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A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China

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 t...

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Autores principales: Yin, Xiangju, Zhang, Mengrui, Wang, Fei, Huang, Yue, Niu, Yuyao, Ge, Pu, Yu, Wenli, Wu, Yibo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884683/
https://www.ncbi.nlm.nih.gov/pubmed/36726621
http://dx.doi.org/10.3389/fpubh.2022.1064802
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author Yin, Xiangju
Zhang, Mengrui
Wang, Fei
Huang, Yue
Niu, Yuyao
Ge, Pu
Yu, Wenli
Wu, Yibo
author_facet Yin, Xiangju
Zhang, Mengrui
Wang, Fei
Huang, Yue
Niu, Yuyao
Ge, Pu
Yu, Wenli
Wu, Yibo
author_sort Yin, Xiangju
collection PubMed
description 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.
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spelling pubmed-98846832023-01-31 A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China Yin, Xiangju Zhang, Mengrui Wang, Fei Huang, Yue Niu, Yuyao Ge, Pu Yu, Wenli Wu, Yibo Front Public Health Public 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. Frontiers Media S.A. 2023-01-16 /pmc/articles/PMC9884683/ /pubmed/36726621 http://dx.doi.org/10.3389/fpubh.2022.1064802 Text en Copyright © 2023 Yin, Zhang, Wang, Huang, Niu, Ge, Yu and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Yin, Xiangju
Zhang, Mengrui
Wang, Fei
Huang, Yue
Niu, Yuyao
Ge, Pu
Yu, Wenli
Wu, Yibo
A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
title A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
title_full A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
title_fullStr A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
title_full_unstemmed A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
title_short A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China
title_sort national cross-sectional study on the influencing factors of low hpv vaccination coverage in mainland china
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884683/
https://www.ncbi.nlm.nih.gov/pubmed/36726621
http://dx.doi.org/10.3389/fpubh.2022.1064802
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