Stages of HPV Vaccine Hesitancy Among Guardians of Female Secondary School Students in China

PurposeFemale secondary school students are the primary recommended population for human papillomavirus (HPV) vaccines. However, vaccine hesitancy may affect uptake. In this study, we assessed the vaccine hesitancy levels among the guardians of female secondary school students in China.MethodsWe developed a questionnaire and conducted cross-sectional surveys among guardians of secondary school girls aged 12–19 years in mainland China based on the Increasing Vaccination Model and the Precaution Adoption Process Model.ResultsWe collected 3,225 valid samples. Among the participating guardians, 53.9% were vaccine hesitant, although only 0.9% had refused HPV vaccines. Some individual characteristics of guardians (e.g. sex, education/income level) were associated with understanding HPV vaccines. Better knowledge of HPV vaccines and communication with reliable sources of information were associated with vaccine nonhesitancy. Practical barriers such as vaccine shortage and busy schedules prevented nonhesitant guardians from vaccinating their children.DiscussionA substantial proportion of the guardians surveyed were HPV vaccine hesitant. Promoting HPV knowledge and communication with reliable sources (e.g. clinical doctors) could help fight against vaccine hesitancy.     

HPV Infection Awareness and Self-Reported HPV Vaccination Coverage in Female Adolescent Students in Two German Cities

Low levels of human papillomavirus (HPV) awareness and knowledge have been observed in the few studies conducted among school-going adolescents. Such data are lacking in Germany. To assess awareness of HPV and of vaccination status among girls attending grades 8–13 in Bremen and Bremerhaven, two German cities. Participants completed a questionnaire in school including questions on demographic characteristics, about HPV awareness and on vaccination status. We analysed the relationship between awareness of HPV, of vaccination status and vaccine uptake and several variables including age and migrant background using univariate and multivariate logistic regression. Six hundred and thirty-two girls aged 12–20?years completed the questionnaire. 50?% had no awareness of HPV, 12?% reported being vaccinated against HPV and 57?% did not know whether or not they were vaccinated against HPV. In multivariate analyses, ever had sex was associated with awareness of HPV, and ever been to a gynaecologist with awareness of vaccination status. Our results may be an indication that female adolescents in Germany are not adequately informed and counselled about HPV and associated issues.     

某大专学校女生约会暴力发生情况调查

目的 了解大专女生约会暴力发生情况,为今后深入开展青少年约会暴力问题研究及预防工作提供参考依据.方法 采用自填式问卷,于2007年4月对河北某大专学校1 094名女生有关约会暴力经历进行不记名问卷调查.结果 在被调查的1 094名大专女生中,有368名(33.6%)女生报告在约会中曾对恋人实施暴力行为;有248名(22.7%)女生报告在约会中曾受到恋人的暴力攻击;有408名(37.3%)报告曾对恋人或约会的异性朋友施暴或受到对方的暴力攻击.儿童期有家庭暴力经历的学生约会暴力发生率明显高于无家庭暴力的学生.结论 约会暴力在大学女生中并非少见,提示青少年约会暴力问题值得关注.     

大学生接种不同剂量乙肝疫苗的免疫效果观察

目的对接种不同剂量乙肝疫苗的免疫效果进行分析,探讨对大学生进行乙肝疫苗接种的最佳剂量。方法我校02、03级新生2048人,随机分为A、B两组,分别用5μg×3和10μg×3的剂量接种重组酵母乙肝疫苗。结果B组抗-HBs阳转率84.42%(889/1053)高于A组阳转率61.61%(613/995),两组比较有非常显著性差异(P<0.01);女生抗-HBs阳转率76.05%(940/1236)高于男生69.21%(562/812),两者比较有非常显著性差异(P<0.01)。结论在大学生中进行乙肝疫苗全程免疫十分必要,接种剂量以10μg×3为宜。     

女大学生恋爱观变化及干预效果研究

目的 探讨不同时期女大学生恋爱观的变化及其教育干预效果.方法 采用问卷调查方式收集数据.首批调查于1997年采用分层整群抽取方法进行;第二批调查于2004年进行.在开展性健康教育前和教育后,分别进行一次调查.对所得数据进行x2分析.结果 女大学生恋爱比例由1997年的34.4%上升至2004年的56.7%,初恋年龄由1997年的(18.9±1.9)岁下降为(17.1±2.2)岁,差异有统计学意义(p<0.01);她们对待恋爱、失恋和恋人越来越宽容;恋爱中"可抚摸身体最敏感部位或隐蔽处"和"可性交"的比例由1997年的2.0%上升到21.0%,差异有统计学意义(P<0.01);教育后,恋爱观得到一定改善.亲昵行为趋于保守和自重,教育前后比较差异有统计学意义(p<0.01).结论 女大学生中谈恋爱的比例不断增加,初恋年龄提前,恋爱中的亲昵行为和性行为越来越开放.性教育对改善女大学生的恋爱观具有积极的作用,应该从家庭、学校和社会等不同角度全方位开展恋爱观教育.     

女大学生恋爱观变化及干预效果研究

目的探讨不同时期女大学生恋爱观的变化及其教育干预效果。方法采用问卷调查方式收集数据。首批调查于1997年采用分层整群抽取方法进行;第二批调查于2004年进行。在开展性健康教育前和教育后,分别进行一次调查。对所得数据进行χ2分析。结果女大学生恋爱比例由1997年的34.4%上升至2004年的56.7%,初恋年龄由1997年的(18.9±1.9)岁下降为(17.1±2.2)岁,差异有统计学意义(p<0.01);她们对待恋爱、失恋和恋人越来越宽容;恋爱中"可抚摸身体最敏感部位或隐蔽处"和"可性交"的比例由1997年的2.0%上升到21.0%,差异有统计学意义(p<0.01);教育后,恋爱观得到一定改善,亲昵行为趋于保守和自重,教育前后比较差异有统计学意义(p<0.01)。结论女大学生中谈恋爱的比例不断增加,初恋年龄提前,恋爱中的亲昵行为和性行为越来越开放。性教育对改善女大学生的恋爱观具有积极的作用,应该从家庭、学校和社会等不同角度全方位开展恋爱观教育。     

Understanding HPV Vaccine Uptake Among Cambodian American Girls

Cervical cancer incidence rates vary substantially among racial/ethnic groups in the United States (US) with women of Southeast Asian descent having the highest rates. Up to 70 % of cervical cancers could be prevented by widespread use of the human papillomavirus (HPV) vaccine. However, there is a lack of information about HPV vaccine uptake among Southeast Asian girls in the US. We conducted a telephone survey of Cambodian women with daughters who were age-eligible for HPV vaccination. Survey items addressed HPV vaccination barriers, facilitators and uptake. Our study group included 86 Cambodian mothers who lived in the Seattle metropolitan area. The proportions of survey participants who reported their daughter had initiated and completed the HPV vaccine series were only 29 and 14 %, respectively. Higher levels of vaccine uptake were significantly associated with mothers having heard about the HPV vaccine from a health professional and having received a recent Pap test. Commonly cited barriers to HPV vaccination included lack of knowledge about the HPV vaccine, not having received a physician recommendation for HPV vaccination and thinking the HPV vaccine is unnecessary in the absence of health problems. Linguistically and culturally appropriate HPV educational programs should be developed and implemented in Cambodian American communities. These programs should aim to enhance understanding of disease prevention measures, increase knowledge about the HPV vaccine and empower women to ask their daughter’s doctors for HPV vaccination.     

HPV Knowledge and Vaccine Acceptability Among Hispanic Fathers

The purpose of this study was to examine human papillomavirus (HPV) knowledge and vaccine acceptability in a convenience sample of immigrant Hispanic men, many of whom are parents of adolescents. Data on 189 male callers were collected from the National Cancer Institute’s Cancer Information Service Spanish-language call center. Most participants were willing to vaccinate their adolescent son (87.5 %) or daughter (78.8 %) against HPV. However, among this sample, awareness of HPV was low and knowledge of key risk factors varied. These findings can help guide the development of culturally informed educational efforts aimed at increasing informed decision-making about HPV vaccination among Hispanic fathers.     

某高等职业学院女生儿童期性虐待情况

目的了解高等职业学院女生儿童期性虐待发生情况,探讨性虐待对成年女生心理行为的影响。方法采用自制性虐待问题问卷及症状自评量表,对某高等职业学校701名女生儿童期性虐待经历及其行为问题进行调查。结果被调查的701名女生中有155人(22.11%)回答18岁以前曾经历过至少1次1种或多种性虐待,其中98人(13.98%)回答经历过至少1次1种性虐待,57人(8.13%)回答经历过多种性虐待;以其经历过的最严重的性虐待进行统计,有75人(10.70%)被非身体接触性性虐待,有80人(11.41%)被身体接触性性虐待,其中包括26人(3.71%)被试图性交和8人(1.14%)被强行性交。16岁以前有117人(16.69%)曾经历过性虐待。与没有性虐待经历的女生比较,有儿童期性虐待经历的女生行为症状因子得分高,差异有统计学意义。结论应重视女童性虐待问题,儿童期性虐待经历是导致成年后心理问题的重要因素。     

武汉地区女大学生性病艾滋病知识知晓状况

目的了解女大学生性病及艾滋病知识知晓状况,为开展相关的健康教育提供科学依据。方法在武汉地区的高校中,分层整群抽取2365名女大学生,以无记名自填式问卷进行调查。结果女大学生对艾滋病、淋病和梅毒的知晓率均在60%以上,对艾滋病三大传播途径的知晓率为88.33%。除对同性恋知晓率较低外,女大学生对艾滋病主要高危行为和高危人群的知晓率为72.18%。有33.49%的女生认为蚊虫叮咬会传播艾滋病,知道“100%安全套行动”的仅占0.89%,知道“性行为中女性比男性更容易感染艾滋病”的也仅占26.72%。结论女大学生具有一定的性病、艾滋病防治知识,但仍需进一步提高。     

County-Level Factors Associated With HPV Vaccine Coverage Among 11-Year-Olds to 12-Year-Olds Living in Florida in 2019

BackgroundIn the United States, human papillomavirus (HPV) vaccine initiation and up-to-date (UTD) status are associated with multiple factors at the individual level such as racial/cultural (e.g., race, immigration status), socioeconomic status (e.g., living below poverty level, education), and healthcare access (e.g., insurance status/type). HPV vaccination rates differ dramatically by US geographic areas and within states. To tailor interventions to local areas, it is important to understand county-level characteristics associated with HPV vaccination rates.MethodsUsing linear regression, we assessed the association between county-level HPV vaccination initiation and UTD rates for 11-year-olds to 12-year-olds in Florida (collected from the Florida SHOTS immunization registry) and county-level variables. Factors found significant in bivariate analysis and with a variance influence factors <4 were included in multivariable models.ResultsIn 2019, county-level HPV vaccine coverage among Florida 11-year-olds to 12-year-olds ranged from 31% to 92% initiation and 3%–36% UTD. Counties with the lowest HPV vaccine coverage were concentrated in Florida's North-Central and Panhandle regions. In multivariable models, counties with primarily rural populations had lower vaccination initiation and UTD coverage. Above and beyond the association with rurality, UTD coverage was associated with family physicians per 100,000 residents and uninsured or Medicaid-enrolled populations.DiscussionWhile Florida county-level HPV vaccine initiation rates among 11-year-olds to 12-year-olds varied by county in 2019, UTD rates remained universally low despite recommendations. Tailoring interventions toward healthcare access in rural communities may increase HPV vaccine coverage.     

邢台市女大学生膳食与肥胖认知状况调查

目的了解邢台市女大学生的肥胖认知现状及膳食状况,为开展健康教育提供依据。方法采用随机整群抽样方法,对邢台市3所高校468名大学生进行问卷调查,采用统一的标准方法测量身高、体重,并采用连续3 d的24 h回顾法进行膳食调查。结果相当一部分大学生对自己肥胖与否缺乏正确的判断,食物构成以谷类、蔬菜、水果和肉禽水产类食物为主,部分营养素不能满足需求。结论大学生对肥胖和营养的知识相对缺乏,学校应对大学生开展广泛的健康教育。     

Facebook for Health Promotion: Female College Students' Perspectives on Sharing HPV Vaccine Information Through Facebook

Facebook, a social network site, has been widely used among young adults. However, its potential to be used as a health promotion medium has not been fully examined. This study explored Facebook''s potential for sharing human papillomavirus (HPV) vaccine information among female college students in Hawai‘i. Culturally tailored flyers and handouts were developed and distributed at one large university in Hawai‘i to recruit female college students between the age of 18 and 26 having an active Facebook account. Three focus group meetings were conducted to gather student perspectives about how information about HPV vaccine may be best shared via Facebook. We found that students believed Facebook is a good awareness tool but they needed more knowledge about the HPV vaccine to feel comfortable sharing the information. Participants preferred forwarding information to chatting about HPV. Some participants expressed concern that their Facebook friends would think the HPV vaccine information they forwarded on Facebook is spam. Participants suggested prefacing the posted HPV vaccine information with a personal note in their own words to make the message more interesting and relevant to their Facebook friends. Future interventions using Facebook to promote HPV vaccine could provide students with HPV vaccine information from credible sources and ask students to attach personal testimonials or endorsements while forwarding the information on Facebook.     

Acceptability of HPV Vaccine Implementation Among Parents in India

Due to high cervical cancer rates and limited research on human papillomavirus (HPV) vaccine acceptability in India, the research team examined parental attitudes toward HPV vaccines. Thirty-six interviews with parents were conducted to assess sexually transmitted infection (STI)-related knowledge and HPV-specific vaccine awareness and acceptability. Despite limited knowledge, parents had positive views toward HPV vaccines. Common barriers included concerns about side effects, vaccine cost, and missing work to receive the vaccine. Parents were strongly influenced by health care providers’ recommendations. Our findings suggest that addressing parental concerns, health worker training and polices, and efforts to minimize cost will be central to successful HPV vaccine implementation.     

高职院校女大学生HPV疫苗接种认知及需求情况调查分析

目的通过对高职院校在校女生不同年级、不同专业对人乳头状瘤病毒(human papillomavirus,HPV)、人乳头状瘤病毒疫苗及相关疾病的认知情况进行调查分析,找出影响因素,为提高疫苗接种率、预防疾病发生提供理论依据。方法采用分层抽样方法,于2017年10—12月对某高职院校600名女生进行HPV及其疫苗认知和需求的问卷调查,共回收583份有效问卷。采用数值定性方法,对不同影响因素进行对比分析。结果高职院校女大学生对HPV及HPV疫苗知晓率为58.70%,只有39.27%的女生认为HPV能引起相应疾病,34.00%的女生考虑接种HPV疫苗。结论高校女生对HPV相关知识了解欠缺,对疾病的严重程度认识不足,故应在在校学生中加强健康教育,普及HPV及HPV疫苗的相关知识,提高接种率。     

广东省部分大学生对HPV疫苗的认知现状及相关因素分析

目的:探讨广东省部分高校大学生对HPV及HPV疫苗的认知现状并分析其影响因素.方法:2019年4-6月采用自制调查问卷,对广东省621名大学生进行问卷调查.结果:大学生对HPV与HPV疫苗各条目的认知率为0.97％～76.2％,男大学生的认知率较低,大学生总体认知率在性别、专业、年级方面比较,差异均有统计学意义(x2值...     

HPV致女性生殖道疾病及HPV疫苗现况

人乳头瘤病毒（human papillomavirus，HPV）是最常见的性传播病毒之一，在感染女性生殖道后可引起多种病理改变，其较高的感染率和高致病性严重危害了女性的生殖健康，其导致的常见临床表现主要包括一过性感染、生殖道疣、外阴上皮内瘤变、外阴癌、宫颈上皮内瘤变及宫颈癌。近年随着HPV预防性疫苗的投入使用，HPV感染率及相关疾病的发生率大幅度降低，对于HPV16/18型所致的宫颈病变，2价和4价疫苗的预防率可达到100%，仅少部分人群在接种后出现头晕、头痛、恶心及接种部位不良反应等情况，疫苗的安全性和有效性均已得到证实。现就HPV感染所致女性生殖道病理改变、HPV疫苗现况及HPV筛查的重要意义等方面进行简要综述。