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2022 年,埃塞俄比亚奥罗米亚州西南绍阿地区中学女生接种人乳头瘤病毒疫苗的情况及相关因素。

Uptake of Human Papilloma Virus Vaccination and Associated Factors Among Female Students Attending Secondary Schools in South West Shoa, Oromia, Ethiopia, 2022.

机构信息

Woliso General Hospital, Oromia Region Ethiopia, Woliso, Ethiopia.

Department of Public Health, College of Medicine and Health Science, Ambo University, Ambo, Ethiopia.

出版信息

Cancer Control. 2024 Jan-Dec;31:10732748241285271. doi: 10.1177/10732748241285271.

Abstract

BACKGROUND

Human papillomavirus (HPV) vaccination is one of the key preventative measures for cervical cancer, provided that effective vaccine uptake is employed. However, HPV vaccine uptake is low in settings with limited resources such as low- and middle-income countries.

OBJECTIVES

To assesses the uptake of HPV vaccine and associated factors among female students attending secondary schools in South West Shoa Zone, Oromia, Ethiopia, 2022.

METHODS

A cross-sectional study was conducted in secondary schools of South West Shoa Zone between November 1 to November 30 2022. A multi-stage sampling technique was employed among 634 female students attending secondary schools. Data were collected by self-administered structured questionnaires, entered into Epi-info version 7.2.2.6, and exported to SPSS version 25 for statistical analysis. Bivariable analyses were considered for Multivariable analysis. Adjusted odds ratio (AOR) along with 95% confidence levels were estimated to assess the strength of the association, and a value <0.05 was considered to indicate statistical significance.

RESULTS

The proportion of HPV vaccine uptake was 31.65% (95% CI, 25-38). Having adequate knowledge AOR = 8.51 (95% CI = 4.57-15.84), living in rural area AOR = 0.25 (95% CI = 0.15-0.42), having older sibling AOR = 4.07(95% = 2.50-6.63), mother's educational level (Diploma and above) AOR = 4.08 (95% CI = 1.75-9.49), and secondary education AOR = 3.98 (95% CI = 1.87-8.48) were significantly associated with HPV vaccine uptake among female students attending secondary schools in South West Shoa Zone, Oromia, Ethiopia.

CONCLUSIONS

The study revealed that HPV vaccine uptake was very low among female students attending secondary schools in South West Shoa Zone, Oromia, Ethiopia. Adequate knowledge, having older sibling, living in rural area, and having mothers with higher educational level were significantly associated with HPV vaccine uptake. All concerned bodies should work jointly to enhance the uptake of HPV vaccination among female students.

摘要

背景

人乳头瘤病毒(HPV)疫苗接种是宫颈癌的主要预防措施之一,前提是采用有效的疫苗接种率。然而,在资源有限的环境中,如低收入和中等收入国家,HPV 疫苗接种率较低。

目的

评估 2022 年在埃塞俄比亚奥罗米亚西南绍阿地区的中学女学生中 HPV 疫苗接种率及其相关因素。

方法

2022 年 11 月 1 日至 30 日,在西南绍阿地区的中学进行了一项横断面研究。采用多阶段抽样技术,对 634 名中学女学生进行了调查。数据由自我管理的结构化问卷收集,输入 Epi-info 版本 7.2.2.6,并导出到 SPSS 版本 25 进行统计分析。进行了单变量分析,以进行多变量分析。采用调整后的优势比(AOR)及其 95%置信区间来评估关联强度,且 值<0.05 表示具有统计学意义。

结果

HPV 疫苗接种率为 31.65%(95%CI,25-38)。具备充分知识的 AOR=8.51(95%CI=4.57-15.84),居住在农村地区的 AOR=0.25(95%CI=0.15-0.42),有年龄较大的兄弟姐妹的 AOR=4.07(95%CI=2.50-6.63),母亲的教育水平(文凭及以上)的 AOR=4.08(95%CI=1.75-9.49),以及中学教育的 AOR=3.98(95%CI=1.87-8.48),与埃塞俄比亚西南绍阿地区中学女学生的 HPV 疫苗接种率显著相关。

结论

研究表明,埃塞俄比亚西南绍阿地区中学女学生的 HPV 疫苗接种率非常低。充分的知识、有年龄较大的兄弟姐妹、居住在农村地区以及母亲接受更高教育程度与 HPV 疫苗接种率显著相关。所有相关机构应共同努力,提高女学生 HPV 疫苗接种率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddd5/11418333/0af1332e1184/10.1177_10732748241285271-fig1.jpg

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