جستجوی مقالات مرتبط با کلیدواژه "papillomavirus vaccines" در نشریات گروه "پزشکی"
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Background
Human papillomavirus (HPV) infection is the most common sexually transmissible infection, which has a key role in the development of cervical cancer.
ObjectivesThis study aimed to assess the level of awareness/knowledge among medical, nursing and midwifery students about HPV infection and its vaccine in Ahvaz Jundishapur University of Medical Sciences (AJUMS) in 2020.
MethodsThis cross-sectional study was conducted on 181 medical, nursing and midwifery students who were selected based on convenience sampling. Students' awareness/knowledge were assessed through a validated questionnaire consisted of 15 correct and incorrect questions with a score range of 0-15. Data were analyzed using Chi-square test and logistic regression by SPSS-18.
ResultsThe mean (SD) of age of the participants was 25.4 (1.84) years, and the majority of them were female (60.2%) and single (79.6%). Overall, the students' awareness/knowledge score about HPV was 66.92 (22.8) (out of 100). The mean (SD) of awareness/knowledge of female students was higher than male students 68.8 (18.5) vs 64.1 (28.1), but there was no statistically significant (p=0.210). The awareness/knowledge among the medical students was significantly higher than that of the nursing and midwifery students (t179=7.17, p˂0.001). Significant odds ratio (OR) for predictors to good awareness/knowledge were higher age (OR=0.76, p = 0.023), higher grade point average (OR=1.49, p=0.030), and medical students' group (OR=17.31, p˂0.001).
ConclusionAlthough the awareness/knowledge of students in this study was above average, which highlights the need for education measures to improve awareness/knowledge of students regarding HPV, since they will be future health care providers in society.
Keywords: human papilloma virus, cervical cancer, papillomavirus vaccines, awareness, knowledge, medicine, nursing, midwifery, students -
مقدمه
ویروس پاپیلومای انسانی (Human papillomavirus یا HPV) شایع ترین عفونت جنسی منتقل شده به ویژه در افراد زیر 25 سال می باشد که اغلب به دلیل عدم آگاهی و باور غلط انتقال می یابد. با توجه به نقش پیش سرطانی این ویروس و اهمیت پیش گیری از آن، تزریق واکسن HPV در تمام کشورها مورد توجه قرار گرفته است. از این رو، بهبود آگاهی و نگرش در میان نوجوانان ضروری به نظر می رسد. بنابراین، مطالعه ی مرور نظام مند حاضر، با هدف بررسی تاثیر مداخلات آموزشی بر دانش و نگرش دختران نوجوان در مورد واکسن HPV انجام شد.
روش هادر این مطالعه ی مرور نظام مند، همه ی مطالعات کمی منتشر شده، بدون محدودیت زمانی بررسی شدند. جستجوی مطالعات در پایگاه های اطلاعاتی انگلیسی و فارسی انجام شد. واژگان کلیدی بر اساس Mesh و شامل «Knowledge»، «Attitudes»، «Papillomavirus vaccines»، «Gardasil» و «Intervention study» بودند که با عملگرهای Boolean «OR» و «AND» ترکیب شدند. در نهایت، دو پژوهشگر به طور مستقل مقالات را جهت ارزیابی کیفیت و استخراج یافته ها مورد بررسی قرار دادند.
یافته ها21 مقاله با حجم نمونه ی کلی 10086 نفر انتخاب شد. مقالات از نوع کارآزمایی بالینی تصادفی، غیر تصادفی و شبه تجربی بودند و سال انتشار آن ها بین 2019-2008 بود. یافته های پژوهش نشان داد که مداخلات آموزشی بر اساس مدل اعتقاد بهداشتی، مدل آموزش همسالان، مداخلات مبتنی بر مدرسه و به صورت سایر مداخلات آموزشی بود. مدل اعتقاد بهداشتی و مداخلات مبتنی بر مدرسه، شایع ترین چارچوب ها در طراحی مداخلات آموزشی در مورد واکسن پاپیلوما ویروس انسانی در میان نوجوانان بود. در تمامی مطالعات، انواع مداخلات آموزشی تاثیر مثبتی بر افزایش دانش و بهبود نگرش نوجوانان نسبت به واکسن HPV داشتند.
نتیجه گیریانواع مداخلات آموزشی به صورت مدل Health belief model (HBM)، مدل آموزش هم سالان، مداخلات مبتنی بر مدرسه و سایر مداخلات آموزشی، می تواند منجر به افزایش دانش و نگرش افراد نسبت به واکسن HPV شوند. با توجه به موثر بودن مداخلات آموزشی بر اساس مدل اعتقاد بهداشتی و مداخلات مبتنی بر مدرسه بر افزایش دانش و نگرش نوجوانان در مورد این واکسن، طراحی و اجرای مداخلات در مدارس پیشنهاد می شود.
کلید واژگان: واکسن پاپیلوما ویروس, گارداسیل, نگرش, دانش, آموزشBackground
Human papillomavirus (HPV) is the most common sexually transmitted infection worldwide, especially in people with age of under 25 years. It is often caused due to lack of awareness and misconception. Given the precancerous role of this virus and the importance of its prevention, HPV vaccination has been considered in all countries; so it is necessary to improve the knowledge and attitude of adolescents. Therefore, awareness and attitudes among high-risk groups need to be improved, especially among the vulnerable teens. This systematic review was conducted to evaluate the effect of educational interventions on knowledge and attitude of adolescent girls about HPV vaccine.MethodsAll quantitative studies, which were published without time limit, were entered in this systematic review article. The investigation was performed in the English and national databases such. Keywords were as Knowledge, Attitudes, Papillomavirus Vaccines, Gardasil, and Intervention study combined with the Boolean OR and AND operators. Finally, two researchers independently reviewed the articles for the quality appraisal and extracted their main findings.
FindingsFinally, 21 articles with a total sample size of 10086 were entered the study. Articles were interventional types and were published from 2008 to 2019. Educational interventions were based on Health Belief Model, Peer Education Model, School-Based Interventions, and other Educational Interventions. The Health Belief Model and School-Based Interventions were the most common frameworks for designing educational interventions for the HPV vaccine among adolescents. In all studies, educational interventions had a positive effect on increasing adolescents' knowledge and attitude toward the HPV vaccine.
ConclusionEducational interventions can lead to increased knowledge and attitudes towards HPV vaccine. Considering the effectiveness of educational interventions based on the Health Belief Model and School-Based Interventions to increase adolescents' knowledge and attitude about this vaccine, designing and implementing such interventions in school are recommended.
Keywords: Papillomavirus vaccines, Gardasil, Attitudes, Knowledge, Education -
International Journal of Women’s Health and Reproduction Sciences, Volume:6 Issue: 3, Summer 2018, PP 240 -247ObjectivesA development in the prevention of cervical cancer in women in Australia was the introduction of the human papillomavirus (HPV) vaccine, which was made available to young women as part of a national school-based vaccination program in 2007. Despite this advancement, Pap screening is still required to provide optimal protection from cervical cancer. The current study aimed to explore what young women know about HPV, HPV vaccination, and Pap screening guidelines. It further aimed to identify barriers and facilitators young women perceive to participating in screening, as well as factors influencing these perceptions.Materials And MethodsSemi-structured interviews were conducted with 12 women who had been in school during the Australian HPV vaccination program and offered HPV vaccine, aged 18-25, until saturation around key themes was reached. Transcripts were analysed, letting themes emerge from the data.ResultsKey barriers and facilitators to pap screening were identified, as well as factors affecting the salience of these barriers and facilitators.ConclusionsFindings have implications for the development of interventions to increase screening adherence and reduce the incidence of cervical cancer in this population.Keywords: Papillomavirus vaccines, Primary prevention, Papanicolaou test, Health education, Reproductive health
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Human papillomavirus (HPV) is the most commonly sexually transmitted infection in the world and the primary cause of cervical cancer. Canada introduced publicly funded HPV vaccination programs in 2006. The objectives of this study are twofold and aim to (1) determine the levels and (2) examine the various factors influencing vaccine uptake among the general Canadian population. A literature search was conducted on seven databases, followed by screening, methodological quality review (using modifed Newcastle‑Ottawa Scale), and data extraction. Pooled meta‑analysis and a subgroup analysis were conducted stratifying by a number of variables (age, sex, type of program, and method of payment) determined apriori. A total of 718 peer‑reviewed articles were initially identifed with 12 remaining after screening and underwent methodological quality review. HPV vaccination uptake in Canada varied from 12.40% (95% confdence interval [CI] 6.7720.26) to 88.20% (95% CI 85.7290.39). The pooled random effects model showed the HPV vaccination uptake to be 55.92% (95% CI 44.8766.65). The subgroup analysis showed that vaccination uptake was 66.95% (95% CI 55.0077.89) in participants ≤ 18 years as compared to 13.58% (95% CI 10.9316.46) in participants > 18 years. Uptake for females was higher 57.23% (95% CI: 45.40 68.66) when compared to that of 47.01% (95% CI: 0.8297.75) in males. HPV vaccine uptake among school‑based programs was 69.62% (95% CI 57.2780.68) as compared to 18.66% (95% CI 6.6634.92) for community‑based programs. Vaccination uptake for publicly funded programs was signifcantly higher 66.95% (95% CI 55.0077.89) when compared to 13.58% (95% CI 10.92 16.46) for programs where participants had to pay out of pocket. To prevent infections and reduce the burden of HPV‑related diseases (including cervical cancer), communities should be made aware and encouraged to vaccinate their children. There is a documented need to direct effort and focus interventions toward improving HPV vaccination uptake in Canada.Keywords: Canada, immunization, papillomavirus infections, papillomavirus vaccines, uterine cervical neoplasms, virus diseases
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مقدمهعفونت ویروس پاپیلومای انسانی (HPV) Human Papilloma Virus در دنیا در حال گسترش می باشد. با توجه به نقش پیش سرطانی آن و اهمیت پیشگیری، تزریق این واکسن در تمام کشورها مورد توجه قرار گرفته است. آگاهی و نگرش در میزان پذیرش این واکسن در بیماران تاثیر قابل ملاحظه ای دارد. بنظر می رسد که سطح بالای آگاهی پزشکان بر نحوه آگاه سازی و توجیه گروه هدف جهت پذیرش واکسن تاثیر قابل ملاحظه ای داشته باشد.هدفهدف از این مطالعه تعیین سطح آگاهی و نگرش دانشجویان پزشکی در مورد واکسیناسیون ویروس پاپیلومای انسانی بود.روش کاراین مطالعه مقطعی از نوع توصیفی- تحلیلی بود که در بین کلیه دانشجویان پزشکی (90 نفر) ورودی سالهای 84 و 85 دانشگاه علوم پزشکی گیلان در طی سال 1391 بطور سرشماری انجام شد. معیار ورود به مطالعه تحصیل در سال آخر پزشکی و تمایل به شرکت در مطالعه بود. پرسشنامه ی محقق ساخته شامل سه قسمت اطلاعات فردی (6سوال)، سوالات آگاهی (20سوال) و نگرش (26سوال) تهیه و توسط دانشجویان تکمیل گردید. در مورد امتیاز دهی پرسشنامه آگاهی برای پاسخ به سوالات درست نمره یک، نمی دانم، صفر و غلط، نمره 1- در نظر گرفته شد. در خصوص امتیاز دهی برای پاسخ به سوالات نگرش از مقیاس لیکرت برای موافقم نمره3، نمی دانم نمره 2 و مخالفم نمره 1 در نظر گرفته شد. سطوح امتیاز در سطح سوالات آگاهی بین 20- تا 20 امتیاز و در سطح نگرش 26 تا 78 امتیاز بود. جهت تجزیه و تحلیل داده ها از روش های آمار توصیفی شامل میانگین، انحراف معیار و توزیع فراوانی و آمار استنباطی شامل آزمون های تی و ضریب همبستگی پیرسون استفاده شد.یافته هانتایج نشان داد اکثر نمونه ها (2/82%) زن و (7/66%) دارای سن کمتر از 25 سال بودند. مهمترین منبع کسب اطلاعات در خصوص، دروس دوران تحصیل در رشته پزشکی (57%) بود. میانگین و انحراف معیار نمره آگاهی افراد 24/3±17/5
(پاسخ ها در با محدوده ی 13 تا 5-) و میانگین نگرش 04/5±16/52 (پاسخ ها در محدوده ی 63-38) بود بین نمرات آگاهی و نگرش از با جنسیت، رده های سنی، وضعیت تاهل و منبع کسب اطلاعات دانشجویان رشته پزشکی مورد مطالعه تفاوت آماری معنی داری دیده نشد (05/0P>). همچنین هیچ نوع همبستگی بین نمرات آگاهی و نگرش از این ویروس دیده نشد(11/0r =- و 28/0P=).بحث و نتیجه گیریبراساس نتایج پژوهش میزان نمره آگاهی و نگرش دانشجویان پزشکی راجع به این واکسیناسیون پایین بود. همچنین با توجه به اینکه منبع اصلی کسب اطلاعات دانشجویان دروس دوران تحصیل می باشد. در نتیجه توجه ویژه به محتوای آموزشی دروس در ارتقا آگاهی و به دنبال آن نگرش بالاتر دانشجویان به عنوان پزشکان آینده حائز اهمیت می باشد. لذا پیشنهاد می گردد برنامه های آموزشی جهت ارتقا آگاهی دانشجویان در طی دوره تحصیلی و خصوصا دوره آموزش بالینی عفونی راجع به ویروس پاپیلومای انسانی و واکسیناسیون آن تدوین گردد. از سویی با توجه به نقش اطلاع رسانی و آموزشی مهم پزشکان در جامعه، با ایجاد درک و آگاهی بالاتر دانشجویان در خصوص نقش واکسناسیون در پیشگیری و کاهش میزان مرگ و میر از سرطان سرویکس، می توان گامی جهت بهبود وضعیت سلامت مردم برداشت.کلید واژگان: واکسن های ویروس پاپیلوما, دانش, نگرش, دانشجویان پزشکیIntroductionThe prevalence of human papilloma virus (HPV) is growing in the world. According to the precancerous role and the importance of prevention, human papilloma virus vaccination is considered in all countries. The knowledge and attitude of patients have a considerable effect on HPV injection. It seems that higher knowledge level of physicians can have significant effect on justification and informing target group for vaccination.ObjectiveThe aim of this study was to determine the level of knowledge and attitude of medical students regarding human papilloma virus vaccination and associated factors in Guilan University of Medical Sciences.MethodsThis analytic cross-sectional study was carried out on 90 medical students who entered in 2005 and 2006 by census method. Inclusion criteria were studying in final year and would like to participate in the study. In 2012 Data were gathered by a questionnaire including three sections: demographic characteristics (6 questions), knowledge (20 questions) and attitude (26 questions). In scoring knowledge questionnaire, correct, dont know and incorrect answers received 1, 0 and -1 respectively. 1-3 likert scale was used to score the attitude questions. Agree, dont know and disagree received 3, 2 and 1 respectively. The level of knowledge score was -20 to 20 points and the attitude included 26-78 points. For data analysis, descriptive statistics including mean, standard deviation, frequency and analytic statistics including T-test and Pearson correlation coefficient were used.ResultsFindings indicated that most participants (82.2%) were female and 66.7% aged less than 25 years. The main source of information about HPV was from courses taken during medical school (57%). Mean of knowledge score was 5.17±3.24 (answers ranging 5-13) and mean of attitude score was 52.16±5.04 (answers in ranging 38-63). There was no significant difference between knowledge and attitude about HPV and sex, age groups, marital status and medical students source of information. Also, no correlation was noted between knowledge and attitude about HPV (P=0.28, r=0.11).ConclusionBased on study results, the level of Knowledge and attitude of medical students about HPV vaccination was low. Also in attention to the source of student's information, special attention to educational contents for knowledge and attitude promotion is important for future physicians. Therefore educational programs are needed to increase student's knowledge during study especially during clinical education on HPV and vaccination. On the other hand with attention to the role of physicians in giving information to society, better knowledge and understanding of students regarding role of vaccination and decreasing mortality of cervical cancer can take a step to promote the condition of societal health.Keywords: Papillomavirus Vaccines, Awareness, Attitude, Medical Students
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