Investigation on knowledge,attitude and practice of HPV vaccine among nursing students of Tibetan and Yi Nationalities

Abstract

Abstract: Objective To understand the current situation of Tibetan and Yi nursing students' cognition,attitude and behavior towards human papilloma virus（HPV） and vaccine,and to provide reference for Higher Vocational Colleges in Tibetan and Yi areas to carry out health education on cervical cancer and HPV vaccine related knowledge and the promotion of HPV vaccine in Tibetan and Yi areas. Methods From December 2021 to may 2022,365 Tibetan and Yi nursing students aged 17-22 years old were selected by stratified cluster random sampling in a higher vocational college in Sichuan Province,and the data were analyzed. Results The total score of HPV cognition of Tibetan and Yi nationality nursing students was （85.01±6.02）points,of which the total score of HPV cognition of intern nursing students[（85.91±6.08）points] was higher than that of non intern nursing students[（83.80±5.75）points],and the total score of HPV cognition of nursing students from cities[（85.95±6.28）points] was slightly higher than that of nursing students from rural areas[（84.42±5.79）points],the differences were statistically significant（all P<0.05）. Among 365 Tibetan and Yi nursing students,the awareness rate of HPV vaccine was 92.9%,and 48.8% of them knew that the information source of HPV vaccine was the Internet. 324 nursing students（88.8%） were willing to receive HPV vaccine,and 283 nursing students（77.5%） were willing to publicize HPV vaccine related knowledge. Conclusion Tibetan and Yi nursing students had strong willingness to HPV vaccination and publicity,but their knowledge of HPV and HPV vaccine was still insufficient. Higher vocational colleges should strengthen training of Tibetan and Yi nursing students' knowledge of HPV and vaccine,in order to improve the practical ability of Tibetan and Yi nursing students to serve the local health cause in the future,which is conducive to the popularization of HPV vaccination and the smooth development of cervical cancer prevention and control in Tibetan and Yi areas.

Key words: Tibetan and Yi people, Ethnic group, Nursing students, HPV vaccine, Knowledge,attitude and pratice, Investigation

CLC Number:

R193

CHEN Feifei, PENG Liyuan, ZHOU Liangyan. Investigation on knowledge,attitude and practice of HPV vaccine among nursing students of Tibetan and Yi Nationalities. [J]OCCUPATION AND HEALTH, 2023, 39(17): 2389-2394.

References

[1] 张军. 宫颈癌治疗的现状及问题:从临床指南到真实世界研究[J].中国全科医学,2022,25(3):259-263.
[2] SUNG H,FERLAY J,SIEGEL R L,et al.Global cancerstatistics 2020:GLOBOCAN estimates of incidenceand mortality worldwide for 36 cancers in 185countries[J].CA Cancer J Clin,2021,71:209-249.
[3] HULL R,MBELE M,MAKHAFOLA T,et al.Cervical cancer in low and middle-income countries[J].Oncol Lett,2020,20(3).2058-2074.
[4] 张师前,王凯,张远丽.HPV疫苗在中国的应用现状[J].中国实用妇科与产科杂志,2019,35(10):1090-1095.
[5] 杨景舒,丁胜,张雅娟,等.加快国产宫颈癌疫苗上市的监管考量[J].中国新药杂志,2022,31(2):147-154.
[6] 程英.分析不同级别宫颈病变中HPV感染状态的临床体现[J].中国社区医师,2018,34(15):28,30.
[7] XIAO FEI Y,NINGNA X,SHUFANG S.Study on cervical HPV infection and its relationship with cervical lesions in gynecological clinics in central Inner Mongolia[J].Obstet Gynecol,2018,27(6):446-451.
[8] 张肖. 女大学生HPV疫苗知信行及其影响因素的研究[D].武汉:武汉轻工大学,2019.
[9] 胡倩,樊帆,戢雪,等.本科护生HPV疫苗知信行现状及其影响因素[J].护理研究,2017,31(9):1064-1067.
[10] 张其其,顾晓芬,马艺文,等.乌鲁木齐市大学生HPV疫苗认知情况与接种意愿调查[J].职业与健康,2021,37(7):914-918.
[11] 何小桃,覃芳,邓金铃,等.广西两所高校大学生对HPV及其疫苗的认知和疫苗接种意愿调查[J].应用预防医学,2022,28(2):153-156.
[12] 郭田,何子轩,王雨星,等.重庆市农村地区居民健康传播现状及需求分析[J].中国健康教育,2022,38(5):418-422.
[13] 金孔军,葛学娣.非医学专业女大学生对人乳头状瘤病毒疫苗接种行为的质性研究[J].中国乡村医药,2020,27(19):58-60.
[14] 谢桂兰,齐晓静,乔路,等.北京市高校女大学生对宫颈癌及HPV疫苗的认知情况分析[J].中国生育健康杂志,2021,32(1):32-35,40.
[15] 刘凯燕,郭玮玮,刘淑敏.宁夏高校护生对HPV疫苗的认知及接种意愿调查分析[J].卫生职业教育,2020,38(12):104-106.
[16] 张洁,张加仪,庞敏慧,等.广州市大学生 HPV 疫苗的接种意愿及影响因素分析[J].中华疾病控制杂志,2018,22(9).965-967.
[17] 范伟超,杨钊泳,陈奕帆,等.深圳市大学生对HPV及其疫苗认知、接种意愿的调查[J].职业与健康,2022,38(11):1554-1559.
[18] 石雅佳,王洪岩,张菱,等.华北地区大学生对HPV及其疫苗的认知现况调查[J].现代预防医学,2021,48(4):727-731.
[19] KOLA-PALMER S,DHINGRA K.Awareness and knowledge of human papilloma virus in UK women aged 25 years and over:Results from a cross-sectional internet-based survey[J].Eur J Cancer Care(Engl),2020,29(1):e13181.
[20] DENNY L.HPV vaccine introduction and implementation in LMICs[J]. Vaccine,2022,40(S1):A1.
[21] MOLIJN A,JENKINS D,CHEN W,et al.The complex relationship between human papillomavirus and cervical adenocarcinoma[J].Int J Cancer,2016,138(2):409-416.
[22] 裴志飞,白玛求措,毕蕙.青海高海拔地区女性对HPV和HPV疫苗的认知情况[J].中国妇幼保健,2022,37(4):688-691.
[23] 蔡一铃,严艳,马兴玉,等.四川省阿坝州牧区316名女性生育及妇女病现状调查[J].中国计划生育和妇产科,2021,13(9):92-94,99.
[24] 潘一伟,马璐璐,吴芳.浅谈医联体模式下的健康知识精准科普宣传效果[J].现代医院,2020,20(9):1351-1353.
[25] 李双,李明珠,丛青,等.人乳头瘤病毒疫苗临床应用中国专家共识[J].中国妇产科临床杂志,2021,22(2):225-234.