Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model

China bears heavy disease burden of cervical cancer, but the willingness to receive human papillomavirus (HPV) vaccine is low. This study aimed to assess the factors affecting the willingness of Chinese female college students to receive HPV vaccine based on the information-motivation-behavior skill...

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Main Authors: Hong Wang, Xiaoyang Wang, Peipei Chen, Huifang Xu, Yin Liu, Ruihua Kang, Liyang Zheng, Xingyuan Sun, Xibin Sun, Youlin Qiao, Shaokai Zhang
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2140550
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author Hong Wang
Xiaoyang Wang
Peipei Chen
Huifang Xu
Yin Liu
Ruihua Kang
Liyang Zheng
Xingyuan Sun
Xibin Sun
Youlin Qiao
Shaokai Zhang
author_facet Hong Wang
Xiaoyang Wang
Peipei Chen
Huifang Xu
Yin Liu
Ruihua Kang
Liyang Zheng
Xingyuan Sun
Xibin Sun
Youlin Qiao
Shaokai Zhang
author_sort Hong Wang
collection DOAJ
description China bears heavy disease burden of cervical cancer, but the willingness to receive human papillomavirus (HPV) vaccine is low. This study aimed to assess the factors affecting the willingness of Chinese female college students to receive HPV vaccine based on the information-motivation-behavior skills (IMB) model. A cross‑sectional study was carried out in Henan University of Engineering in February 2020. Demographic characteristics and IMB model variables were collected using an anonymous questionnaire. A structural equation model was constructed to assess influencing factors of HPV vaccination willingness in the IMB model variables using AMOS 24.0. A total of 449 participants completed the survey. Among them, 23.4% were willing to get the HPV vaccine in the next 6 months. The average scores of knowledge, motivation, and behavioral skills were 1.72 ± 1.07, 11.69 ± 1.71, and 10.14 ± 1.86, respectively. The final revised model indicated a good fit to the data (χ2/df = 1.684, goodness of fit index = 0.984, adjusted goodness of fit index = 0.959, root mean square error of approximation = 0.044). The results of the model showed that the behavioral skills (β = 0.318, P < .001) were positively related to the willingness of HPV vaccination uptake among female students. Moreover, motivation (β = 0.475, P < .001) positively affected students’ behavioral skills toward HPV vaccination, which further influenced their willingness of HPV vaccination uptake. HPV-preventive interventions for female students should focus on enhancing motivation and strengthening behavioral skills to increase the willingness to receive HPV vaccine and reduce HPV infection.
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spelling doaj.art-46bbb97949ad490f90a06de1ff818dd52023-09-26T13:19:10ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-12-0118710.1080/21645515.2022.21405502140550Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills modelHong Wang0Xiaoyang Wang1Peipei Chen2Huifang Xu3Yin Liu4Ruihua Kang5Liyang Zheng6Xingyuan Sun7Xibin Sun8Youlin Qiao9Shaokai Zhang10The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer HospitalChina bears heavy disease burden of cervical cancer, but the willingness to receive human papillomavirus (HPV) vaccine is low. This study aimed to assess the factors affecting the willingness of Chinese female college students to receive HPV vaccine based on the information-motivation-behavior skills (IMB) model. A cross‑sectional study was carried out in Henan University of Engineering in February 2020. Demographic characteristics and IMB model variables were collected using an anonymous questionnaire. A structural equation model was constructed to assess influencing factors of HPV vaccination willingness in the IMB model variables using AMOS 24.0. A total of 449 participants completed the survey. Among them, 23.4% were willing to get the HPV vaccine in the next 6 months. The average scores of knowledge, motivation, and behavioral skills were 1.72 ± 1.07, 11.69 ± 1.71, and 10.14 ± 1.86, respectively. The final revised model indicated a good fit to the data (χ2/df = 1.684, goodness of fit index = 0.984, adjusted goodness of fit index = 0.959, root mean square error of approximation = 0.044). The results of the model showed that the behavioral skills (β = 0.318, P < .001) were positively related to the willingness of HPV vaccination uptake among female students. Moreover, motivation (β = 0.475, P < .001) positively affected students’ behavioral skills toward HPV vaccination, which further influenced their willingness of HPV vaccination uptake. HPV-preventive interventions for female students should focus on enhancing motivation and strengthening behavioral skills to increase the willingness to receive HPV vaccine and reduce HPV infection.http://dx.doi.org/10.1080/21645515.2022.2140550hpv vaccineinformation-motivation-behavioral skills modelstructural equation modelfemale college studentschina
spellingShingle Hong Wang
Xiaoyang Wang
Peipei Chen
Huifang Xu
Yin Liu
Ruihua Kang
Liyang Zheng
Xingyuan Sun
Xibin Sun
Youlin Qiao
Shaokai Zhang
Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model
Human Vaccines & Immunotherapeutics
hpv vaccine
information-motivation-behavioral skills model
structural equation model
female college students
china
title Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model
title_full Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model
title_fullStr Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model
title_full_unstemmed Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model
title_short Factors influencing Chinese female college students’ willingness to receive human papillomavirus vaccine: A cross-sectional study based on information-motivation-behavioral skills model
title_sort factors influencing chinese female college students willingness to receive human papillomavirus vaccine a cross sectional study based on information motivation behavioral skills model
topic hpv vaccine
information-motivation-behavioral skills model
structural equation model
female college students
china
url http://dx.doi.org/10.1080/21645515.2022.2140550
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