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Ethnic Variations in Perception of Human Papillomavirus and its Vaccination among Young Women in Nepal

机译:尼泊尔年轻女性对人乳头瘤病毒的感知及其疫苗接种的种族差异

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Background: The Human Papillomavirus (HPV) is strongly associated with cervical and other cancers. In women, cervical cancer is the third most common cancer. HPV infection can be largely prevented through vaccination of (adolescent) girls. At the same time, Nepal is a low-income country experiencing a cultural change in attitudes towards sex and sexual behaviour. However, in the adolescent population knowledge about HPV, factors associated with an increased risk of HPV and the existence of the vaccination is often low.Materials and Methods: This was a cross-sectional study with female students enrolled in health and non-health science courses in Pokhara, Nepal. The questionnaire included demographic details, knowledge and attitude questions related to HPV, associated risk behaviour and its vaccination. Descriptive statistics, including Chi-Square test, were used to identify statistically significant relationships. Ethical approval was granted by the relevant authority in Nepal.Results: Hindu religion (75.0 %; 95% CI: 70.9, 78.6) and Newari caste (75.5%; CI: 61.1, 86.7) were more aware about HPV, HPV vaccination. Hindus religion (55.6%; 95% CI: 51.2, 60.0) and Dalit caste (61.6%, 95% CI: 53.3, 69.4) more willing to be vaccinated than other religions and other castes, respectively. Not unsurprisingly, students on health-related courses had a greater awareness of HPV, HPV vaccination and were more willing to be vaccinated than students on other courses. Similar patterns of association arose for knowledge related to those sexually active at an early age; HPV risk and multiple sex partners; and fact that condoms cannot fully prevent the transmission of HPV.Conclusion: Knowledge about the link between HPV and (a) early sexual initiation, (b) having multiple sexual partners, and (c) the limited protection of condoms and other birth control measures was poor in our study compared to similar research conducted in other parts of the world. One key implication is the need for education campaigns in Nepal to educate young women and their parents about HPV, its risk factors and the benefits of vaccination.
机译:背景:人乳头瘤病毒(HPV)与宫颈癌和其他癌症密切相关。在女性中,子宫颈癌是第三大常见癌症。可以通过对(少女)女孩进行疫苗接种来预防HPV感染。同时,尼泊尔是一个低收入国家,其性观念和性行为的观念正在发生文化变化。然而,在青春期人群对HPV的了解中,与HPV风险增加和疫苗接种存在相关的因素通常很少。材料与方法:这是一项横断面研究,研究对象为健康与非健康科学专业的女学生在尼泊尔博卡拉开设课程。问卷包括人口统计细节,与HPV有关的知识和态度问题,相关的风险行为及其疫苗接种。描述性统计数据(包括卡方检验)用于识别具有统计学意义的关系。结果:印度教徒(75.0%; 95%CI:70.9,78.6)和Newari种姓(75.5%; CI:61.1,86.7)更加了解HPV和HPV疫苗接种。印度教徒(55.6%; 95%CI:51.2,60.0)和达利特种姓(61.6%,95%CI:53.3,69.4)分别比其他宗教和其他种姓更愿意接种疫苗。毫不奇怪,与健康相关课程的学生比对其他课程的学生更了解HPV,HPV疫苗,并且更愿意接种疫苗。类似的联系方式也出现在与童年时性活跃者相关的知识上。 HPV风险和多个性伴侣;结论:关于HPV与(a)早期性行为,(b)有多个性伴侣以及(c)对避孕套的保护有限和其他节育措施之间的联系的知识与在世界其他地区进行的类似研究相比,我们的研究表现不佳。一个关键的含义是需要在尼泊尔开展教育运动,对年轻妇女及其父母进行有关HPV及其危险因素和疫苗接种益处的教育。

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