Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China

Background: Willingness to be vaccinated with human papillomavirus (HPV) vaccine among junior middle school students in China is not well understood. We conducted a cross-sectional study to assess awareness of HPV and the HPV vaccine and explore the factors associated with willingness to be vaccinat...

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Main Authors: Li Xue, Wenqi Hu, Haiman Zhang, Zhongling Xie, Xi Zhang, Fanghui Zhao, Youlin Qiao, Lijie Gao, Wei Ma
Format: Article
Language:English
Published: Taylor & Francis Group 2018-02-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2017.1393132
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author Li Xue
Wenqi Hu
Haiman Zhang
Zhongling Xie
Xi Zhang
Fanghui Zhao
Youlin Qiao
Lijie Gao
Wei Ma
author_facet Li Xue
Wenqi Hu
Haiman Zhang
Zhongling Xie
Xi Zhang
Fanghui Zhao
Youlin Qiao
Lijie Gao
Wei Ma
author_sort Li Xue
collection DOAJ
description Background: Willingness to be vaccinated with human papillomavirus (HPV) vaccine among junior middle school students in China is not well understood. We conducted a cross-sectional study to assess awareness of HPV and the HPV vaccine and explore the factors associated with willingness to be vaccinated. Methods: First-year students from two junior middle schools in Jinan, China were selected by cluster sampling on December 28, 2015, December 26, 2016, and January 11, 2017, and a self-administered questionnaire was used to collect information. Multivariate logistic regression was conducted to explore the factors associated with willingness to be vaccinated with the HPV vaccine. Results: A total of 1021 junior middle school students participated in this survey. Only 15.5% of them had heard of HPV and 18.9% of them had heard of the HPV vaccine. Students who were willing to take the HPV vaccine in the future accounted for 66.9%. Factors associated with the HPV vaccination were: urban junior middle school students (AOR: 1.51, 95% CI: 1.09–2.09), female students (AOR: 1.90, 95% CI: 1.36–2.66), students surveyed in 2015 (AOR: 1.69, 95% CI: 1.26–2.28), regarding menstruation/spermatorrhoea as a normal physiological phenomenon (AOR: 1.64, 95% CI: 1.14–2.36), believing vaccination is an important way to prevent diseases (AOR: 1.36, 95% CI: 1.01–1.83), believing that the first vaccination should be in infancy (AOR: 1.41, 95% CI: 1.04–1.92), believing that cervical cancer is a concern for themselves (AOR: 1.95, 95% CI: 1.28–2.97), and having heard of HPV (AOR: 1.84, 95% CI: 1.13–2.98). Conclusions: Awareness of HPV and the HPV vaccine among junior students was low, however willingness to be vaccinated was high. Education focusing on HPV-related knowledge in addition to sex education is needed to promote the coverage of the HPV vaccine.
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spelling doaj.art-0548f6946ea1445582a437f672ec58562023-09-22T08:17:53ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2018-02-0114240441110.1080/21645515.2017.13931321393132Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, ChinaLi Xue0Wenqi Hu1Haiman Zhang2Zhongling Xie3Xi Zhang4Fanghui Zhao5Youlin Qiao6Lijie Gao7Wei Ma8School of Public Health, Shandong UniversitySchool of Public Health, Shandong UniversityThe High School Affiliated To Shandong UniversityYouth League, The Yanxin Middle SchoolCancer Institute of Chinese Academy of Medical Sciences, Peking Union Medical CollegeCancer Institute of Chinese Academy of Medical Sciences, Peking Union Medical CollegeCancer Institute of Chinese Academy of Medical Sciences, Peking Union Medical CollegeSchool of Public Health, Shandong UniversitySchool of Public Health, Shandong UniversityBackground: Willingness to be vaccinated with human papillomavirus (HPV) vaccine among junior middle school students in China is not well understood. We conducted a cross-sectional study to assess awareness of HPV and the HPV vaccine and explore the factors associated with willingness to be vaccinated. Methods: First-year students from two junior middle schools in Jinan, China were selected by cluster sampling on December 28, 2015, December 26, 2016, and January 11, 2017, and a self-administered questionnaire was used to collect information. Multivariate logistic regression was conducted to explore the factors associated with willingness to be vaccinated with the HPV vaccine. Results: A total of 1021 junior middle school students participated in this survey. Only 15.5% of them had heard of HPV and 18.9% of them had heard of the HPV vaccine. Students who were willing to take the HPV vaccine in the future accounted for 66.9%. Factors associated with the HPV vaccination were: urban junior middle school students (AOR: 1.51, 95% CI: 1.09–2.09), female students (AOR: 1.90, 95% CI: 1.36–2.66), students surveyed in 2015 (AOR: 1.69, 95% CI: 1.26–2.28), regarding menstruation/spermatorrhoea as a normal physiological phenomenon (AOR: 1.64, 95% CI: 1.14–2.36), believing vaccination is an important way to prevent diseases (AOR: 1.36, 95% CI: 1.01–1.83), believing that the first vaccination should be in infancy (AOR: 1.41, 95% CI: 1.04–1.92), believing that cervical cancer is a concern for themselves (AOR: 1.95, 95% CI: 1.28–2.97), and having heard of HPV (AOR: 1.84, 95% CI: 1.13–2.98). Conclusions: Awareness of HPV and the HPV vaccine among junior students was low, however willingness to be vaccinated was high. Education focusing on HPV-related knowledge in addition to sex education is needed to promote the coverage of the HPV vaccine.http://dx.doi.org/10.1080/21645515.2017.1393132human papillomavirus (hpv)willingness to be vaccinatedmiddle school studentsvaccinesex education
spellingShingle Li Xue
Wenqi Hu
Haiman Zhang
Zhongling Xie
Xi Zhang
Fanghui Zhao
Youlin Qiao
Lijie Gao
Wei Ma
Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China
Human Vaccines & Immunotherapeutics
human papillomavirus (hpv)
willingness to be vaccinated
middle school students
vaccine
sex education
title Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China
title_full Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China
title_fullStr Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China
title_full_unstemmed Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China
title_short Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China
title_sort awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in jinan china
topic human papillomavirus (hpv)
willingness to be vaccinated
middle school students
vaccine
sex education
url http://dx.doi.org/10.1080/21645515.2017.1393132
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