A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
HPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and precancerous lesions. However, the HPV vaccination rate is still low in China. There are many factors. Therefore, it is important to study the...
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Published in | Frontiers in public health Vol. 10; p. 1064802 |
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Format | Journal Article |
Language | English |
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16.01.2023
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Abstract | HPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and precancerous lesions. However, the HPV vaccination rate is still low in China. There are many factors. Therefore, it is important to study the influencing factors to provide basis for promoting the formulation of vaccination strategies.
This study used a multi-stage sampling method to conduct a face-to-face questionnaire survey on women in different regions of China. The new general self-efficacy scale was used to measure the self-efficacy of the respondents. The short form of family health scale measured their family health. The
-test and binary Logistic regression analysis were used to screen the influencing factors of HPV vaccination. Restricted cubic spline model was used to analyze the influence trend of self-efficacy and family health on HPV vaccination rate.
(1) The HPV vaccination rate was low, especially in the ≤18 group. The place of residence, capita household income/month, individual self-efficacy and family health had a significant impact on HPV vaccination. (2) The restricted cubic spline model showed that self-efficacy positively promoted HPV vaccination, the correlation strength was statistically significant (χ
=27.64,
<0.001) and non-linear (χ
= 12.49,
= 0.0004); The poor family health hindered HPV vaccination, and the association strength was statistically significant (χ
= 47.81,
< 0.001) and non-linear (χ
= 9.96,
= 0.0016).
It is necessary to strengthen the health education of HPV vaccination knowledge in the population to eliminate the hesitancy of vaccination. Free HPV vaccination strategies should be developed and encourage people of appropriate age to receive as early as possible. Self-efficacy and family health should be enhanced to increase HPV vaccination rate, so as to achieve the goal of reducing the incidence of cervical cancer and protecting women's health. |
---|---|
AbstractList | BackgroundHPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and precancerous lesions. However, the HPV vaccination rate is still low in China. There are many factors. Therefore, it is important to study the influencing factors to provide basis for promoting the formulation of vaccination strategies.MethodsThis study used a multi-stage sampling method to conduct a face-to-face questionnaire survey on women in different regions of China. The new general self-efficacy scale was used to measure the self-efficacy of the respondents. The short form of family health scale measured their family health. The t-test and binary Logistic regression analysis were used to screen the influencing factors of HPV vaccination. Restricted cubic spline model was used to analyze the influence trend of self-efficacy and family health on HPV vaccination rate.Results(1) The HPV vaccination rate was low, especially in the ≤18 group. The place of residence, capita household income/month, individual self-efficacy and family health had a significant impact on HPV vaccination. (2) The restricted cubic spline model showed that self-efficacy positively promoted HPV vaccination, the correlation strength was statistically significant (χ2 =27.64, P<0.001) and non-linear (χ2 = 12.49, P = 0.0004); The poor family health hindered HPV vaccination, and the association strength was statistically significant (χ2 = 47.81, P < 0.001) and non-linear (χ2 = 9.96, P = 0.0016).ConclusionIt is necessary to strengthen the health education of HPV vaccination knowledge in the population to eliminate the hesitancy of vaccination. Free HPV vaccination strategies should be developed and encourage people of appropriate age to receive as early as possible. Self-efficacy and family health should be enhanced to increase HPV vaccination rate, so as to achieve the goal of reducing the incidence of cervical cancer and protecting women's health. HPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and precancerous lesions. However, the HPV vaccination rate is still low in China. There are many factors. Therefore, it is important to study the influencing factors to provide basis for promoting the formulation of vaccination strategies. This study used a multi-stage sampling method to conduct a face-to-face questionnaire survey on women in different regions of China. The new general self-efficacy scale was used to measure the self-efficacy of the respondents. The short form of family health scale measured their family health. The -test and binary Logistic regression analysis were used to screen the influencing factors of HPV vaccination. Restricted cubic spline model was used to analyze the influence trend of self-efficacy and family health on HPV vaccination rate. (1) The HPV vaccination rate was low, especially in the ≤18 group. The place of residence, capita household income/month, individual self-efficacy and family health had a significant impact on HPV vaccination. (2) The restricted cubic spline model showed that self-efficacy positively promoted HPV vaccination, the correlation strength was statistically significant (χ =27.64, <0.001) and non-linear (χ = 12.49, = 0.0004); The poor family health hindered HPV vaccination, and the association strength was statistically significant (χ = 47.81, < 0.001) and non-linear (χ = 9.96, = 0.0016). It is necessary to strengthen the health education of HPV vaccination knowledge in the population to eliminate the hesitancy of vaccination. Free HPV vaccination strategies should be developed and encourage people of appropriate age to receive as early as possible. Self-efficacy and family health should be enhanced to increase HPV vaccination rate, so as to achieve the goal of reducing the incidence of cervical cancer and protecting women's health. Background HPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and precancerous lesions. However, the HPV vaccination rate is still low in China. There are many factors. Therefore, it is important to study the influencing factors to provide basis for promoting the formulation of vaccination strategies. Methods This study used a multi-stage sampling method to conduct a face-to-face questionnaire survey on women in different regions of China. The new general self-efficacy scale was used to measure the self-efficacy of the respondents. The short form of family health scale measured their family health. The t -test and binary Logistic regression analysis were used to screen the influencing factors of HPV vaccination. Restricted cubic spline model was used to analyze the influence trend of self-efficacy and family health on HPV vaccination rate. Results (1) The HPV vaccination rate was low, especially in the ≤18 group. The place of residence, capita household income/month, individual self-efficacy and family health had a significant impact on HPV vaccination. (2) The restricted cubic spline model showed that self-efficacy positively promoted HPV vaccination, the correlation strength was statistically significant (χ 2 =27.64, P <0.001) and non-linear (χ 2 = 12.49, P = 0.0004); The poor family health hindered HPV vaccination, and the association strength was statistically significant (χ 2 = 47.81, P < 0.001) and non-linear (χ 2 = 9.96, P = 0.0016). Conclusion It is necessary to strengthen the health education of HPV vaccination knowledge in the population to eliminate the hesitancy of vaccination. Free HPV vaccination strategies should be developed and encourage people of appropriate age to receive as early as possible. Self-efficacy and family health should be enhanced to increase HPV vaccination rate, so as to achieve the goal of reducing the incidence of cervical cancer and protecting women's health. |
Author | Yin, Xiangju Zhang, Mengrui Wang, Fei Huang, Yue Yu, Wenli Niu, Yuyao Ge, Pu Wu, Yibo |
AuthorAffiliation | 1 School of Emergency Management, Henan Polytechnic University , Jiaozuo , China 3 State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University , Beijing , China 4 Department of English, Faculty of Arts and Humanities, University of Macau , Macau , China 6 School of Public Health, Peking University , Beijing , China 2 School of Resource and Environment, Henan Polytechnic University , Jiaozuo , China 5 School of Foreign Languages, Weifang University of Science and Technology , Weifang , China |
AuthorAffiliation_xml | – name: 4 Department of English, Faculty of Arts and Humanities, University of Macau , Macau , China – name: 2 School of Resource and Environment, Henan Polytechnic University , Jiaozuo , China – name: 5 School of Foreign Languages, Weifang University of Science and Technology , Weifang , China – name: 1 School of Emergency Management, Henan Polytechnic University , Jiaozuo , China – name: 6 School of Public Health, Peking University , Beijing , China – name: 3 State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University , Beijing , China |
Author_xml | – sequence: 1 givenname: Xiangju surname: Yin fullname: Yin, Xiangju organization: School of Emergency Management, Henan Polytechnic University, Jiaozuo, China – sequence: 2 givenname: Mengrui surname: Zhang fullname: Zhang, Mengrui organization: School of Resource and Environment, Henan Polytechnic University, Jiaozuo, China – sequence: 3 givenname: Fei surname: Wang fullname: Wang, Fei organization: State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China – sequence: 4 givenname: Yue surname: Huang fullname: Huang, Yue organization: School of Emergency Management, Henan Polytechnic University, Jiaozuo, China – sequence: 5 givenname: Yuyao surname: Niu fullname: Niu, Yuyao organization: Department of English, Faculty of Arts and Humanities, University of Macau, Macau, China – sequence: 6 givenname: Pu surname: Ge fullname: Ge, Pu organization: Department of English, Faculty of Arts and Humanities, University of Macau, Macau, China – sequence: 7 givenname: Wenli surname: Yu fullname: Yu, Wenli organization: School of Foreign Languages, Weifang University of Science and Technology, Weifang, China – sequence: 8 givenname: Yibo surname: Wu fullname: Wu, Yibo organization: School of Public Health, Peking University, Beijing, China |
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Copyright | Copyright © 2023 Yin, Zhang, Wang, Huang, Niu, Ge, Yu and Wu. Copyright © 2023 Yin, Zhang, Wang, Huang, Niu, Ge, Yu and Wu. 2023 Yin, Zhang, Wang, Huang, Niu, Ge, Yu and Wu |
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Keywords | restricted cubic spline HPV vaccination cervical cancer family health literacy self-efficacy |
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Snippet | HPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and... Background HPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical... BackgroundHPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical... |
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SubjectTerms | cervical cancer China - epidemiology Cross-Sectional Studies family health literacy Female Health Knowledge, Attitudes, Practice HPV vaccination Humans Papillomavirus Infections - epidemiology Papillomavirus Infections - prevention & control Papillomavirus Vaccines Public Health restricted cubic spline self-efficacy Uterine Cervical Neoplasms - prevention & control Vaccination Coverage |
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Title | A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China |
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