Tags

Type your tag names separated by a space and hit enter

Willingness to Accept Human Papillomavirus Vaccination and its Influencing Factors Using Information-Motivation-Behavior Skills Model: A Cross-Sectional Study of Female College Freshmen in Mainland China.
Cancer Control. 2021 Jan-Dec; 28:10732748211032899.CC

Abstract

BACKGROUND

This study aimed to assess the awareness and attitudes toward human papillomavirus (HPV) vaccination among female college freshmen and explore their willingness and associated factors to receive the HPV vaccine based on the information-motivation-behavior skills (IMB) model.

METHODS

From February 21 to April 30, 2020, a cross-sectional survey was conducted among female freshmen in seven colleges in mainland China. Socio-demographic characteristics, health-related awareness, knowledge of HPV, motivation, and behavioral skills toward HPV vaccination were assessed using questionnaires. Univariate and multivariate logistic regression analyses were performed to identify the influencing factors of willingness to receive the HPV vaccine in the next 6 months.

RESULTS

Among the 3867 students invited to participate in this study, 102 (2.64%) reported having taken the HPV vaccine. Among the unvaccinated participants, 59.89% had previously heard of HPV, and 32.08% were willing to take the HPV vaccine in the next 6 months. Willingness to get the HPV vaccine was associated with sexual experience(s) (AOR = 1.96, 95% CI: 1.25-3.08), family or friends with cancer (AOR = 1.24, 95% CI: 1.04-1.48), having heard of HPV (AOR = 1.23, 95% CI: 1.03-1.47), and having actively searched for or having consulted on issues concerning HPV vaccine (AOR = 1.22, 95% CI: 1.02-1.45). In the dimensions of the IMB model, "perceived susceptibility" (AOR = 1.20, 95% CI: 1.09-1.31), "perceived severity" (AOR = 1.24, 95% CI: 1.11-1.39), "subjective norms" (AOR = 2.09, 95% CI: 1.75-2.49), and "self-efficacy" (AOR: 2.95, 95% CI: 2.44-3.58) were positively associated with HPV vaccination acceptance, while "perceived barriers" (AOR = .60, 95% CI: .52-.69) negatively affected intention to get HPV vaccination.

CONCLUSION

HPV vaccination rates and willingness to receive the HPV vaccine in the next 6 months were found to be poor among female college freshmen in mainland China. Having a positive attitude toward HPV vaccination, creating vaccine-friendly social norms, and removing related barriers are important measures to promote HPV immunization.

Links

PMC Free PDF

Authors+Show Affiliations

Si M
Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, 12501Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jiang Y
Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, 12501Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Su X
Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, 12501Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Wang W
School of Nursing, 74496Jining Medical University, Jining, Shandong, China.
Zhang X
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing Office for Cancer Prevention and Control, 12519Peking University Cancer Hospital & Institute, Beijing, China.
Gu X
Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi, China.
Ma L
Public Health School, 36674Dalian Medical University, Dalian, China.
Li J
West China School of Public Health, Sichuan University/West China Forth Hospital, 12530Sichuan University, Chengdu, China.
Zhang S
377327Henan Cancer Hospital, Affiliate Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Ren Z
School of Public Health, 26469Sun Yat-sen University, Guangzhou, China.
Liu Y
School of Health Policy and Management, 12501Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Qiao Y
Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, 12501Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Department of Cancer Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, 12501Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

MeSH

AdolescentChinaCross-Sectional StudiesFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansMotivationPapillomavirus InfectionsPapillomavirus VaccinesPatient Acceptance of Health CareSexual BehaviorSociodemographic FactorsYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34634207

Citation

Si, Mingyu, et al. "Willingness to Accept Human Papillomavirus Vaccination and Its Influencing Factors Using Information-Motivation-Behavior Skills Model: a Cross-Sectional Study of Female College Freshmen in Mainland China." Cancer Control : Journal of the Moffitt Cancer Center, vol. 28, 2021, p. 10732748211032899.
Si M, Jiang Y, Su X, et al. Willingness to Accept Human Papillomavirus Vaccination and its Influencing Factors Using Information-Motivation-Behavior Skills Model: A Cross-Sectional Study of Female College Freshmen in Mainland China. Cancer Control. 2021;28:10732748211032899.
Si, M., Jiang, Y., Su, X., Wang, W., Zhang, X., Gu, X., Ma, L., Li, J., Zhang, S., Ren, Z., Liu, Y., & Qiao, Y. (2021). Willingness to Accept Human Papillomavirus Vaccination and its Influencing Factors Using Information-Motivation-Behavior Skills Model: A Cross-Sectional Study of Female College Freshmen in Mainland China. Cancer Control : Journal of the Moffitt Cancer Center, 28, 10732748211032899. https://doi.org/10.1177/10732748211032899
Si M, et al. Willingness to Accept Human Papillomavirus Vaccination and Its Influencing Factors Using Information-Motivation-Behavior Skills Model: a Cross-Sectional Study of Female College Freshmen in Mainland China. Cancer Control. 2021 Jan-Dec;28:10732748211032899. PubMed PMID: 34634207.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Willingness to Accept Human Papillomavirus Vaccination and its Influencing Factors Using Information-Motivation-Behavior Skills Model: A Cross-Sectional Study of Female College Freshmen in Mainland China. AU - Si,Mingyu, AU - Jiang,Yu, AU - Su,Xiaoyou, AU - Wang,Wenjun, AU - Zhang,Xi, AU - Gu,Xiaofen, AU - Ma,Li, AU - Li,Jing, AU - Zhang,Shaokai, AU - Ren,Zefang, AU - Liu,Yuanli, AU - Qiao,Youlin, PY - 2021/10/11/entrez PY - 2021/10/12/pubmed PY - 2022/1/22/medline KW - China KW - college female freshmen KW - human papillomavirus vaccine KW - information–motivation–behavior skills KW - willingness SP - 10732748211032899 EP - 10732748211032899 JF - Cancer control : journal of the Moffitt Cancer Center JO - Cancer Control VL - 28 N2 - BACKGROUND: This study aimed to assess the awareness and attitudes toward human papillomavirus (HPV) vaccination among female college freshmen and explore their willingness and associated factors to receive the HPV vaccine based on the information-motivation-behavior skills (IMB) model. METHODS: From February 21 to April 30, 2020, a cross-sectional survey was conducted among female freshmen in seven colleges in mainland China. Socio-demographic characteristics, health-related awareness, knowledge of HPV, motivation, and behavioral skills toward HPV vaccination were assessed using questionnaires. Univariate and multivariate logistic regression analyses were performed to identify the influencing factors of willingness to receive the HPV vaccine in the next 6 months. RESULTS: Among the 3867 students invited to participate in this study, 102 (2.64%) reported having taken the HPV vaccine. Among the unvaccinated participants, 59.89% had previously heard of HPV, and 32.08% were willing to take the HPV vaccine in the next 6 months. Willingness to get the HPV vaccine was associated with sexual experience(s) (AOR = 1.96, 95% CI: 1.25-3.08), family or friends with cancer (AOR = 1.24, 95% CI: 1.04-1.48), having heard of HPV (AOR = 1.23, 95% CI: 1.03-1.47), and having actively searched for or having consulted on issues concerning HPV vaccine (AOR = 1.22, 95% CI: 1.02-1.45). In the dimensions of the IMB model, "perceived susceptibility" (AOR = 1.20, 95% CI: 1.09-1.31), "perceived severity" (AOR = 1.24, 95% CI: 1.11-1.39), "subjective norms" (AOR = 2.09, 95% CI: 1.75-2.49), and "self-efficacy" (AOR: 2.95, 95% CI: 2.44-3.58) were positively associated with HPV vaccination acceptance, while "perceived barriers" (AOR = .60, 95% CI: .52-.69) negatively affected intention to get HPV vaccination. CONCLUSION: HPV vaccination rates and willingness to receive the HPV vaccine in the next 6 months were found to be poor among female college freshmen in mainland China. Having a positive attitude toward HPV vaccination, creating vaccine-friendly social norms, and removing related barriers are important measures to promote HPV immunization. SN - 1526-2359 UR - https://www.unboundmedicine.com/medline/citation/34634207/Willingness_to_Accept_Human_Papillomavirus_Vaccination_and_its_Influencing_Factors_Using_Information_Motivation_Behavior_Skills_Model:_A_Cross_Sectional_Study_of_Female_College_Freshmen_in_Mainland_China_ DB - PRIME DP - Unbound Medicine ER -
Grapherence [↓6 ↑41]

Related Citations

More