Ratanasiripong Nop Thodsama
School of Nursing, California State University, Dominguez Hills, Carson, California.
Public Health Nurs. 2015 Nov-Dec;32(6):645-53. doi: 10.1111/phn.12198. Epub 2015 Apr 16.
To examine the vaccination rate and identify factors influencing HPV vaccination among college men.
This cross-sectional study, guided by Theory of Planned Behavior, was conducted with a convenience sample of college males (18-26 years of age). A web-based survey was sent to 3,300 students attending a public university in California.
The questionnaire used in the study-HPV/HPV vaccine-related Knowledge, Attitudes, and Behaviors-was adapted from a prior study conducted among college women. Demographic and sexual history information was also obtained.
Four hundred and ten respondents were qualified for analysis. HPV vaccination rate was approximately 11.8%. Overall, young men had quite low HPV/HPV vaccine knowledge. Both nonvaccinees (n = 48) and vaccinees (n = 141) had positive attitudes toward the HPV vaccine, including mandating vaccination. Knowledge and attitudes toward the vaccine were not directly associated with the outcomes of vaccination status and intention. Both outcomes could be predicted by the attitude toward getting vaccinated against HPV. Intention was also predicted by subjective norm.
Interventions to increase the vaccination rate should focus on creating positive attitude toward getting vaccinated against HPV through behavioral beliefs. Increasing the subjective norm will be beneficial.
调查大学男性的HPV疫苗接种率，并确定影响其接种HPV疫苗的因素。
本横断面研究以计划行为理论为指导，采用便利抽样法选取了年龄在18至26岁之间的大学男性。向加利福尼亚一所公立大学的3300名学生发送了基于网络的调查问卷。
本研究使用的问卷——HPV/HPV疫苗相关知识、态度和行为——改编自之前一项针对大学女性的研究。还收集了人口统计学和性史信息。
410名受访者符合分析条件。HPV疫苗接种率约为11.8%。总体而言，年轻男性对HPV/HPV疫苗的了解程度相当低。未接种疫苗者（n = 48）和已接种疫苗者（n = 141）对HPV疫苗均持积极态度，包括强制接种疫苗。对疫苗的知识和态度与疫苗接种状况和接种意愿的结果没有直接关联。这两个结果都可以通过对接种HPV疫苗的态度来预测。接种意愿也可以通过主观规范来预测。
提高疫苗接种率的干预措施应侧重于通过行为信念培养对接种HPV疫苗的积极态度。增强主观规范将有所助益。
