Evaluation Of HPV-related Cognition And The Health Education Of HPV In Junior High School Students

Objective:(1)To understand the cognitive situation and the attitude of HPV vaccine among the junior high school students through the questionnaire survey before intervention;(2)Through the training of the knowledge related to cervical cancer to improve the student’sknowledge of cervical cancer and HPV.Methods:(1)Based on the previous research,this study has compiled the questionnaire on cervical cancer health knowledge,which mainly deals with adolescent related issues,cognition and attitudes about cervical cancer,the cognition and attitude of HPV and HPV vaccines.Surveys are conducted in a city middle school and a rural junior high school in Hubei province,and according to the baseline situation to analyze the willing to inject the HPV vaccine;(2)The students are from the seventy-first middle school of Wuhan and the Jinniu Town middle school of Daye city,selected by using judgment sampling and cluster sampling.The whole class was randomly assigned to the intervention group and the control group.Intervention group students received 40 minutes of intervention programme courses,the control group did not get any intervention,and then did the comparative analysis between the two groups about the score,awareness of HPV,and the willing to inject the HPV vaccine and so on at the end of the intervention and the one year after intervention.Results:(1)The total number of students in this study was 1057,96.5% of them were Han population.and the girls accounted for 46.3%,the average age was(14.43 ± 0.93);49.3% of the students were sexually educated and understood students accounted for 75%,48.7% of the students received sex educationin school;20.1% of them considered the cervical cancer had relationships with themselves,10.9% have heard the HPV vaccine,and 4.3% thinked that the HPV vaccine could effectively prevent cervical cancer/anus cancer/genital warts.The students willing to vaccinate the HPV vaccine accounted for 64.1%.Single factor analysis revealed that gender,age,adolescent knowledge and HPV vaccine-related knowledge were the factors to the willingness to inject the HPV vaccine(P<0.05).Logistic regression analysis showed that age,adolescent knowledge and HPV vaccine related knowledge were the factors influencing the willingness of junior high school students to vaccinate HPV vaccine(P<0.05).(2)In the aspect of adolescent sexual knowledge,after intervention,the awareness rate of the intervention group had significantly increased,and the difference was statistically significant(P<0.05);the awareness rate of the intervention group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Follow-up results showed that adolescent sexual knowledge awareness rate was higher than that before the intervention((5.69±2.49)VS(4.99±2.77)),but smaller than that in the after intervention group((5.50±2.47)VS(5.69±2.49)),and there was no statistical difference between the three different periods(P>0.05).(3)In the aspect of HPV vaccine-related knowledge,after intervention,the awareness rate of the intervention group had significantly increased,and the difference was statistically significant(P<0.05);the awareness rate of the intervention group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Follow-up results showed that HPV vaccine-related knowledge awareness rate was higher than that before the intervention((2.70±1.94)VS(0.11±0.63)),but smaller than that in the after intervention group((1.73±1.90))VS(2.70±1.94)),and there was a statistically significant difference between the three different periods(P>0.05).Conclusions:(1)The knowledge awareness rate about adolescent sex and HPV vaccine were at low level;(2)The age,adolescent sexual knowledge and HPV vaccinerelated knowledgeof junior high school students were the factors influencing the willingness to vaccinate HPV vaccine.The school should strengthen the health education of cervical cancer;(3)The health education interventions can effectively improve the cognition of HPV-related knowledge among junior high school students.