■本研究旨在调查知识,态度,和实践(KAP)的人乳头瘤病毒(HPV)和成年女性的自我采样。
■横截面,基于问卷调查的研究纳入了2022年10月14日至2023年3月31日在上海浦东医院就诊的成年女性.问卷包含人口统计信息,知识,态度和实践维度。通过多变量逻辑回归确定与KAP和自我抽样相关的因素。
■共收集了1843份有效问卷。平均知识,态度,分别为10.09±5.60、26.76±3.80和6.24±2.20。城市居民(估计值=0.705,p<0.001),郊区居民(估计值=0.512,p<0.001),以及具有本科及以上学位的个人(估计值=0.535,p<0.001),与良好的知识有关,而缺乏HPV感染史的个体(估计值=-0.461,p<0.001)和已婚个体(估计值=-0.185,p<0.001)不太可能拥有良好的知识。较高的知识分数(估计值=0.087,p<0.001)和具有本科及以上学历的个人(估计值=1.570,p<0.001)与积极态度有关。结婚(估计值=0.291,p=0.049)与良好做法有关,而不进行性活动(估计值=-0.959,p<0.001)或无HPV感染史(估计值=-0.499,p=0.011)则与不良治疗相关.少数群体(OR=2.787,p=0.038)和有多个性伴侣的个体(两个伴侣的OR=2.297,对于三个或三个以上的合伙人,OR=2.767,p=0.020和p=0.022)与自我抽样呈正相关。然而,较高的知识(OR=0.952,p=0.026)和态度评分(OR=0.929,p=0.015)与自我抽样呈负相关.
■人口统计学和行为因素显著影响关于HPV的KAP得分和自我采样行为。城市居住权,高等教育水平,积极的态度,少数民族地位与有利的结果相关,而婚姻和缺乏性活动等因素与不利的做法有关。
UNASSIGNED: This
study aimed to investigate the knowledge, attitude, and practice (KAP) of human papillomavirus (HPV) and self-sampling among adult women.
UNASSIGNED: The cross-sectional, questionnaire-based
study included adult women at Shanghai Pudong Hospital from October 14, 2022, to March 31, 2023. The questionnaire contained demographic information, knowledge, attitude and practice dimensions. Factors associated with KAP and self-sampling were identified by multivariate logistic regression.
UNASSIGNED: A total of 1843 valid questionnaires were collected. The average knowledge, attitude, and practice score was 10.09 ± 5.60, 26.76 ± 3.80, and 6.24 ± 2.20, respectively. Urban residents (estimate = 0.705, p < 0.001), suburban residents (estimate = 0.512, p < 0.001), as well as individuals with undergraduate degrees and higher (estimate = 0.535, p < 0.001), were associated with good knowledge, while individuals lacking a history of HPV infection (estimate = -0.461, p < 0.001) and married individuals (estimate = -0.185, p < 0.001) were less likely to have good knowledge. Higher knowledge scores (estimate = 0.087, p < 0.001) and individuals with undergraduate education and above (estimate = 1.570, p < 0.001) were associated with a positive attitude. Being married (estimate = 0.291, p = 0.049) was associated with good practice, whereas not engaging in sexual activity (estimate = -0.959, p < 0.001) or lacking a history of HPV infection (estimate = -0.499, p = 0.011) were associated with unfavorable practices. Minorities (OR = 2.787, p = 0.038) and individuals with multiple sexual partners (OR = 2.297 for two partners, OR = 2.767 for three or more partners, p = 0.020 and p = 0.022) were positively associated with self-sampling. However, higher knowledge (OR = 0.952, p = 0.026) and attitude scores (OR = 0.929, p = 0.015) were negatively associated with self-sampling.
UNASSIGNED: Demographic and behavioral factors significantly influenced KAP scores and self-sampling behaviors regarding HPV. Urban residency, higher education levels, positive attitudes, and minority status correlated with favorable outcomes, while factors like marriage and lack of sexual activity were associated with less favorable practices.