| 摘要: | 目標：子宮頸癌是威脅婦女癌症之一，研究已證實施打HPV疫苗已成為預防子宮頸癌相關癌前病變的有效方式。HPV疫苗接種非全國性政策，各縣市政府陸續提供公費疫苗接種，本研究的目的為探討影響家長對國中青少女接種公費人類乳突病毒疫苗行為之重要因素，期望瞭解在提供HPV疫苗接種公共政策下，家長對HPV疫苗接種的看法及障礙，可作為後續政策推動參考。
方法：本研究為橫斷式調查研究設計，以健康信念模式之結構式問卷進行調查，採分層系統隨機抽樣，以台中市103年入學的國中青少女家長或監護人為研究對象，共發出800份問卷，回收694份，有效問卷回收率達87%；以SAS套裝軟體9.4版進行資料處理分析；並利用次數、百分比、卡方檢定及邏吉斯迴歸等方法探討影響家長對國中青少女接種HPV疫苗之重要因子。
結果：本研究結果顯示，青少女家長對自覺子宮頸癌疫苗的有效性（OR=1.31, p<.0001）、自覺子宮頸癌疫苗的障礙性（OR=0.88, p<.0001）、子宮頸癌疫苗接種的行動線索（OR=1.21, p<.05）達統計上之顯著差異。然年齡、性別、婚姻狀況、教育程度、社經地位及知識等則未達統計上意義。
結論與建議：本研究結果青少女家長自覺子宮頸癌疫苗的有效性、障礙性及行動線索為影響家長對國中青少女接種HPV疫苗之重要因子；政府應有效提升家長對HPV疫苗的安全性及有效性信心，加強有效的行動線索訊息宣導，以提高國中青少女疫苗的接種率，讓公費HPV疫苗接種的公共政策更有成效。
Goals: cervical cancer is one of the threats to women's cancers, studies have proved that administration of HPV vaccines has become the effective way of preventing cervical cancer and precancerous lesions. HPV vaccination of non-national policy, county and city governments have been providing free vaccination, HPV vaccination of non-national policy, County and city governments have been providing free vaccination, the purpose of this study was to explore the parents of teenager girl immunization important factors of human papillomavirus vaccine at public expense, look at providing HPV vaccine public policy, opinion of parents regarding the HPV vaccine and obstacles, can be used as follow-up policy reference.
Method: this research for cross-sectional study design, to Health Belief Mode of structure type questionnaire for survey, mining stratified systematic random sampling entrance junior high school teenager girl’s parents or guardians in Taichung city in 103 as the research object, a total of 800 questionnaires with 800, 694 copies of valid questionnaires , effective questionnaire recovery rate was 87%, with SAS version 9.4 software package performed data processing and analysis; and using times, and percentage, and Chi-square test and Luo Regis regression methods that affect parents of junior high school girl immunization HPV vaccines are important factors.
Results: the results showed parents of junior high school girls at public expense an important factor for conscious cervical vaccine for HPV vaccination effectiveness (OR=1.31, P<.0001), perceived barriers to cervical cancer vaccine (OR=0.88, P<.0001), cervical cancer vaccination cues to action (OR=1.21, P<.05). Age, sex, marital status, level of education, socio-economic status knowledge and etc, there is no statistically significant difference.
Conclusion And recommendations: The results, conscious effectiveness of cervical cancer, barriers and cues to action of vaccines for parents influence junior high school girl HPV vaccine states of an important factor; the government should effectively enhance parental confidence in the safety and efficacy of the HPV vaccine, strengthen effective action cues message advocacy to improve junior high school girl vaccine of vaccination rate. Let the public funded HPV vaccination public policy more productive. |
