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牙科初级保健中预防口咽癌的HPV疫苗宣传与接种:专业人员和学生的观点——一项系统评价

HPV Vaccine Communication and Administration for the Prevention of Oropharyngeal Cancer in Dental Primary Care: Perspectives of Professionals and Students-A Systematic Review.

作者信息

Chan Kenneth Sik-Kwan, Mak Tin-Shun Titan, Yu Ollie Yiru, Lee Victor Ho-Fun, Chu Chun-Hung, Chan Siu-Chee Sophia, Choi Horace Cheuk-Wai

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.

Department of Clinical Oncology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

出版信息

Vaccines (Basel). 2025 Feb 26;13(3):242. doi: 10.3390/vaccines13030242.

Abstract

: The rising prevalence of HPV-associated oropharyngeal cancer (OPC) presents a significant concern, prompting dental professionals to play an increasingly vital role in HPV vaccination and prevention within primary healthcare. This study aimed to assess the current knowledge, attitudes, and practices of dental professionals and students regarding HPV, the HPV-OPC association, and HPV vaccine communication and administration in dental settings to pinpoint areas for improvement and develop targeted interventions. : This study involved a literature search in PubMed/MEDLINE, Embase, and Scopus for research outputs published from 1 January 2006 to 31 December 2024. Eligible studies examined the knowledge, perceptions, and behaviors of dental professionals and students regarding HPV and HPV-OPC. The Risk of Bias Tool was used to evaluate the bias risk in all included studies : Forty-two studies with a low bias risk were analyzed. While general HPV knowledge was evident in both dental practitioners and students, deficiencies in understanding HPV-OPC and vaccination were identified. Only 9% of dental practitioners discussed HPV vaccination, but future students showed greater willingness (40-80%) to engage in these discussions. Among dental professionals, common barriers included discomfort and a lack of confidence in discussing HPV vaccination. Attitudes towards administering the HPV vaccine varied between dental practitioners and students, with an interest in training programs for readiness. Liability concerns were highlighted as a significant barrier for both groups, impacting their confidence in vaccine administration. : The findings highlight the need for strategies and areas to enhance knowledge and confidence in discussing HPV vaccines in dental primary healthcare settings, offering valuable insights for researchers and policymakers to plan programs that enhance the readiness of dental professionals to administer HPV vaccines.

摘要

人乳头瘤病毒(HPV)相关口咽癌(OPC)患病率的上升令人深感担忧,促使牙科专业人员在初级医疗保健中的HPV疫苗接种和预防方面发挥越来越重要的作用。本研究旨在评估牙科专业人员和学生目前关于HPV、HPV与OPC的关联以及在牙科环境中HPV疫苗沟通与接种的知识、态度和实践,以确定需要改进的领域并制定有针对性的干预措施。

本研究在PubMed/MEDLINE、Embase和Scopus中进行文献检索,查找2006年1月1日至2024年12月31日发表的研究成果。符合条件的研究考察了牙科专业人员和学生关于HPV以及HPV与OPC的知识、认知和行为。使用偏倚风险工具评估所有纳入研究的偏倚风险。

对42项偏倚风险较低的研究进行了分析。虽然牙科从业者和学生都具备一般的HPV知识,但在理解HPV与OPC的关联及疫苗接种方面存在不足。只有9%的牙科从业者讨论过HPV疫苗接种,但未来的学生表现出更大的意愿(40%-80%)参与此类讨论。在牙科专业人员中,常见障碍包括在讨论HPV疫苗接种时感到不适和缺乏信心。牙科从业者和学生对HPV疫苗接种的态度各不相同,他们对培训项目以做好准备表现出兴趣。责任问题被突出为两组的重大障碍,影响了他们对疫苗接种的信心。

研究结果凸显了在牙科初级医疗保健环境中加强讨论HPV疫苗的知识和信心的策略及领域的必要性,为研究人员和政策制定者规划提高牙科专业人员接种HPV疫苗准备程度的项目提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35f/11946189/0217c688ca9b/vaccines-13-00242-g001.jpg

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