深圳市成年女性对人乳头瘤病毒疫苗认知、接种意愿及行为研究

doi:10.12183/j.scjpm.2025.0978

摘要/Abstract

摘要： 目的了解深圳市成年女性对人乳头瘤病毒（HPV）疫苗的认知状况、接种意愿和行为及其影响因素。方法采用多阶段抽样法抽取深圳市20个社区18~<46岁女性作为调查对象并开展问卷调查,基于无序多分类logistic回归模型分析HPV疫苗接种意愿及行为的影响因素。结果 1 140名受访女性的平均年龄为30.9岁,具有大专/本科及以上学历者占47.1%（537人）。受访女性对HPV的知晓率为80.0%（912/1 140）,对HPV疫苗的知晓率为96.6%（1 101/1 140）,HPV及其疫苗知识素养合格率为77.2%（880/1 140）,处于HPV疫苗接种行动阶段、意图阶段和无意图阶段的女性分别占40.9%（466/1 140）、44.7%（510/1 140）、14.4%（164/1 140）。对比意图阶段和行动阶段发现,年龄≥26岁者（26~<36岁：OR=2.149;36~<46岁：OR=2.349）、具有大专/本科及以上者（OR=2.152）、听说过HPV者（OR=2.533）、知识素养合格者（OR=2.027）更容易处于行动阶段,服务业人员/工人（OR=0.565）和无职业者（OR=0.420）更容易处于意图阶段（均P<0.05）;对比意图阶段和无意图阶段发现,年龄在36~<46岁者（OR=2.503）更容易处于无意图阶段,家庭人均月收入在5 000~≤10 000元者（OR=0.616）、听说过HPV疫苗者（OR=0.354）、知识素养合格者（OR=0.294）更容易处于意图阶段（均P<0.05）。结论深圳市成年女性对HPV疫苗的认知水平较高,实际接种率和接种意愿率相对较高,受年龄、文化程度、家庭人均月收入、HPV及其疫苗知晓度和知识素养水平等因素的影响。

关键词: 人乳头瘤病毒疫苗, 认知状况, 接种意愿, 接种行为, 影响因素

Abstract: Objective To assess the cognition, vaccination willingness and behavior of human papillomavirus (HPV) vaccine among adult women in Shenzhen, and to identify influencing factors. Methods A multi-stage sampling method was employed to recruit women aged 18-<46 years from 20 communities in Shenzhen. A structured questionnaire was administered to collect data on sociodemographic characteristics, HPV knowledge, and vaccination status. Multinomial logistic regression was used to analyze factors associated with vaccination willingness and behavior. Results Among 1 140 participants (mean age: 30.9 years), 47.1% (537/1 140) held a college degree or higher. Awareness rates were 80.0% (912/1 140) for HPV and 96.6% (1 101/1 140) for HPV vaccines. Overall, 77.2% (880/1 140) demonstrated adequate HPV-related knowledge. Regarding vaccination stages: 40.9%(466/1 140) were in action stage, 44.7%(510/1 140) were in the intention stage and 14.4%(164/1 140) were in the no-intention stage. Comparison between the action and intention stage showed that women aged ≥26 years (26-<36: OR=2.149; 36-<46: OR=2.349), college-educated(OR=2.152), HPV-aware(OR=2.533) and knowledge-qualified (OR=2.027) were more likely to be in action, while those working in service/industries workers (OR=0.565), and unemployed individuals (OR=0.420) were more likely to be in the intention stage (all P<0.05). Comparison between the intention and no-intention stage showed that women aged 36-<46 years (OR=2.503) were more likely to be in the no-intention stage, while women with household incomes of 5 000-10 000 CNY/month (OR=0.616), HPV vaccine-aware (OR=0.354) and knowledge-qualified(OR=0.294) were more likely to be in the intention stage(all P<0.05). Conclusions Adult women in Shenzhen exhibit high cognition of HPV vaccines, with high vaccination rate and willingness. And the willingness and behavior are associated with age, education level, household income, HPV knowledge, and vaccine awareness.

Key words: Human papillomavirus vaccine, Cognition, Vaccination willingness, Vaccination behavior, Influencing factor

中图分类号:

R193

尚丽, 吴旭生, 关婷, 杨娟, 陈明. 深圳市成年女性对人乳头瘤病毒疫苗认知、接种意愿及行为研究[J]. 华南预防医学, 2025, 51(9): 978-983.

SHANG Li, WU Xusheng, GUAN Ting, YANG Juan, CHEN Ming. Cognition, vaccination willingness and behavior regarding HPV vaccine among adult women in Shenzhen[J]. South China Journal of Preventive Medicine, 2025, 51(9): 978-983.

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