背景:人乳头瘤病毒(HPV)感染是海湾合作委员会国家的重大公共卫生问题,广泛流行,是宫颈癌的主要危险因素。我们旨在评估对HPV的知识和看法,HPV疫苗的可接受性,教育城大学生HPV疫苗接种率,多哈,卡塔尔。
方法:这项横断面调查采用比例配额抽样,基于大学的配额,性别,国籍,在2022年2月至9月期间从七所大学招收学生。英文问卷要求提供社会人口统计信息,知识,以及对HPV感染和疫苗的态度。卡方检验,学生t检验,使用Mann-Whitney-Wilcoxon检验和多变量序数逻辑回归来评估比例差异,意思是,根据广泛的HPV知识类别和中位数。
结果:招募了三百九十八名学生(反应率=82.3%),其中251人(63.1%)为女性。平均年龄为21.7岁。八十九(22.4%,95%CI18.4-26.8%)学生对HPV的认识不足,220(55.3%,95%CI50.2-60.2%)学生有一定的意识,和89(22.4%,95%CI18.4-26.8%)学生知识渊博。年龄,国籍,和研究领域影响了学生对HPV的知识。只有25名(6.3%)学生以前接种过HPV疫苗。然而,71%的未接种疫苗的学生报告说,如果他们的医疗保健提供者推荐,他们愿意接种疫苗。
结论:总体而言,77.7%的学生对HPV相关感染有一定程度的了解,癌症,和疫苗接种。学生群体对HPV的理解和知识存在差距。增加知识可能是合格人群共同决策HPV疫苗接种的关键。有针对性的公共卫生运动和纳入儿童疫苗接种计划应该是关键的第一步,尤其是大多数接受调查的学生对接种疫苗持积极看法。应该激励医疗保健专业人员增加他们的HPV知识和沟通技巧,政策制定者可以努力缓解将HPV疫苗接种纳入免疫计划的障碍,并鼓励整体HPV疫苗接种。
BACKGROUND: Human Papilloma Virus (HPV) infection is a significant public health concern in the Gulf Cooperation Council countries, being widely prevalent and the main risk factor for cervical cancer. We aimed to assess knowledge and perception towards HPV, acceptability of the HPV vaccine, and HPV vaccination rates among university students in Education City, Doha,
Qatar.
METHODS: This cross-sectional survey utilized proportional quota-sampling, with quotas based on university, sex, and nationality, to recruit students from seven universities between February and September 2022. The English language questionnaire requested socio-demographic information, knowledge, and attitudes about HPV infection and the vaccine. The chi-square test, Student t-test, Mann-Whitney-Wilcoxon tests and multivariable ordinal logistic regression were used to assess differences in proportion, mean, and median according to broad HPV knowledge categories.
RESULTS: Three hundred and ninety-eight students were recruited (response rate = 82.3%), of whom 251 (63.1%) were female. Mean age was 21.7 years. Eighty-nine (22.4%, 95% CI 18.4-26.8%) students had poor knowledge about HPV, 220 (55.3%, 95% CI 50.2-60.2%) students had some awareness, and 89 (22.4%, 95% CI 18.4-26.8%) students were knowledgeable. Age, nationality, and field of
study influenced the students\' knowledge about HPV. Only 25 (6.3%) students had previously been vaccinated against HPV. However, 71% of the unvaccinated students reported being willing to get vaccinated if recommended by their healthcare provider.
CONCLUSIONS: Overall, 77.7% of the student population had some-to-good levels of knowledge about HPV-related infection, cancer, and vaccination. There are gaps in the student population\'s understanding and knowledge about HPV. Increasing knowledge can be key toward shared decision-making for HPV vaccination among eligible populations. Targeted public health campaigns and integration into childhood vaccination programs should be critical first steps, especially as most of the surveyed students had a positive outlook on getting vaccinated. Healthcare professionals should be incentivized to increase their HPV knowledge and communication skills, while policymakers can work toward easing barriers in integrating HPV vaccinations in the immunization schedule and encouraging overall HPV vaccination uptake.