題名：
婦女對人類乳突病毒與子宮頸癌關係的認知，對人類乳突病毒疫苗施打及篩檢的態度
關鍵字：
人類乳突病毒;子宮頸癌;知識;態度;行為;預防篩檢;疫苗施打;
英文關鍵字
：
Human PapillomaVirus;HPV;cervical cancer;knowledge;attitude;behavior;screening;vaccine
摘要
：
目標：子宮頸癌是台灣婦女最常發生的癌症，人類乳突病毒(HPV)篩檢及疫苗是偵測與預防HPV感染的工具，因而可達到預防子宮頸癌的目的。本研究目的在於調查台灣婦女對HPV及子宮頸癌之相關知識與態度，及婦女對接受HPV篩檢及接種HPV疫苗的行為意向與願付代價。方法：本研究使用隨機電話調查法，於民國95年6月針對台灣地區20-49歲之婦女進行電話訪問，成功訪問1,313位婦女。研究目的在於瞭解台灣地區婦女對HPV篩檢及疫苗的知識、態度與接受意向的關係，並說明婦女對HPV疫苗的最大願付代價。結果：研究結果發現有57.6%的台灣婦女沒有聽過HPV。聽過HPV的婦女在十個HPV知識題中平均答對6.42題，但是在提供簡單的HPV知識後，多數婦女對於HPV篩檢與疫苗的態度與接受意向都持正向意見，婦女對HPV的知識與相關態度會影響其對HPV疫苗及篩檢的接受度。若疫苗的效期為10年，婦女自己的願付代價為11,085元，效期增為20年，則提高為14,785元；為女兒接種疫苗則分別為16,254元及21,679元。結論：研究結果顯示台灣婦女對HPV相關知識普遍認知不足，應提供相關衛教資訊，讓婦女能夠瞭解HPV與子宮頸癌的相關資訊，以預防HPV感染來達到防治子宮頸癌的目的。;Objectives: Cervical cancer (CC) is the most common form of cancer among women in Taiwan. The Human PapillomaVirus (HPV) diagnostic testing and vaccination have proved to be valuable in the detection and prevention of HPV infection, and may thereby also help to prevent CC. This study is aimed at assessing women’s knowledge about HPV/CC, and the attitudes toward HPV testing/vaccination, as well as the acceptance of HPV testing and HPV vaccines among Taiwanese women. Furthermore, the study applies the contingent valuation method (CVM) in order to elicit WTP among Taiwanese women for a hypothetical HPV vaccine capable of reducing the risk of infection from HPV and subsequent death from CC.Methods: A total of 1,313 survey questionnaires were completed on women aged between 20 and 49 years in Taiwan using the Computer Assisted Telephone Interviewing System (CATIS) during June of 2006. One-way ANOVA and multiple regression analyses will subsequently be employed to explore the determinants of knowledge/attitude about HPV/CC and the acceptance and WTP of HPV testing and vaccination among women in Taiwan.Results: Initial results indicated that 57.6% of Taiwanese women have never heard of HPV. The average score of the ten questions regarding the knowledge of HPV/CC is 6.42. After providing the information to the respondents during the interview on HPV and HPV testing and vaccination, the acceptance and WTP was quite high. For a vaccination program with a duration of 10 years, the average median WTP was NT$11,085 for the women themselves and NT$14,785 for their daughters. With a duration of 20 years, the average median WTP was NT$16,254 for the women themselves and NT$21,679 for their daughters.Conclusions: There is clearly a lack of knowledge about HPV/CC among Taiwanese women. In order to improve the understanding of, and compliance with, HPV testing and vaccination, policymakers should tailor their educational strategies towards targeted recipients.
計畫摘要
：
目標：子宮頸癌是台灣婦女最常發生的癌症，人類乳突病毒(HPV)篩檢及疫苗是偵測與預防HPV感染的工具，因而可達到預防子宮頸癌的目的。本研究目的在於調查台灣婦女對HPV及子宮頸癌之相關知識與態度，及婦女對接受HPV篩檢及接種HPV疫苗的行為意向與願付代價。方法：本研究使用隨機電話調查法，於民國95年6月針對台灣地區20-49歲之婦女進行電話訪問，成功訪問1,313位婦女。研究目的在於瞭解台灣地區婦女對HPV篩檢及疫苗的知識、態度與接受意向的關係，並說明婦女對HPV疫苗的最大願付代價。結果：研究結果發現有57.6%的台灣婦女沒有聽過HPV。聽過HPV的婦女在十個HPV知識題中平均答對6.42題，但是在提供簡單的HPV知識後，多數婦女對於HPV篩檢與疫苗的態度與接受意向都持正向意見，婦女對HPV的知識與相關態度會影響其對HPV疫苗及篩檢的接受度。若疫苗的效期為10年，婦女自己的願付代價為11,085元，效期增為20年，則提高為14,785元；為女兒接種疫苗則分別為16,254元及21,679元。結論：研究結果顯示台灣婦女對HPV相關知識普遍認知不足，應提供相關衛教資訊，讓婦女能夠瞭解HPV與子宮頸癌的相關資訊，以預防HPV感染來達到防治子宮頸癌的目的。;Objectives: Cervical cancer (CC) is the most common form of cancer among women in Taiwan. The Human PapillomaVirus (HPV) diagnostic testing and vaccination have proved to be valuable in the detection and prevention of HPV infection, and may thereby also help to prevent CC. This study is aimed at assessing women’s knowledge about HPV/CC, and the attitudes toward HPV testing/vaccination, as well as the acceptance of HPV testing and HPV vaccines among Taiwanese women. Furthermore, the study applies the contingent valuation method (CVM) in order to elicit WTP among Taiwanese women for a hypothetical HPV vaccine capable of reducing the risk of infection from HPV and subsequent death from CC.Methods: A total of 1,313 survey questionnaires were completed on women aged between 20 and 49 years in Taiwan using the Computer Assisted Telephone Interviewing System (CATIS) during June of 2006. One-way ANOVA and multiple regression analyses will subsequently be employed to explore the determinants of knowledge/attitude about HPV/CC and the acceptance and WTP of HPV testing and vaccination among women in Taiwan.Results: Initial results indicated that 57.6% of Taiwanese women have never heard of HPV. The average score of the ten questions regarding the knowledge of HPV/CC is 6.42. After providing the information to the respondents during the interview on HPV and HPV testing and vaccination, the acceptance and WTP was quite high. For a vaccination program with a duration of 10 years, the average median WTP was NT$11,085 for the women themselves and NT$14,785 for their daughters. With a duration of 20 years, the average median WTP was NT$16,254 for the women themselves and NT$21,679 for their daughters.Conclusions: There is clearly a lack of knowledge about HPV/CC among Taiwanese women. In order to improve the understanding of, and compliance with, HPV testing and vaccination, policymakers should tailor their educational strategies towards targeted recipients.