Factors associated with HPV vaccine hesitancy among college students: A cross-sectional survey based on 3Cs and structural equation model in China

Chen, Cheng; Chen, Ting; Huang, Mingzhao; Huang, Yan; Zhang, Luying; Li, Pindong

doi:10.1080/21645515.2024.2309731

Cited by 3 publications

(1 citation statement)

References 49 publications

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“…Although HPV vaccination can significantly reduce the incidence of high-risk HPV infection, vaccine hesitancy remains pervasive worldwide. Based on the 3 C model [ 16 , 17 ], vaccine hesitation can be influenced by various factors such as vaccine pricing [ 15 ], affordability [ 18 ], geographic accessibility [ 16 ], faith in healthcare experts to urge vaccination [ 16 , 19 , 20 ], vaccine efficacy and safety [ 20 ], and lack of perceived threat of HPV-related diseases [ 21 ]. According to reports, HPV vaccination rates have decreased in many countries and regions due to HPV vaccine hesitancy.…”

Section: Introductionmentioning

confidence: 99%

Effect of vaccine hesitancy on female college students’ willingness to receive the HPV vaccine in China: a multicenter cross-sectional study

Li,

Zhang,

et al. 2024

BMC Public Health

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Objective To analyse the influencing factors of vaccine hesitancy on HPV vaccination willingness of female college students in order to promote the promotion of HPV vaccine in female college student population. Methods From September-October 2022, a convenience sampling method was used to conduct a questionnaire survey among freshman female students from four higher vocational colleges in Henan Province, China. The survey comprised a general information questionnaire, as well as inquiries regarding vaccine hesitancy and willingness to receive the human papillomavirus (HPV) vaccine. In PSM analyses, vaccine-hesitant students were matched with non-vaccine-hesitant students at a 1:1 ratio; subsequently, both univariate and multivariatble logistic regression analyses were applied to assess the impact of vaccine hesitancy on female university students’ willingness to receive the HPV vaccine. Results The results revealed a vaccine hesitancy rate of 44.75% among female university students, with 82.9% expressing willingness to receive the HPV vaccine. The results of the multivariable ordinal logistic regression analysis indicated vaccine hesitancy is a risk factor for HPV vaccination intentions among female university students [OR = 4.38, 95% CI (2.74, 6.99), P < 0.001]. Furthermore, the field of study (P = 0.01) and independently seeking information about the HPV vaccine (P = 0.04) were identified as factors influencing female university students’ willingness to receive the HPV vaccine. Conclusions Non-vaccine-hesitant students were more likely to be willing to receive the HPV vaccine than vaccine-hesitant students. Healthcare providers and educators should focus on vaccine attitudes among female college students to reduce vaccine hesitancy and enhance community education on cervical cancer, HPV infection and prevention through multichannel campaigns.

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Section: Introductionmentioning

confidence: 99%

Effect of vaccine hesitancy on female college students’ willingness to receive the HPV vaccine in China: a multicenter cross-sectional study

Li,

Zhang,

et al. 2024

BMC Public Health

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HPV Vaccine Hesitancy and Uptake: A Conceptual Analysis Using Rodgers' Evolutionary Approach

Kyei,

Ansong

2024

Journal of Advanced Nursing

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AimThis study examines the factors contributing to HPV vaccine hesitancy using Rodgers's evolutionary concept analysis, focusing on the impact of uncertainties about the vaccine on HPV‐related diseases despite its availability.DesignRodgers's evolutionary concept analysis was applied to explore factors leading to HPV vaccine hesitancy. The analysis included studies published in English over the past 5 years. Exclusions were studies older than 5 years, non‐English publications, and those focusing on other vaccines.Data SourcesA comprehensive literature review was conducted using key databases such as PsycINFO, CINAHL, MEDLINE, and PubMed. Relevant keywords included ‘HPV’ and ‘vaccine hesitancy’ to ensure thoroughness.Review MethodsStudies were selected based on their relevance to HPV vaccine hesitancy. Factors contributing to hesitancy were analysed, focusing on antecedents, attributes, and consequences.ResultsThe analysis identified key antecedents to HPV vaccine hesitancy, including false cultural beliefs, educational level, knowledge, and vaccine availability. Additional factors were insurance/income, perceived risk, and decision‐making processes. Key attributes impacting hesitancy included media coverage, environmental and community influences, social factors, trust in healthcare systems, efficacy rates, and safety concerns. The consequences of hesitancy were reduced vaccine uptake, increased HPV‐related diseases, and the spread of misinformation.ConclusionThe study highlights the complex interplay of factors contributing to HPV vaccine hesitancy. Understanding these factors is crucial for addressing the challenges posed by vaccine hesitancy and developing effective interventions.ImpactInsights from this analysis can guide public health strategies aimed at improving vaccine uptake and reducing HPV‐related diseases. Targeted interventions can address misinformation and enhance trust in vaccines, ultimately leading to better public health outcomes.Patient or Public ContributionThis concept analysis was conducted without the involvement of patients, service users, caregivers, or members of the public.

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Papilomavírus humano: um estudo descritivo sobre o conhecimento, prevenção e autocuidado entre acadêmicos de enfermagem

Mitoso,

Silva,

Rocha

2024

J. nurs. health.

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Objetivo: verificar o conhecimento e as atitudes de prevenção e autocuidado relativos ao Papilomavírus Humano entre universitários de um curso de Enfermagem no Estado do Amazonas. Método: estudo descritivo realizado na Universidade Federal do Amazonas, com 77 acadêmicos, que responderam um questionário sobre aspectos sociodemográficos, comportamento sexual, histórico clínico e hábitos de autocuidado. Os dados foram compilados em planilha e analisados descritivamente. Resultados: a média de idade foi de 23,9 anos, predominando mulheres, heterossexuais, pardos e de baixa renda. Sabiam a principal forma de transmissão, que a pessoa assintomática pode transmitir o vírus e que este causa câncer cervical. Muitos desconheciam que o preservativo não confere total proteção, nem que o vírus pode causar outros tipos de câncer. Maior parte dos estudantes tinha começado sua vida sexual e relataram uso inconsistente de preservativo. Conclusão: os estudantes tinham maior conhecimento nas perguntas básicas. São necessárias mais atividades formativas na universidade.

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Factors associated with HPV vaccine hesitancy among college students: A cross-sectional survey based on 3Cs and structural equation model in China

Cited by 3 publications

References 49 publications

Effect of vaccine hesitancy on female college students’ willingness to receive the HPV vaccine in China: a multicenter cross-sectional study

Effect of vaccine hesitancy on female college students’ willingness to receive the HPV vaccine in China: a multicenter cross-sectional study

HPV Vaccine Hesitancy and Uptake: A Conceptual Analysis Using Rodgers' Evolutionary Approach

Papilomavírus humano: um estudo descritivo sobre o conhecimento, prevenção e autocuidado entre acadêmicos de enfermagem

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