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.
机构：[1]Department of Epidemiology and Biostatistics, School of Population Medicineand Public Health, Chinese Academy of Medical Sciences and Peking UnionMedical College, Beijing, China[2]School of Nursing, Jining Medical University, Jining, Shandong, China[3]Key Laboratory of Carcinogenesis and Translational Research (Ministry ofEducation), Beijing Office for Cancer Prevention and Control, PekingUniversity Cancer Hospital & Institute, Beijing, China[4]Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi, China[5]Public Health School, Dalian Medical University, Dalian, China[6]West China School of Public Health, Sichuan University/West China ForthHospital, Sichuan University, Chengdu, China[7]Henan Cancer Hospital, Affiliate Cancer Hospital of Zhengzhou University,Zhengzhou, China河南省肿瘤医院[8]School of Public Health, Sun Yat-sen University, Guangzhou, China[9]School of Health Policy and Management, Chinese Academy of MedicalSciences and Peking Union Medical College, Beijing, China[10]Department of Cancer Epidemiology, National Cancer Center/NationalClinical Research Center for Cancer/Cancer Hospital, Chinese Academy ofMedical Sciences and Peking Union Medical College, Beijing, China
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.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.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.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.
基金：
The author(s) disclosed receipt of the following financial support for
the research, authorship, and/or publication of this article: Asian
Regional Special Cooperation Fund of National Health Commission
of the People’s Republic of China (BLXM01) and Innovation Fund
for Medical Sciences sponsored by Chinese Academy of Medical
Sciences (2019-I2M-2-005, 2017-I2M-B&R-17)
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类|4 区医学
小类|4 区肿瘤学
最新[2023]版：
大类|4 区医学
小类|4 区肿瘤学
第一作者：
第一作者机构：[1]Department of Epidemiology and Biostatistics, School of Population Medicineand Public Health, Chinese Academy of Medical Sciences and Peking UnionMedical College, Beijing, China
通讯作者：
通讯机构：[1]Department of Epidemiology and Biostatistics, School of Population Medicineand Public Health, Chinese Academy of Medical Sciences and Peking UnionMedical College, Beijing, China[*1]Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, 5 DongDanSanTiao, Dongcheng, Beijing 100730, China
推荐引用方式(GB/T 7714)：
Si Mingyu,Jiang Yu,Su Xiaoyou,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.[J].Cancer control : journal of the Moffitt Cancer Center.2021,28:10732748211032899.doi:10.1177/10732748211032899.
APA：
Si Mingyu,Jiang Yu,Su Xiaoyou,Wang Wenjun,Zhang Xi...&Qiao Youlin.(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,
MLA：
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 28.(2021):10732748211032899
