。 方法：本研究基于《中國大學(xué)生對人乳頭瘤病毒及HPV預(yù)防性疫苗認(rèn)知的多中心研究》設(shè)計要求，采用橫斷面流行病學(xué)調(diào)查方法，采取分層整群抽樣方法在大連市選取兩所大學(xué)的學(xué)生（一所一類本科大學(xué)、一所三類本科學(xué)院的18-22歲非醫(yī)學(xué)專業(yè)的本科學(xué)生）為調(diào)查對象。應(yīng)用統(tǒng)一設(shè)計的調(diào)查表進(jìn)行匿名調(diào)查，調(diào)查問卷由被調(diào)查者在知情同意的情況下獨立填寫。調(diào)查數(shù)據(jù)由經(jīng)過培訓(xùn)的研究者運(yùn)用EpiData數(shù)據(jù)庫進(jìn)行雙份錄入和管理。采用SPSS13.0對調(diào)查數(shù)據(jù)進(jìn)行統(tǒng)計描述，采用χ2檢驗，檢驗水平為0.05。 結(jié)果：非醫(yī)學(xué)專業(yè)大學(xué)生對HPV知曉率偏低，總體知曉率僅為16.7%。按年級、專業(yè)及學(xué)籍類別分組分析，得到HPV知曉率情況。一類本科大學(xué)生的知曉率為16.5%，三類本科大學(xué)生的知曉率為17.3%，差異沒有統(tǒng)計學(xué)意義（P0.05）。一本大學(xué)生中：低年級學(xué)生的知曉率為13.0%，高年級學(xué)生的知曉率為21.0%，差異不顯著（P0.05）；文科學(xué)生和理科學(xué)生的知曉率分別為27.5%和7.8%，差異顯著（P0.05）；文科生中男生HPV知曉率是37.1%，女生知曉率是17.3%,差異無統(tǒng)計學(xué)意義（P0.05）；理科生中男生HPV知曉率為8.7%，女生為6.6%，差異未見有統(tǒng)計學(xué)意義（P0.05）；文科低年級學(xué)生中聽說過HPV的占30.0%，高年級學(xué)生占25.4%，無統(tǒng)計學(xué)意義（P0.05）；理科低年級學(xué)生中認(rèn)知率僅2.2%，而高年級則為16.7%，P0.05，有顯著差異。三類本科大學(xué)生總體HPV知曉率為17.3%。低年級學(xué)生為15.9%，高年級學(xué)生為21.4%；三本男生的知曉率為18.8%，女生知曉率為13.3%，差異均無統(tǒng)計學(xué)意義。有過性行為的大學(xué)生知曉率為30.8%，明顯高于無性生活史的大學(xué)生的認(rèn)知率15.1%，P0.05，差異有統(tǒng)計學(xué)意義。大學(xué)生群體對HPV相關(guān)疾病知識的認(rèn)知均不高。 被調(diào)查大學(xué)生HPV疫苗整體知曉率僅為12.8%。一本知曉率15.4%高于三本知曉率6.4%，P0.05，差異顯著；一本文科學(xué)生知曉率為27.5%，遠(yuǎn)遠(yuǎn)高于理科生的知曉率5.9%，，P=0.00；在文科學(xué)生中男女生知曉率分別為29%，25.9%；高年級文科生的知曉率為35.6%，低年級為19.7%，差異不明顯。低年級理科生知曉率（2.2%）遠(yuǎn)低于高年級理科生的知曉率（11.7%）,二者差異有統(tǒng)計學(xué)意義（P=0.029）。三本學(xué)生對HPV疫苗知曉率均偏低，且低、高年級間及性別間的差異均沒有統(tǒng)計學(xué)意義（P0.05）。 聽說過HPV疫苗的大學(xué)生里只有61.2%了解該疫苗預(yù)防何種疾病。有68.4%的大學(xué)生愿意接種疫苗。知曉HPV的大學(xué)生中有76.9%表示愿意接種疫苗，不知曉HPV的大學(xué)生有66.5%愿意接種疫苗，OR值為3.84，其95%可信區(qū)間為1.83~7.04。大學(xué)生對適合接種HPV疫苗的機(jī)構(gòu)選擇，主要集中在疾病預(yù)防控制中心（56.9%）和綜合醫(yī)院（11.7%）。 疫苗接種的最佳人群選項，只有9.9%的大學(xué)生選擇了尚無初次性行為者作為疫苗接種的最佳人群。26.6%的大學(xué)生認(rèn)為接種HPV預(yù)防性疫苗的最佳年齡段是16~18歲，19.6%的人認(rèn)為19~21歲為接種的最佳年齡，還有28.5%的人不知道最佳的接種年齡應(yīng)是多大。不愿意接種疫苗的主要原因除擔(dān)心疫苗的安全性外（占92.1%），還擔(dān)心目前疫苗沒有大范圍推廣使用（占47.2%）。無論是國產(chǎn)疫苗或進(jìn)口疫苗，大學(xué)生能承擔(dān)的最高價格均不超過300元，并且認(rèn)為疫苗上市政府應(yīng)該補(bǔ)貼72.5%以上的費用。 結(jié)論：1、大學(xué)生群體對HPV和HPV疫苗的認(rèn)知程度較低。大部分人不清楚HPV疫苗最佳接種年齡及最有效接種人群。2、大學(xué)生群體對HPV疫苗接種意愿較高。愿意接種的原因為接種疫苗能降低感染HPV的風(fēng)險，可使自己及伴侶從中獲益；不愿意接種HPV疫苗的主要原因有疫苗的價格過高、目前疫苗還沒有大范圍推廣使用及擔(dān)心疫苗的安全性和有效性等。3、大學(xué)生群體對疫苗的支付能力有限，能承擔(dān)的最高價格不超過300元，并且希望政府在疫苗價格方面給予相應(yīng)補(bǔ)貼。
[Abstract]:Objective: To study the cognitive level of HPV, HPV-related diseases and vaccine-related knowledge and their will to the HPV vaccine through the questionnaire of non-medical professional college students. To provide the basis for the decision-makers in the application of the HPV vaccine, to find out the potential barriers to the extension of the HPV vaccine in China, and to make scientific suggestions for the development of the vaccination policy of the HPV vaccine in China. Methods: This study was based on the multi-center study on the cognition of human papillomavirus and the prevention of human papillomavirus (HPV) in Chinese college students. The cross-sectional epidemiological investigation was applied to select two students from two universities in Dalian. The 18-22-year-old non-medical student of a three-class college is an investigation In the case of an anonymous survey of the questionnaire applied in a uniform design, the questionnaire was filled independently by the respondent under the informed consent. Write. The survey data is entered and managed by trained researchers using the EpiData database A. Statistical description of the survey data using the SPSS13.0. The level of the test is 0.0. 5. Results: The knowledge of HPV was low in non-medical college students, and the overall awareness rate was only 16. .7%. HPV awareness is obtained by grouping analysis of grade, specialty, and class The rate is about 16.5% for a class of undergraduate students and 17.3% among the three types of undergraduate students, and the difference is not significant (P0. (05) In a college student, the awareness rate of the low-grade students is 13.0%, the awareness rate of the senior students is 21.0%, the difference is not significant (P0.05), the awareness rate of the students and the science students is 27.5% and 7.8%, the difference is significant (P0.05); and the rate of the HPV awareness among the boys in the Wenke students is 37. 1%, the rate of women's awareness was 17.3%, the difference was not significant (P <0.05), the rate of HPV was 8.7% and the number of female students was 6.6%, and the difference was not significant (P0.05). Among the students in the lower grade of the liberal arts, the proportion of HPV was 30.0%, and the higher-grade students account for 25%. 4%, no statistical significance (P0.05), only 2.2% of the students in the lower grade of science, 16.7% in the higher grade, and 0.05 in the higher grade. Differences. The overall HPV awareness rate of three types of undergraduate students is 17 .3%. The low-grade students are 15.9% and 21.4% for the upper-grade students; the awareness rate of the three boys is 18.8%, the awareness rate of the girls is 13.3%, and the difference is no statistics The cognition rate of the college students who had the sexual behavior was 30.8%, the cognitive rate of the college students obviously higher than that of the non-sexual life history was 15.1%, P0.05, and the difference was statistically significant. The significance of the study. The cognition of the knowledge of the HPV-related diseases among the college students Not high. The overall awareness rate of the HPV vaccine of the investigated college students is only 12.8%. A well-known awareness rate of 15.4% is higher than that of the three people's awareness rate of 6.4%, P0.05, and the difference is significant; the awareness rate of one of the students is 27.5%, which is far higher than that of the science and technology students, with a rate of 5.9%, P = 0.00, and the awareness rate of the students and men in the Wenke students is 29% and 25.9%, respectively; and the awareness rate of the students in the higher grades is as follows: 35.6%, with a low grade of 19.7%, The difference was not obvious. The rate of knowledge of the lower grade (2.2%) was far lower than that of the senior management (11.7%), and the difference was significant (P = 0). .029) The awareness rate of HPV vaccine was low in the three students, and there was no significant difference between the upper and the higher grades and between the sexes (P 0.05). Only 61.2% of the college students who have heard of the HPV vaccine know the epidemic. What kind of disease is to be prevented. There are 68.4% of the universities The students are willing to vaccinate. 76.9% of the college students who know HPV are willing to vaccinate, and 66.5% of the students who do not know HPV are willing to vaccinate. The OR value is 3.84, and the 95% confidence interval is 1. 83-7.04. The selection of the university students for the mechanism of HPV vaccine is mainly focused on the disease prevention and control center (56.9%) and the comprehensive hospital (11.7 per cent). The best population option for vaccination, only 9.9 per cent of the students selected the best population to be vaccinated as a vaccine. 26.6 per cent of the university students considered that the best age group to be vaccinated against HPV was 16-18 years and 19.6 per cent considered 19-21 The best age for inoculation, and 28.5% of people are not aware of the best The age of vaccination should be so large. The main causes of the reluctance to vaccinate the vaccine, in addition to the safety of the vaccine (92.1 per cent), are also concerned that the current vaccine has not been extended in a wide range. (47.2%). The highest price for college students, whether domestic or imported, is not more than 300 yuan, and it is considered that the municipal government should subsidise 7 More than 2.5% of the cost. Conclusion:1. The population of college students is against HPV and H. The level of the PV vaccine is low. Most of the population is not aware of the best vaccination age and the most effective population of the HPV vaccine. The higher will of the HPV vaccine to be vaccinated. The reason for the willingness to vaccinate is that the vaccine can reduce the risk of infection with the HPV and benefit itself and the partner; the main reason for not to be vaccinated is that the price of the vaccine is too high, and the current vaccine has not been widely used and the vaccine is concerned 3. The students' ability to pay the vaccine is limited, the maximum price can be no more than 300 yuan, and it is hoped that the government will be in the epidemic
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R737.33
本文編號：2479991
[Abstract]:Objective: To study the cognitive level of HPV, HPV-related diseases and vaccine-related knowledge and their will to the HPV vaccine through the questionnaire of non-medical professional college students. To provide the basis for the decision-makers in the application of the HPV vaccine, to find out the potential barriers to the extension of the HPV vaccine in China, and to make scientific suggestions for the development of the vaccination policy of the HPV vaccine in China. Methods: This study was based on the multi-center study on the cognition of human papillomavirus and the prevention of human papillomavirus (HPV) in Chinese college students. The cross-sectional epidemiological investigation was applied to select two students from two universities in Dalian. The 18-22-year-old non-medical student of a three-class college is an investigation In the case of an anonymous survey of the questionnaire applied in a uniform design, the questionnaire was filled independently by the respondent under the informed consent. Write. The survey data is entered and managed by trained researchers using the EpiData database A. Statistical description of the survey data using the SPSS13.0. The level of the test is 0.0. 5. Results: The knowledge of HPV was low in non-medical college students, and the overall awareness rate was only 16. .7%. HPV awareness is obtained by grouping analysis of grade, specialty, and class The rate is about 16.5% for a class of undergraduate students and 17.3% among the three types of undergraduate students, and the difference is not significant (P0. (05) In a college student, the awareness rate of the low-grade students is 13.0%, the awareness rate of the senior students is 21.0%, the difference is not significant (P0.05), the awareness rate of the students and the science students is 27.5% and 7.8%, the difference is significant (P0.05); and the rate of the HPV awareness among the boys in the Wenke students is 37. 1%, the rate of women's awareness was 17.3%, the difference was not significant (P <0.05), the rate of HPV was 8.7% and the number of female students was 6.6%, and the difference was not significant (P0.05). Among the students in the lower grade of the liberal arts, the proportion of HPV was 30.0%, and the higher-grade students account for 25%. 4%, no statistical significance (P0.05), only 2.2% of the students in the lower grade of science, 16.7% in the higher grade, and 0.05 in the higher grade. Differences. The overall HPV awareness rate of three types of undergraduate students is 17 .3%. The low-grade students are 15.9% and 21.4% for the upper-grade students; the awareness rate of the three boys is 18.8%, the awareness rate of the girls is 13.3%, and the difference is no statistics The cognition rate of the college students who had the sexual behavior was 30.8%, the cognitive rate of the college students obviously higher than that of the non-sexual life history was 15.1%, P0.05, and the difference was statistically significant. The significance of the study. The cognition of the knowledge of the HPV-related diseases among the college students Not high. The overall awareness rate of the HPV vaccine of the investigated college students is only 12.8%. A well-known awareness rate of 15.4% is higher than that of the three people's awareness rate of 6.4%, P0.05, and the difference is significant; the awareness rate of one of the students is 27.5%, which is far higher than that of the science and technology students, with a rate of 5.9%, P = 0.00, and the awareness rate of the students and men in the Wenke students is 29% and 25.9%, respectively; and the awareness rate of the students in the higher grades is as follows: 35.6%, with a low grade of 19.7%, The difference was not obvious. The rate of knowledge of the lower grade (2.2%) was far lower than that of the senior management (11.7%), and the difference was significant (P = 0). .029) The awareness rate of HPV vaccine was low in the three students, and there was no significant difference between the upper and the higher grades and between the sexes (P 0.05). Only 61.2% of the college students who have heard of the HPV vaccine know the epidemic. What kind of disease is to be prevented. There are 68.4% of the universities The students are willing to vaccinate. 76.9% of the college students who know HPV are willing to vaccinate, and 66.5% of the students who do not know HPV are willing to vaccinate. The OR value is 3.84, and the 95% confidence interval is 1. 83-7.04. The selection of the university students for the mechanism of HPV vaccine is mainly focused on the disease prevention and control center (56.9%) and the comprehensive hospital (11.7 per cent). The best population option for vaccination, only 9.9 per cent of the students selected the best population to be vaccinated as a vaccine. 26.6 per cent of the university students considered that the best age group to be vaccinated against HPV was 16-18 years and 19.6 per cent considered 19-21 The best age for inoculation, and 28.5% of people are not aware of the best The age of vaccination should be so large. The main causes of the reluctance to vaccinate the vaccine, in addition to the safety of the vaccine (92.1 per cent), are also concerned that the current vaccine has not been extended in a wide range. (47.2%). The highest price for college students, whether domestic or imported, is not more than 300 yuan, and it is considered that the municipal government should subsidise 7 More than 2.5% of the cost. Conclusion:1. The population of college students is against HPV and H. The level of the PV vaccine is low. Most of the population is not aware of the best vaccination age and the most effective population of the HPV vaccine. The higher will of the HPV vaccine to be vaccinated. The reason for the willingness to vaccinate is that the vaccine can reduce the risk of infection with the HPV and benefit itself and the partner; the main reason for not to be vaccinated is that the price of the vaccine is too high, and the current vaccine has not been widely used and the vaccine is concerned 3. The students' ability to pay the vaccine is limited, the maximum price can be no more than 300 yuan, and it is hoped that the government will be in the epidemic
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R737.33
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