基于技术接受与使用统一理论2的妇科门诊就诊患者HPV疫苗接种行为研究  

Human papillomavirus vaccination behaviors among gynecological outpatients based on extended unified theory of acceptance and use of technology

作　　者：李改芳 冯勤梅 仇丽霞[1] LI Gaifang;FENG Qinmei;QIU Lixia(School of Public Health,Shanxi Medical University,Taiyuan,Shanxi 030001,China;The Fifth Clinical Hospital of Shanxi Medical University,Taiyuan,Shanxi 030001,China)

机构地区：[1]山西医科大学公共卫生学院,山西太原030001 [2]山西医科大学第五临床医院,山西太原030001

出　　处：《预防医学》2023年第4期295-297,326,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：山西省基础研究计划项目(202103021224387)。

摘　　要：目的基于技术接受与使用统一理论2,分析妇科门诊就诊患者HPV疫苗接种行为的影响因素,为HPV疫苗接种行为干预提供依据。方法选择2021年10月—2022年8月在山西省人民医院妇科门诊就诊的≤45岁患者为调查对象,通过问卷调查收集人口学信息、HPV疫苗接种情况和未接种原因。基于技术接受与使用统一理论2建立结构方程模型分析HPV疫苗接种行为的影响因素。结果调查门诊就诊女性患者431例,其中36~45岁163例,占37.82%;大专及以上学历272例,占63.11%;家庭人均月收入>3000元253例,占58.70%。HPV疫苗接种率为24.36%,未接种原因以“高价疫苗预约困难”为主。价格价值、社会影响和疗效期望可以通过接种意愿(β=0.11、0.08、0.07,均P<0.05),以及接种意愿和努力期望(β=0.10、0.07、0.06,均P<0.05)正向影响接种行为;努力期望在接种意愿与接种行为间存在中介效应(β=0.28,P<0.05)。结论疗效期望、社会影响、价格价值、接种意愿和努力期望可正向影响HPV疫苗接种行为。Objective To investigate the factors affecting human papillomavirus(HPV)vaccination behaviors among gyne⁃cological outpatients based on extended unified theory of acceptance and use of technology(UTAUT2),so as to provide insights into the development of HPV vaccination behavioral interventions.Methods Patients at ages of 45 years and younger that were admitted to the outpatient department of gynecological of Shanxi Provincial People's Hospital from Oc⁃tober 2021 to August 2022 were recruited,and the factors affecting HPV vaccination behaviors were identified using UTAUT2.Results A total of 431 female outpatients were enrolled,including 163 patients at ages of 36 to 45 years(37.82%),272 cases with an educational level of college degree and above(63.11%)and 253 patients with per capita monthly household income of more than 3000 Yuan(58.70%).The coverage of HPV vaccination was 24.36%,and the main cause of non-vaccination was difficulty in high-valent HPV vaccine appointment.Price value,social impact and ef⁃ficacy expectation posed a positive impact on HPV vaccination behaviors via intention of vaccination(β=0.11,0.08,0.07,all P<0.05)and intention of vaccination and effort expectancy(β=0.10,0.07,0.06,all P<0.05),and effort expec⁃tancy played a mediating effect between intention of vaccination and vaccination behaviors(β=0.28,P<0.05).Conclu⁃sion Efficacy expectation,social impact,price value,intention of vaccination and effort expectancy may positively affect HPV vaccination behaviors.

关 键 词：人乳头瘤病毒疫苗 技术接受和使用统一理论2 结构方程模型 

分 类 号：R186[医药卫生—流行病学]