J Gynecol Oncol.  2014 Jul;25(3):188-197. 10.3802/jgo.2014.25.3.188.

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

• Kuo PF
• Yeh YT
• Sheu SJ
• Wang TF

• KMID: 2130099
• DOI: http://doi.org/10.3802/jgo.2014.25.3.188

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.

Keyword

College student; Female; Health promotion model; Human papilloma virus; Vaccines

MeSH Terms

Cross-Sectional Studies
Female
*Health Knowledge, Attitudes, Practice
Health Promotion/methods
Humans
Papillomavirus Infections/complications/*prevention & control
*Papillomavirus Vaccines
Self Efficacy
Socioeconomic Factors
Students/*psychology
Taiwan
Uterine Cervical Neoplasms/*prevention & control/virology
Vaccination/psychology/statistics & numerical data
Young Adult
Papillomavirus Vaccines

Reference

1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011; 61:69–90.

2. National Cancer Institute. Cervical cancer [Internet]. Bethesda, MD: National Institutes of Health;2014. cited 2014 May 20. Available from: http://www.cancer.gov/cancertopics/types/cervical.

3. Taiwan Cancer Registry. Ten lading cancer ranked by incidence and mortality rate in Taiwan, 2006 [Internet]. Taipei: Taiwan Cancer Registry;2006. cited 2014 May 20. Available from: http://crs.cph.ntu.edu.tw/uploadimages/Leading_10.pdf.

4. Chao A, Huang HJ, Lai CH. Human papillomavirus research on the prevention, diagnosis, and prognosis of cervical cancer in Taiwan. Chang Gung Med J. 2012; 35:297–308.

5. Bosch X, Harper D. Prevention strategies of cervical cancer in the HPV vaccine era. Gynecol Oncol. 2006; 103:21–24.

6. Cuzick J, Clavel C, Petry KU, Meijer CJ, Hoyer H, Ratnam S, et al. Overview of the European and North American studies on HPV testing in primary cervical cancer screening. Int J Cancer. 2006; 119:1095–1101.

7. Hsu YY, Hsu KF, Cheng YM, Fetzer SJ, Chou CY. Health beliefs of Taiwanese women seeking HPV vaccination. Vaccine. 2010; 28:4224–4228.

8. Hsu YY, Fetzer SJ, Hsu KF, Chang YY, Huang CP, Chou CY. Intention to obtain human papillomavirus vaccination among taiwanese undergraduate women. Sex Transm Dis. 2009; 36:686–692.

9. Tu YC, Wang HH. An exploration of human papillomavirus-related cervical cancer prevention experiences among college women: a descriptive qualitative approach. J Clin Nurs. 2013; 22:3300–3309.

10. Pender N, Murdaugh C, Parsons MA. Health promotion in nursing practice. 6th ed. Upper Saddle River: Prentice Hall;2010.

11. Hsu YY, Cheng YM, Hsu KF, Fetzer SJ, Chou CY. Knowledge and beliefs about cervical cancer and human papillomavirus among Taiwanese undergraduate women. Oncol Nurs Forum. 2011; 38:E297–E304.

12. Tsao KC, Huang CG, Kuo YB, Chang TC, Sun CF, Chang CA, et al. Prevalence of human papillomavirus genotypes in northern Taiwanese women. J Med Virol. 2010; 82:1739–1745.

13. Lin H, Ma YY, Moh JS, Ou YC, Shen SY, ChangChien CC. High prevalence of genital human papillomavirus type 52 and 58 infection in women attending gynecologic practitioners in South Taiwan. Gynecol Oncol. 2006; 101:40–45.

14. Garland SM, Hernandez-Avila M, Wheeler CM, Perez G, Harper DM, Leodolter S, et al. Quadrivalent vaccine against human papillomavirus to prevent anogenital diseases. N Engl J Med. 2007; 356:1928–1943.

15. Mehu-Parant F, Rouzier R, Soulat JM, Parant O. Eligibility and willingness of first-year students entering university to participate in a HPV vaccination catch-up program. Eur J Obstet Gynecol Reprod Biol. 2010; 148:186–190.

16. Di Giuseppe G, Abbate R, Liguori G, Albano L, Angelillo IF. Human papillomavirus and vaccination: knowledge, attitudes, and behavioural intention in adolescents and young women in Italy. Br J Cancer. 2008; 99:225–229.

17. Juntasopeepun P, Suwan N, Phianmongkhol Y, Srisomboon J. Factors influencing acceptance of human papillomavirus vaccine among young female college students in Thailand. Int J Gynaecol Obstet. 2012; 118:247–250.

18. Kang HS, Moneyham L. Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students. Vaccine. 2010; 28:811–816.

19. Jeng CJ, Phdl Ko ML, Ling QD, Shen J, Lin HW, et al. Prevalence of cervical human papillomavirus in Taiwanese women. Clin Invest Med. 2005; 28:261–266.

20. Caskey R, Lindau ST, Alexander GC. Knowledge and early adoption of the HPV vaccine among girls and young women: results of a national survey. J Adolesc Health. 2009; 45:453–462.

21. Mortensen GL. Drivers and barriers to acceptance of human-papillomavirus vaccination among young women: a qualitative and quantitative study. BMC Public Health. 2010; 10:68.

22. Durusoy R, Yamazhan M, Tasbakan MI, Ergin I, Aysin M, Pullukcu H, et al. HPV vaccine awareness and willingness of first-year students entering university in Western Turkey. Asian Pac J Cancer Prev. 2010; 11:1695–1701.

23. Kahn JA, Rosenthal SL, Jin Y, Huang B, Namakydoust A, Zimet GD. Rates of human papillomavirus vaccination, attitudes about vaccination, and human papillomavirus prevalence in young women. Obstet Gynecol. 2008; 111:1103–1110.

24. Schaefer Ziemer K, Hoffman MA. Beliefs and attitudes regarding human papillomavirus vaccination among college-age women. J Health Psychol. 2013; 18:1360–1370.

25. Gerend MA, Shepherd JE. Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior. Ann Behav Med. 2012; 44:171–180.