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2020 年,在埃塞俄比亚西部内克米特市的高中少女中,人乳头瘤病毒疫苗接种率及相关因素。

Human papillomavirus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte city, Western Ethiopia, 2020.

机构信息

Department of Public Health, Wollega University Institute of Health Science, P.O. Box 385, Nekemte, Ethiopia.

出版信息

BMC Womens Health. 2023 Oct 28;23(1):560. doi: 10.1186/s12905-023-02702-8.

Abstract

BACKGROUND

Cervical cancer is the leading cause of cancer death in adult women in the developing world including Ethiopia. To combat cervical cancer, the World Health Organization (WHO) recommends that girls aged 9-14 years have to take the human papillomavirus vaccine. However, there is a lack of information regarding the uptake of human papillomavirus vaccine in the study area. Therefore, this study aimed to assess the Human Papilloma Virus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte City, Western Ethiopia, 2020.

METHODS

A cross-sectional study design was employed among adolescent girls attending grade 9 and age 15 enrolled at schools in Nekemte City from July 15-30, 2020. Six hundred twenty-six (626) randomly selected adolescent girls were interviewed. The data were entered into Epi Info 7 and analyzed by SPSS 25. Multivariable analysis was computed and a P-value < 0.05 was taken as a cut-off point to declare the statistically significant association.

RESULT

The uptake of the HPV vaccine was 61.2%, 95%CI (57.2%, 65%). The Place where adolescents grow up (AOR = 3.46, 95%CI [1.95,6.15]), having a mobile phone(AOR = 1.71, 95%CI [1.05, 2.79]), ever heard about HPV (AOR = 5.69, 95%CI [1.33, 24.27]), ever heard about HPV vaccine(AOR = 1.917, 95%CI [1.002, 3.667]), Ever had sexual intercourse (AOR = 3.04, 95% [1.49,6.20]) and Perceived risk of towards HPV(AOR = 4.63 [2.49, 8.63]) has shown statistically significant association with Uptake of the HPV vaccine.

CONCLUSION

Nearly two-thirds of the study participants had taken at least one dose of the HPV vaccine. It is better if health information on HPV is disseminated considering the available technology like mobile phones and reaching rural girls.

摘要

背景

宫颈癌是发展中国家包括埃塞俄比亚成年女性癌症死亡的主要原因。为了防治宫颈癌,世界卫生组织(WHO)建议 9-14 岁的女孩接种人乳头瘤病毒(HPV)疫苗。然而,在研究区域内,有关 HPV 疫苗接种情况的信息还很缺乏。因此,本研究旨在评估 2020 年埃塞俄比亚西部内克姆特市高中少女中 HPV 疫苗的接种情况及其相关因素。

方法

采用横断面研究设计,于 2020 年 7 月 15 日至 30 日在内克姆特市学校就读 9 年级、年龄在 15 岁的少女中进行。随机选择 626 名少女进行访谈。将数据输入 EpiInfo 7 并使用 SPSS 25 进行分析。进行多变量分析,并以 P 值<0.05 作为统计学显著关联的截止点。

结果

HPV 疫苗的接种率为 61.2%,95%CI(57.2%,65%)。青少年成长的地方(AOR=3.46,95%CI [1.95,6.15])、拥有手机(AOR=1.71,95%CI [1.05,2.79])、听说过人乳头瘤病毒(AOR=5.69,95%CI [1.33,24.27])、听说过 HPV 疫苗(AOR=1.917,95%CI [1.002,3.667])、曾有过性行为(AOR=3.04,95%[1.49,6.20])和对 HPV 的感知风险(AOR=4.63 [2.49,8.63])与 HPV 疫苗接种有统计学显著关联。

结论

近三分之二的研究参与者至少接种了一剂 HPV 疫苗。如果考虑到手机等现有技术向农村少女传播 HPV 相关信息,情况会更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94e6/10612278/7c112324105e/12905_2023_2702_Fig1_HTML.jpg

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