Health Belief Model applied to non-compliance with HPV vaccine among female university students
Health Belief Model applied to non-compliance with HPV vaccine among female university students
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DOI：
10.1016/j.puhe.2013.12.004
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发表时间：
2014-03-01
期刊：
影响因子：
5.2
通讯作者：
Velonakis, E. G.
中科院分区：
文献类型：
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作者：
Donadiki, E. M.;Jimenez-Garcia, R.;Velonakis, E. G.
目的：调查女大学生样本中拒绝接种人乳头瘤病毒（HPV）疫苗的原因，并探讨参与者对健康信念模型（HBM）构建（感知易感性、感知严重性、感知益处、感知障碍、行动线索和自我效能）的看法和态度。研究设计：横断面。采用基于 HBM 的自填问卷。方法：对数据进行验证性因素分析，以检验从 HBM 中提取的六因素模型的构造效度。使用非 HPV 疫苗接种作为因变量，通过逻辑回归模型确定非 HPV 疫苗接种的预测因子。结果：样本包括 2007 名学生。参与率为88.9%，未接种率为71.65%。在“一般感知障碍”、“感知疫苗接种障碍”、“没有感知到一般好处”、“没有感知到具体好处”和“没有一般好处”方面得分较高的参与者更有可能报告未接种疫苗。 结论：研究结果证明了 HBM 结构在了解疫苗接种意愿和接种情况方面的效用。迫切需要改善健康促进和信息宣传活动，以增强 HPV 疫苗接种的益处并减少其障碍。 (C) 2013 英国皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: To investigate the reasons for refusal of human papillomavirus (HPV) vaccination, and to explore participants' perceptions and attitudes about Health Belief Model (HBM) constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy) among a sample of female university students.Study design: Cross-sectional. A self-administered questionnaire based on the HBM was used.Methods: Confirmatory factor analysis was applied to the data to examine the construct validity of the six factor models extracted from the HBM. The predictors of non-HPV vaccination were determined by logistic regression models, using non-HPV vaccination as the dependent variable.Results: The sample included 2007 students. The participation rate was 88.9% and the percentage of non-vaccination was 71.65%. Participants who had high scores for 'general perceived barriers', 'perceived barriers to vaccination', 'no perceived general benefits', 'no perceived specific benefits' and 'no general benefits' were more likely to report being unvaccinated.Conclusions: The findings demonstrated the utility of HBM constructs in understanding vaccination intention and uptake. There is an urgent need to improve health promotion and information campaigns to enhance the benefits and reduce the barriers to HPV vaccination. (C) 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.