中国男大学生对人乳头瘤病毒疫苗推广意愿影响因素分析

Influencing factors of willingness to promote human papillomavirus vaccination in Chinese male university students

目的描述中国男大学生对人乳头瘤病毒(HPV)的认知现状,探讨其对HPV疫苗推广意愿的影响因素。方法于2020年2月21日-4月30日,便利选取3570名在读本科男大学生,采用一般资料问卷、健康与性行为问卷、HPV相关知识及态度问卷进行调查。结果3570名研究对象中,有3213人愿意鼓励周围的人接种HPV疫苗。赞成疫苗可有效预防疾病(OR=2.011,P<0.001)、自费接种过二类疫苗(OR=1.652,P<0.001)、接受过性教育或性知识(OR=1.619,P<0.001)、接受婚前性行为(OR=1.366,P=0.012)、高HPV知识掌握水平(OR=1.498,P=0.002)、感知益处(OR=3.225,P<0.005)为男大学生向其他人推广HPV疫苗的促进因素。结论相关部门可针对男大学生对健康与性行为的认知及态度、对HPV的认知及态度进行干预,以提高男大学生对HPV疫苗的推广意愿,进而提高我国HPV疫苗的接种率。

Objective To describe the awareness of human papillomavirus(HPV)among male university students in China,and to explore potential influencing factors of the students'intention to encourage others to have HPV vaccination.Methods Using convenient sampling and a self-designed questionnaire on demographics,health and sexual behavior,and knowledge and attitude about HPV,we conducted an online voluntary survey among 3570 male undergraduates of 7 universities in 7 provincial-level administrative divisions across China during February 21-April 30,2021.Results Of all the participants,3213 reported the willingness of promoting HPV vaccination in their friends.The results of logistic regression analysis showed that the students with following characteristics were more likely to promote HPV vaccination in their friends:agreeing with that HPV vaccination could prevent some diseases effectively(odds ratio[OR]=2.011,P<0.001),ever receiving a self-paid category II vaccine(OR=1.652,P<0.001),ever participating in education programs about sexual health(OR=1.619,P<0.001),with positive attitude towards premarital sex(OR=1.366,P=0.012),having high knowledge about HPV(OR=1.498,P=0.002),and with a perceived benefit of HPV vaccination(OR=3.225,P<0.005).Conclusion The survey results suggest that relative departments could conduct interventions on the awareness and attitude about HPV vaccination among male university students to promote HPV vaccination in China.