Background: Human papillomavirus infection, a causative factor for cervical cancer, remains a topic of great interest. About 80% of sexually active women are at risk of acquiring HPV infection while having a 70% global target to eliminate intensive cervical cancer.
Objective: This study aimed to assess the practice of human papillomavirus vaccination and associated factors among primary school female students in Minjar-Shenkora district, 2020.
Methods: A school-based quantitative cross-sectional study was conducted from February 1 to 30 2020, in primary school female students of Minjar-Shenkora district, North Shoa zone, Ethiopia. A structured self-administered questionnaire was used for data collection. Associations between dependent and independent variables tested in binary and multiple logistic regression and variables with p-value ≤ 0.25 were entered into multiple logistic regression with considered significant level of P-value ≤ 0.05 and at 95% confidence interval (CI).
Results: A total of 591 students participated in the study with a response rate of 96.3%. Of the total, 393 (66.5%) (CI 0.63– 0.7) participants have been vaccinated for HPV. The factors associated with the practice of vaccination were; being knowledgeable about HPV vaccination (AOR, 8.65, CI=5.2– 14.3) and a positive attitude towards HPV vaccination (AOR, 1.85, CI=1.18– 3). Students in rural areas were 88% less likely to practice HPV vaccine than students in urban areas (AOR, 0.12, CI=0.07 0.21).
Conclusion and Recommendation: Overall, HPV vaccination practice was relatively good (66.5%). Knowledge on HPV vaccination, positive attitude towards HPV vaccination, and being a rural residence were associated with HPV vaccination practice. Families, health-care workers, and schools should work together to improve the knowledge and attitude of the community towards HPV vaccination.



中文翻译：

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2020年埃塞俄比亚阿姆哈拉州北绍阿区Minjar-Shenkora区小学生人乳头瘤病毒疫苗接种实践及相关因素

背景：人乳头瘤病毒感染是宫颈癌的致病因素，仍然是一个备受关注的话题。大约 80% 的性活跃女性有感染 HPV 的风险，同时全球 70% 的目标是消除重症宫颈癌。
目的：本研究旨在评估 2020 年 Minjar-Shenkora 区小学生人乳头瘤病毒疫苗接种情况及相关因素。
方法：2020 年 2 月 1 日至 30 日，对埃塞俄比亚北绍阿区 Minjar-Shenkora 区的小学生进行了一项基于学校的定量横断面研究。使用结构化的自我管理问卷进行数据收集。在二元和多元逻辑回归中测试的因变量和自变量之间的关联以及 p 值 ≤ 0.25 的变量被输入到多重逻辑回归中，认为 P 值 ≤ 0.05 的显着水平和 95% 置信区间 (CI)。
结果：共有591名学生参加了研究，回复率为96.3%。其中，393 名 (66.5%) (CI 0.63–0.7) 参与者接种了 HPV 疫苗。与疫苗接种实践相关的因素是：了解 HPV 疫苗接种 (AOR, 8.65, CI=5.2–14.3) 并对 HPV 疫苗接种持积极态度 (AOR, 1.85, CI=1.18–3)。农村地区的学生接种 HPV 疫苗的可能性比城市地区的学生低 88%（AOR，0.12，CI=0.07 0.21）。
结论和建议：总体而言，HPV 疫苗接种实践相对较好（66.5%）。HPV 疫苗接种知识、对 HPV 疫苗接种的积极态度以及作为农村居民与 HPV 疫苗接种实践相关。家庭、卫生保健工作者和学校应共同努力，提高社区对 HPV 疫苗接种的知识和态度。