摘要
目的了解西藏地区9~45岁女性对宫颈癌及HPV疫苗的认知情况,并分析相关因素,引导更多女性做好筛查工作,为西藏地区宫颈癌防治工作提供可靠依据。方法于2021-01-21-2022-05-10采用偶遇抽样法抽取西藏地区945名9~45岁藏族女性展开问卷调查。根据调查对象对宫颈癌及HPV疫苗认知程度分为认知良好组和认知不良组,采用单因素方差分析、二元logistic回归法分析宫颈癌及HPV疫苗认知程度的影响因素。结果调查对象对宫颈癌及HPV疫苗的认知良好占9.63%(91/945),认知不良占90.37%(854/945)。被调查者宫颈癌及HPV疫苗认知情况得分为6.16±4.63,认知水平较低。但对疫苗的接受度为87.72%(829/945),处于较高水平。在影响认知程度的单因素分析中,认知良好组年龄在9~30岁,学历为高中及以上,婚姻状况为未婚,常住地址为城镇,家庭人均年收入<2000元或≥4000元,职业为公务员或事业单位、公司职员、学生、医务人员的认知程度,高于认知不良组,均P<0.05。影响宫颈癌及HPV疫苗认知程度的多因素logistic回归性分析显示,家庭人均年收入(OR=2.350,95%CI为1.047~5.275)、职业(OR=0.262,95%CI为0.073~0.948)是宫颈癌及HPV疫苗认知程度的独立影响因素,均P<0.05。结论西藏地区藏族女性对于宫颈癌及HPV疫苗认知程度较低,但对疫苗接受度相对较高。年龄、学历、婚姻状况、常住地址、家庭人均年收入、职业都是影响宫颈癌及HPV疫苗认知程度的独立因素。因此很有必要在西藏地区开展健康科普宣传工作,引导更多女性做好宫颈癌筛查,提高疫苗接种率。
Objective To understand the awareness of cervical cancer and human papillomavirus(HPV) vaccine among women aged 9-45 in Tibet, and to analyze the related factors to guide more women to do better screening and provide a reliable basis for cervical cancer prevention and treatment in Tibet. Methods A questionnaire survey was conducted from January 21,2021 to May 10,2022 among 945 Tibetan women aged 9-45 years in Tibetan areas using incidental sampling method.The respondents were divided into good cognitive group and poor cognitive group according to their awareness of cervical cancer and HPV vaccine, and the influencing factors of cervical cancer and HPV vaccine awareness were analyzed by one-way ANOVA and binary logistic regression analysis.Results The respondents’ cognitive situation of cervical cancer and HPV vaccine was as follows: the good cognition accounted for 9.63%(91/945);the poor cognition accounted for 90.37%(854/945). The respondents’ cervical cancer and HPV vaccine awareness score was 6.16±4.63, which was a low level of awareness. However, the acceptance level of the vaccine was 87.72%(829/945), which was at a high level. In the one-way ANOVA analysis of influencing cognition, the good cognitive group was significantly higher than the poor cognitive group in the age range of 9-30years,education level of high school and above,marital status of unmarried,permanent residence address of urban,per capita annual household income<2 000yuan and≥4 000yuan,occupation of civil servants or institutions,company employees,students,and medical personnel,P<0.05.The multifactorial logistic regression analysis affecting the degree of cervical cancer and HPV vaccine awareness showed that annual per capita household income(OR=2.350,95%CI:1.047-5.275)and occupation(OR=0.262,95%CI:0.073-0.948)were independent influencing factors on the degree of cervical cancer and HPV vaccine awareness,P<0.05.Conclusions Tibetan women have low awareness of cervical cancer and HPV vaccine,but have relatively high acceptance of the vaccine.Age,education,marital status,permanent residence address,per capita annual household income,and occupation were all independent factors influencing the awareness of cervical cancer and HPV vaccine,so it is necessary to carry out health popularization work in Tibetan areas to guide more women to be screened for cervical cancer and increase the vaccination rate.
作者
谢婉冰
刘丽军
邵莉
冯艳芹
旦增拉珍
次仁玉吉
黄奕淳
郭迅
杨美盼
XIE Wanbing;LIU Lijun;SHAO Li;FENG Yanqin;DAN Zenglazhen;CI Renyuji;HUANG Yichun;GUO Xun;YANG Meipan(Key Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region,Key Laboratory of High Altitude Environment and Genes Related to Disease of Tibet Autonomous Region,Xizang Minzu University,Xianyang 712000,China;Department of Nephrology,Jinriang People's Hospital,Jining 272200,China)
出处
《中华肿瘤防治杂志》
CAS
北大核心
2023年第7期386-391,共6页
Chinese Journal of Cancer Prevention and Treatment
基金
陕西省教育厅专项科研计划(20JK0956)
西藏自治区大学生创新创业项目(S202210695094)
西藏民族大学校级教改项目(2021507)。
关键词
西藏
宫颈癌
HPV疫苗
认知
接种
筛查
Tibet
cervical cancer
HPV vaccine
cognition
vaccinate
screen
作者简介
第一作者:谢婉冰,女,河南南阳人,主要从事医学统计学研究工作。E-mail:1290077694@qq.com;通信作者:杨美盼,女,陕西咸阳人,副教授,主要从事医学统计学研究工作。E-mail:ympl111@126.com。
