基于信息-动机-行为技巧模型的新疆大学生HPV疫苗接种意愿影响因素研究  

A study of factors influencing HPV vaccination intention of college students in Xinjiang based on the information-motivation-behavior skill model

作　　者：边举元 张国珍[1] BIAN Juyuan;ZHANG Guozhen(School of Public Health,Xinjiang Medical University,Urumqi 830017,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830017

出　　处：《华南预防医学》2024年第4期304-308,共5页South China Journal of Preventive Medicine

基　　金：新疆艾滋病防控研究重点实验室开放课题(XJYS1706-2021011)。

摘　　要：目的基于信息-动机-行为技巧(information-motivation-behavior skills,IMB)模型分析新疆大学生HPV疫苗接种意愿及其影响因素,为HPV疫苗在新疆大学生群体的推广提供参考。方法采用分层整群抽样对新疆3所高校的大学生进行问卷调查,收集HPV疫苗接种意愿、社会人口学特征、对疫苗和性行为的态度、HPV相关信息、接种HPV疫苗的动机及行为技能,采用χ^(2)检验和t检验比较组间差异,采用非条件多因素logistic回归探讨大学生HPV疫苗接种意愿的影响因素。结果834名新疆大学生中,559人(67.0%)有HPV疫苗接种意愿。女生(OR=3.219)、主动搜寻或咨询过HPV疫苗(OR=2.630)、感知障碍较低(OR=0.626)、社会动机较高(OR=1.959)的大学生HPV疫苗接种意愿较高(P<0.05)。结论新疆大学生HPV疫苗总体接种意愿较高,男生接种意愿有待进一步提升。重点提升大学生对HPV的认知水平和对HPV疫苗接种的社会动机,降低大学生对HPV疫苗接种的感知障碍,调整对男性HPV预防策略,将有效提高新疆大学生HPV疫苗的接种意愿。Objective To analyze the HPV vaccination intention of college students in Xinjiang and its influencing factors based on the information-motivation-behavior(IMB)model,and to provide a reference for the promotion of HPV vaccine among college students in Xinjiang.Methods The stratified cluster sampling was used to conduct a questionnaire survey on college students from three universities in Xinjiang to collect HPV vaccination intention,socio-demographic characteristics,attitudes towards vaccine and sexual behavior,HPV-related information,and motivation and behavioral skills to vaccinate HPV vaccine.Theχ^(2)test and t-test were used to compare the differences between groups.Unconditional multifactorial logistic regression was used to explore the influencing factors of HPV vaccination intention among college students.Results Among the 834 college students in Xinjiang,559(67.0%)had the intention to receive HPV vaccination.College students who were female(OR=3.219),had actively searched for or consulted HPV vaccine(OR=2.630),had mild perceptual impairment(OR=0.626),and had higher social motivation(OR=1.959)had higher HPV vaccination intention(P<0.05).Conclusions The overall HPV vaccination intention of college students in Xinjiang is high,and the vaccination intention of male students needed to be further improved.Focusing on improving college students'cognitive level of HPV and social motivation for HPV vaccination,reducing college students'perceived barriers to HPV vaccination,and adjusting male HPV prevention strategies will effectively improve the HPV vaccination intention of college students in Xinjiang.

关 键 词：人乳头瘤病毒疫苗 接种意愿 信息-动机-行为技巧 大学生 

分 类 号：R186[医药卫生—流行病学]