The Valley Foundation School of Nursing, San Jose State University, San Jose, CA, USA.
Department of Mathematics and Statistics, University of Nevada-Reno, Reno, NV, USA.
Psychol Health Med. 2024 Apr;29(4):856-867. doi: 10.1080/13548506.2023.2277152. Epub 2023 Oct 31.
HPV vaccines are highly effective in preventing HPV-associated cancers; however, HPV vaccination uptake is low among Chinese students studying at U.S. colleges. The purposes of this study were to evaluate (a) perceived barriers and influential others trusted for advice regarding HPV vaccination and (b) factors (i.e. HPV vaccination, acculturation) related to barriers and influential advisors among 18- to 26-year-old Chinese students attending U.S. colleges. We used a cross-sectional design to obtain self-reported data in 2019 from a chain-referral sample of 213 Chinese students. Among 125 respondents who were unvaccinated or partially vaccinated, the reported barriers to receiving the HPV vaccine included: (a) lack of recommendations from a healthcare provider, (b) lack of risk perception for HPV infection, and (c) limited knowledge about HPV vaccination locations. The influential advisors for receiving HPV vaccination were doctors, parents, self, nurses, and same-sex friends. Multivariate analysis revealed that unvaccinated respondents were more likely to report the following barriers to HPV vaccination: (a) lack of recommendations from a healthcare provider, (b) lack of risk perception for HPV infection, (c) limited knowledge about vaccination locations, and (d) uncertainty about effectiveness. High Asian identified respondents were more likely to perceive barriers related to limited knowledge about vaccination locations and uncertainty about effectiveness, while they were less likely to state nurses as influential advisors. Individuals who received one or more HPV vaccine doses were more inclined to view same-sex friends and nurses as influential advisors for HPV vaccination. The influence of culture on preferences for information sources, such as specific providers and provider gender, needs to be addressed. Programs designed to decrease barriers and improve HPV vaccination among Chinese students should also focus on acculturation status.
HPV 疫苗在预防 HPV 相关癌症方面非常有效；然而，在美国大学学习的中国学生中 HPV 疫苗接种率较低。本研究的目的是评估：(a) 对 HPV 疫苗接种的认知障碍和可信赖的顾问；(b) 与 18-26 岁在美国大学就读的中国学生的 HPV 疫苗接种障碍和可信赖顾问相关的因素（即 HPV 疫苗接种、文化适应）。我们采用横断面设计，于 2019 年从美国大学就读的中国学生的连锁转诊样本中获得了 213 名中国学生的自我报告数据。在 125 名未接种或部分接种疫苗的受访者中，接种 HPV 疫苗的报告障碍包括：(a) 缺乏医疗保健提供者的建议；(b) 对 HPV 感染风险的认识不足；(c) 对 HPV 疫苗接种地点的了解有限。接种 HPV 疫苗的可信赖顾问包括医生、父母、自己、护士和同性朋友。多变量分析显示，未接种疫苗的受访者更有可能报告以下 HPV 疫苗接种障碍：(a) 缺乏医疗保健提供者的建议；(b) 对 HPV 感染风险的认识不足；(c) 对疫苗接种地点的了解有限；(d) 对有效性的不确定。高亚洲认同者更有可能认为对疫苗接种地点的了解有限和对有效性的不确定是障碍，而不太可能将护士视为可信赖的顾问。接种过一剂或多剂 HPV 疫苗的人更倾向于将同性朋友和护士视为 HPV 疫苗接种的可信赖顾问。需要解决文化对信息来源偏好的影响，例如特定提供者和提供者性别。旨在减少中国学生 HPV 疫苗接种障碍并提高 HPV 疫苗接种率的计划还应侧重于文化适应状态。
