| 【Purpose】Cervical cancer vaccine（HPV vaccine for short）is a vaccine that can prevent the corresponding type of human papillomavirus infection.Vaccination with preventive HPV vaccine can effectively reduce the related types of HPV infection and related clinical diseases.Through the investigation and analysis of the current situation of vaccination units and vaccination staff in the surveyed Province,the use of HPV vaccine,the factors that can affect HPV vaccination and the supply level of non immunization planning vaccine,this study analyzes the existing problems of HPV vaccination in the surveyed area and the cognition of vaccinators,and puts forward countermeasures and suggestions to further improve the HPV vaccination rate in the surveyed area,Reduce the incidence of infectious diseases that can be prevented by vaccines.【Method】Between August 2020 and March 2021,a paper questionnaire was used to investigate female cervical cancer vaccinators at vaccination sites by convenient sampling method,and 103 valid questionnaires were collected.The contents of the questionnaire mainly include the basic personal information of the vaccinators,vaccination concerns,pre-vaccination screening,vaccination costs,vaccination adverse reactions and other related issues.At the same time,the vaccination units and vaccinators were surveyed and statistically analyzed to obtain the current situation of vaccination units and staff,HPV vaccine procurement,HPV vaccination and other information.Microsoft Excel 2010 was used for data entry,and IBM SPSS 25.0 was used for statistical analysis.With α=0.05 as the standard,the difference was statistically significant（P<0.05）.【Result】（1）In this survey,103 people were vaccinated with HPV vaccine,mainly aged18-36（75.73%）,most of them had college education,77.67% were registered in urban areas,and the other occupations were the most（44.66%）.The respondents’ knowledge of HPV vaccination mainly came from TV,radio,network publicity and related case reports（40.78%）.74 people had been screened and checked for cervical cancer,and 102 people recommended their relatives and friends to be vaccinated for cervical cancer.（2）The main reason why the subjects choose to be vaccinated with HPV vaccine is to improve their own immunity and avoid cervical diseases（57.28%）.The main difficulty in making an appointment with HPV vaccine is to make an appointment to inform them that there is a shortage of vaccine for many times（42.72%）.There are 82 people who have concerns before being vaccinated with HPV vaccine,accounting for 79.61%,and most of them have experienced a good attitude in vaccination service（67.96%）.60 people（58.25%）felt that the cost of HPV vaccination was high,and 92 people（89.32%）suggested that HPV vaccine should be included in the first-class vaccine and free vaccination should be implemented,most of them had no adverse reactions（69.52%）.（3）In the analysis of the factors influencing the vaccination concerns of the vaccinators,the results show that there is no difference in the vaccination concerns of the vaccinators,such as age,education level,occupation,whether to screen before vaccination,service attitude,vaccination cost,reaction after vaccination,whether to recommend others for vaccination or not,and there is no statistical significance（P>0.05）.（4）In the univariate analysis of whether or not to screen before vaccination,it shows that there are significant differences in occupations and vaccination costs when compared between groups.The proportion of occupations in the screened and non-screened groups is different,and the proportion of other occupations is higher than that in the non-screened group,with statistical significance P<0.05;The screening group thought that the proportion of vaccination expenses could be borne was the highest,while the non-screening group thought that the proportion of vaccination expenses was the highest,and the difference between the two groups was statistically significant（P<0.05）.（5）In the multivariate Logistic regression analysis of whether or not to screen before vaccination,it is concluded that age,education level,registered permanent residence,vaccination concerns,service attitude,vaccination cost and free vaccination have no obvious correlation with whether or not to screen the respondents.Occupation is the influencing factor of screening,P=0.049.（6）The concern of cervical cancer vaccination among employees was significantly higher than that of college students（P < 0.05）;The proportion of cervical cancer screening in college students was significantly higher than that in-service personnel（P < 0.05）;The evaluation of College Students’ service attitude towards vaccination was significantly higher than that of on-the-job personnel（P <0.05）;There was no significant difference between college students and on-the-job personnel in the evaluation of vaccination cost,whether to implement free vaccination,general reaction after vaccination and whether to recommend vaccination（P > 0.05）.（7）From 2019 to 2021,the number of people vaccinated with HPV in a province increased year by year,with the largest number of people vaccinated with bivalent and the least number vaccinated with bivalent.The staff are mainly female workers,accounting for 84.44%,aged 40-49,accounting for 39.23%,mainly with college degree（40.96%）,nursing major（66.17%）and primary professional title（66.56%）.Among the 59 vaccination units surveyed,32 units believe that the current cold chain equipment can meet the current needs;58 units are equipped with cold storage,of which 56 are equipped with automatic temperature monitoring equipment;38 units are equipped with refrigerated vehicles and are equipped with automatic temperature monitoring equipment.【Conclusion】（1）The respondents who were vaccinated with HPV vaccine were mainly aged18-36,mostly with college education,mostly with urban hukou.The difficulty of vaccinating cervical cancer vaccine was mainly to inform the shortage of vaccine when making an appointment,and the supply of cervical cancer vaccine in a province was insufficient.（2）There were few abnormal reactions after HPV vaccination in a province from 2019 to 2021.（3）The factors affecting whether the respondents were screened before HPV vaccination were occupation and vaccination cost.（4）The concerns about cervical cancer vaccination of in-service personnel were significantly higher than those of college students,and the proportion of cervical cancer screening of college students was significantly higher than that of in-service personnel.（5）HPV vaccination in a province increased year by year from 2019 to 2021,among which the amount of bivalent and bivalent vaccination also increased year by year,while the amount of bivalent vaccination decreased in 2021,but still more than that in 2019.City a has the largest number of HPV vaccination at the municipal level from 2019 to 2021. |
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