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沙特女性对人乳头瘤病毒感染、筛查及现有预防方法的认知评估:卡西姆地区的一项横断面研究

Assessment of Saudi Females' Knowledge Regarding Human Papillomavirus Infection, Screening, and Available Methods for Prevention: A Cross-Sectional Study in Qassim Region.

作者信息

Alqarawi Sohail A, Aljarbooa Emad F, Almuqaytib Ahmed Y, Alomar Ibrahim A, Altwaijri Mosaid H, Aldakhil Abdullah Y, Altowaijri Abdullah H

机构信息

Family and Community Medicine, Qassim Health Cluster, Buraydah, SAU.

General Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, SAU.

出版信息

Cureus. 2023 Jan 3;15(1):e33311. doi: 10.7759/cureus.33311. eCollection 2023 Jan.

Abstract

Introduction Human papillomaviruses (HPV) are known to be the main culprit of cervical cancer. It is the fourth most common cancer among women worldwide. In recent years, it has begun to spread more widely in Saudi Arabia. Saudi Arabia's Ministry of Health recently added HPV vaccination for women to the list of recommended vaccinations. Aim This study aimed to assess Saudi females' knowledge regarding HPV infection, screening, and the available tools for prevention in Qassim, Saudi Arabia. Subject and methods This is a descriptive cross-sectional study conducted among women living in the Qassim region of Saudi Arabia. A self-administered pre-structured questionnaire was distributed among the targeted women using an online platform. The questionnaire includes socio-demographic characteristics (i.e. age, education, occupation, etc.) knowledge questionnaire and a questionnaire about the attitude toward HPV protection. The minimum required sample size was 385. This means 385 or more measurements/surveys are needed to have a confidence level of 95% that the real value is within ±5% of the measured/surveyed value. All females aged 18 years and above who are living in the Qassim region of Saudi Arabia were included in our study. Males are excluded from this study. All data analyses were performed using Statistical Product and Service Solutions (SPSS) (IBM SPSS Statistics for Windows, Version 26.0, Armonk, NY). Results Of the 387 women involved, 52.2% were aged between 18 and 25 years old. The prevalence of women who have heard of HPV was 49.1%. Fifty-four percent were willing to accept HPV vaccination if offered. The overall mean knowledge score was 3.56 (SD 2.51) out of 11 points. Poor knowledge levels constituted most of the women (71.1%), 24.5% had moderate knowledge and only 4.4% were considered good. Increased awareness was more prevalent in younger women, more educated, those who underwent Pap smear, and those who were willing to accept HPV vaccination. Conclusion The awareness of women toward HPV infection was deficient. Younger women who had a better education and who are willing to receive HPV vaccination were more likely to demonstrate better awareness levels toward HPV infection as compared to the rest of the women. More research is needed to establish the level of awareness among women in our region.

摘要

引言

人乳头瘤病毒(HPV)是宫颈癌的主要病因。宫颈癌是全球女性中第四大常见癌症。近年来,它在沙特阿拉伯开始更广泛地传播。沙特阿拉伯卫生部最近将女性HPV疫苗接种纳入了推荐疫苗接种清单。

目的

本研究旨在评估沙特女性对HPV感染、筛查以及沙特卡西姆地区可用预防手段的了解情况。

对象与方法

这是一项在沙特阿拉伯卡西姆地区居住的女性中开展的描述性横断面研究。通过在线平台向目标女性发放一份预先设计好的自填式问卷。问卷包括社会人口学特征(即年龄、教育程度、职业等)、知识问卷以及关于HPV防护态度的问卷。所需的最小样本量为385。这意味着需要385次或更多的测量/调查,才能有95%的置信水平确保真实值在测量/调查值的±5%范围内。所有居住在沙特阿拉伯卡西姆地区、年龄在18岁及以上的女性都被纳入我们的研究。男性被排除在本研究之外。所有数据分析均使用统计产品与服务解决方案(SPSS)(IBM SPSS Statistics for Windows,版本26.0,纽约州阿蒙克)进行。

结果

在参与研究的387名女性中,52.2%的年龄在18至25岁之间。听说过HPV的女性患病率为49.1%。54%的女性如果有机会愿意接受HPV疫苗接种。在满分11分的情况下,总体平均知识得分为3.56(标准差2.51)。大多数女性(71.1%)知识水平较差,24.5%的女性知识水平中等,只有4.4%的女性知识水平良好。年轻女性、受教育程度较高者、接受过巴氏涂片检查者以及愿意接受HPV疫苗接种者的知晓率更高。

结论

女性对HPV感染的认知不足。与其他女性相比,受教育程度较高且愿意接种HPV疫苗的年轻女性对HPV感染的认知水平更可能更高。需要开展更多研究以确定我们地区女性的认知水平。

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本文引用的文献

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Human Papillomavirus Knowledge and Vaccine Acceptability in Jazan Province, Saudi Arabia.
Vaccines (Basel). 2022 Aug 17;10(8):1337. doi: 10.3390/vaccines10081337.
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Cervical Cancer and Human Papillomavirus Awareness among Women in Saudi Arabia.
Medicina (Kaunas). 2021 Dec 17;57(12):1373. doi: 10.3390/medicina57121373.
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Human papillomavirus and its vaccination: Knowledge and attitudes among female university students in Saudi Arabia.
J Family Med Prim Care. 2020 Apr 30;9(4):1849-1855. doi: 10.4103/jfmpc.jfmpc_1205_19. eCollection 2020 Apr.
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Awareness of women about cervical smear, human papilloma virus and human papilloma virus vaccine.
Turk J Obstet Gynecol. 2019 Sep;16(3):193-198. doi: 10.4274/tjod.galenos.2019.29795. Epub 2019 Oct 10.
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A 9-valent HPV vaccine against infection and intraepithelial neoplasia in women.
N Engl J Med. 2015 Feb 19;372(8):711-23. doi: 10.1056/NEJMoa1405044.

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