Department of Public Health, Faculty of Nursing, University of Athens, Athens, Greece.
Department of Preventive Medicine and Public Health and Medical Immunology and Microbiology, Av. of Athens, Alcorcón, Madrid, Spain.
Public Health. 2014 Mar;128(3):268-73. doi: 10.1016/j.puhe.2013.12.004. Epub 2014 Feb 13.
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.
Cross-sectional. A self-administered questionnaire based on the HBM was used.
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.
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.
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.
调查人乳头瘤病毒（HPV）疫苗接种拒绝的原因，并探讨女大学生样本中对健康信念模型（HBM）结构（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感）的看法和态度。
横断面研究。采用基于 HBM 的自我管理问卷。
对数据进行验证性因子分析，以检验从 HBM 中提取的六个因素模型的结构效度。使用逻辑回归模型，以非 HPV 疫苗接种为因变量，确定非 HPV 疫苗接种的预测因素。
样本包括 2007 名学生。参与率为 88.9%，未接种疫苗的比例为 71.65%。对“一般感知障碍”、“疫苗接种感知障碍”、“无普遍感知益处”、“无特定感知益处”和“无普遍益处”得分较高的参与者更有可能报告未接种疫苗。
研究结果表明，HBM 结构在理解疫苗接种意愿和接种率方面具有实用性。迫切需要改善健康促进和信息宣传活动，以提高 HPV 疫苗接种的益处并降低障碍。
