Factors associated with future commitment and past history of human papilloma virus vaccination among female college students in northern Taiwan

다국어 초록 (Multilingual Abstract)

Objective: To investigate factors influencing commitment to human papilloma virus (HPV) vaccination and prior vaccination among female college students in northern Taiwan.
Methods: A quota sample of 400 female college students was recruited from nine colleges in northern Taiwan during March 2013. Of these, 398 completed the self administered questionnaire which was designed based on the health promotion model.
Results: The results showed that factors associated with prior vaccination behavior were family history of gynecologic malignancy, ever being advised to get HPV vaccination, perceived barriers of action and perceived self-efficacy. Predictors for commitment to HPV vaccination in the next 6 months were the cost of vaccination, ever being advised to get HPV vaccination, perceived self-efficacy and situational influences. Perceived self-efficacy was significantly influenced by relationship status, past receipt of a recommendation for HPV vaccination and level of knowledge about HPV.
Conclusion: When formulating vaccination policies, governmental or medical institutions should include these factors to promote vaccination

다국어 초록 (Multilingual Abstract)

Objective: To investigate factors influencing commitment to human papilloma virus (HPV) vaccination and prior vaccination among female college students in northern Taiwan.
Methods: A quota sample of 400 female college students was recruited from nine colleges in northern Taiwan during March 2013. Of these, 398 completed the self administered questionnaire which was designed based on the health promotion model.
Results: The results showed that factors associated with prior vaccination behavior were family history of gynecologic malignancy, ever being advised to get HPV vaccination, perceived barriers of action and perceived self-efficacy. Predictors for commitment to HPV vaccination in the next 6 months were the cost of vaccination, ever being advised to get HPV vaccination, perceived self-efficacy and situational influences. Perceived self-efficacy was significantly influenced by relationship status, past receipt of a recommendation for HPV vaccination and level of knowledge about HPV.
Conclusion: When formulating vaccination policies, governmental or medical institutions should include these factors to promote vaccination.

참고문헌 (Reference)

1 Taiwan Cancer Registry, "Ten lading cancer ranked by incidence and mortality rate in Taiwan, 2006" Taiwan Cancer Registry

2 Kahn JA, "Rates of human papillomavirus vaccination, attitudes about vaccination, and human papillomavirus prevalence in young women" 111 : 1103-1110, 2008

3 Garland SM, "Quadrivalent vaccine against human papillomavirus to prevent anogenital diseases" 356 : 1928-1943, 2007

4 Bosch X, "Prevention strategies of cervical cancer in the HPV vaccine era" 103 : 21-24, 2006

5 Tsao KC, "Prevalence of human papillomavirus genotypes in northern Taiwanese women" 82 : 1739-1745, 2010

6 Jeng CJ, "Prevalence of cervical human papillomavirus in Taiwanese women" 28 : 261-266, 2005

7 Gerend MA, "Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior" 44 : 171-180, 2012

8 Cuzick J, "Overview of the European and North American studies on HPV testing in primary cervical cancer screening" 119 : 1095-1101, 2006

9 Caskey R, "Knowledge and early adoption of the HPV vaccine among girls and young women: results of a national survey" 45 : 453-462, 2009

10 Hsu YY, "Knowledge and beliefs about cervical cancer and human papillomavirus among Taiwanese undergraduate women" 38 : E297-E304, 2011

11 Hsu YY, "Intention to obtain human papillomavirus vaccination among taiwanese undergraduate women" 36 : 686-692, 2009

12 Chao A, "Human papillomavirus research on the prevention, diagnosis, and prognosis of cervical cancer in Taiwan" 35 : 297-308, 2012

13 Di Giuseppe G, "Human papillomavirus and vaccination: knowledge, attitudes, and behavioural intention in adolescents and young women in Italy" 99 : 225-229, 2008

14 Lin H, "High prevalence of genital human papillomavirus type 52 and 58 infection in women attending gynecologic practitioners in South Taiwan" 101 : 40-45, 2006

15 Pender N, "Health promotion in nursing practice" Prentice Hall 2010

16 Hsu YY, "Health beliefs of Taiwanese women seeking HPV vaccination" 28 : 4224-4228, 2010

17 Durusoy R, "HPV vaccine awareness and willingness of first-year students entering university in Western Turkey" 11 : 1695-1701, 2010

18 Jemal A, "Global cancer statistics" 61 : 69-90, 2011

19 Juntasopeepun P, "Factors influencing acceptance of human papillomavirus vaccine among young female college students in Thailand" 118 : 247-250, 2012

20 Mehu-Parant F, "Eligibility and willingness of first-year students entering university to participate in a HPV vaccination catch-up program" 148 : 186-190, 2010

21 Mortensen GL, "Drivers and barriers to acceptance of humanpapillomavirus vaccination among young women: a qualitative and quantitative study" 10 : 68-, 2010

22 National Cancer Institute, "Cervical cancer" National Institutes of Health

23 Schaefer Ziemer K, "Beliefs and attitudes regarding human papillomavirus vaccination among college-age women" 18 : 1360-1370, 2013

24 Kang HS, "Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students" 28 : 811-816, 2010

25 Tu YC, "An exploration of human papillomavirus-related cervical cancer prevention experiences among college women: a descriptive qualitative approach" 22 : 3300-3309, 2013