Perceptions and acceptability of HPV vaccination among parents of female adolescents 9–14 in China: A cross-sectional survey based on the theory of planned behavior

Yi, Youqin; Xiu, Shixin; Shi, Nannan; Huang, Yue; Zhang, Shihan; Wang, Qiang; Yang, Liuqing; Cui, Tingting; Wang, Yuning; Yuan, Shuguang; Jin, Hui

doi:10.1080/21645515.2023.2225994

Cited by 7 publications

(8 citation statements)

References 44 publications

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“…Furthermore, our findings highlight the crucial role of healthcare practitioners and community leaders in affecting parental decisions about HPV vaccination. These findings are consistent with cross-sectional research done in China by Youqin et al, which likewise highlighted a comparable lack of understanding among parents of teenage daughters regarding HPV and its vaccine [ 40 ]. Similarly, research in Serbia revealed that while 76.6% of mothers were open to vaccinating their daughters, concerns about side effects and a lack of knowledge remained significant barriers [ 41 ].…”

Section: Reviewsupporting

confidence: 91%

A Systematic Review of Knowledge, Attitudes, and Factors Influencing HPV Vaccine Acceptance Among Adolescents, Parents, Teachers, and Healthcare Professionals in the Middle East and North Africa (MENA) Region

Vincent,

Al Yaquobi,

Al Hashmi

2024

Cureus

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Human Papillomavirus (HPV) infection is the most common sexually transmitted infection, affecting both men and women globally. Men and women are at risk of type HPV16 and HPV18 viruses leading to cervical, anal, vulvar, and oropharyngeal cancers. The HPV vaccines are highly effective in preventing various strains of HPV infection, and effective vaccines are available only in the Middle East and North Africa (MENA) region. Hence, this systematic review explored knowledge and attitudes toward HPV infection and HPV vaccination and factors influencing HPV vaccination uptake among the MENA populations. Various databases, such as Medline, Science Direct, CINHAL, EBSCO, PsycINFO, and PubMed, were systematically searched to include English studies assessing knowledge, attitudes toward HPV infection, and factors influencing HPV vaccination acceptance in the MENA region. Twenty-two papers met the inclusion criteria. The number of participants ranged from 99 to 7223. While knowledge, attitude, and vaccine hesitancy association factors were generally reported in cross-sectional studies, the HPV vaccine acceptancy over time from longitudinal studies was mixed and inconclusive due to inadequate information on HPV infection and vaccination, the cost of the vaccine, cultural beliefs, and safety concerns. Results demonstrated that low HPV vaccine acceptance is due to a lack of HPV understanding among the MENA population, coupled with access issues. Factors such as awareness, confidence in vaccination, and involvement in decision-making positively influence vaccine uptake. Therefore, tailored programs addressing vaccine hesitancy in the MENA communities are necessary.

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Section: Reviewsupporting

confidence: 91%

A Systematic Review of Knowledge, Attitudes, and Factors Influencing HPV Vaccine Acceptance Among Adolescents, Parents, Teachers, and Healthcare Professionals in the Middle East and North Africa (MENA) Region

Vincent,

Al Yaquobi,

Al Hashmi

2024

Cureus

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“…Intention refers to the readiness of clinical interns to receive the HPV vaccine within the upcoming 6 months. This construct was measured with two 5-point Likert scale items, modified from Yi et al (3). One representative item stated: "I intend to complete all three doses of the HPV vaccine in the forthcoming 6 months" (Cronbach's alpha = 0 0.780).…”

Section: Intentionmentioning

confidence: 99%

“…It postulates that an individual's behavior is influenced by their intention, which is shaped by attitude towards the behavior, subjective norms, and perceived control over the action (15). Previous research findings have indicated that within the TPB framework, attitudes, subjective norms, and perceived control are positively associated with behavioral intentions (3,16). Furthermore, TPB is adaptable, and Ajzen suggests that it can be adapted to incorporate additional variables (15).…”

Section: Introductionmentioning

confidence: 98%

“…Specifically, high-risk HPV subtypes are instrumental in the development of various pathologies, including oropharyngeal malignancies, cervical cancer, male genital tumors, and dermatological conditions like condyloma acuminatum (2). Contemporary epidemiological assessments posit that roughly 2.8 billion women aged 15 years and onward are at potential risk for cervical cancer initiation (3). In China, with its substantial population, there are approximately 106,000 new cases of cervical cancer and 48,000 fatalities annually, constituting over 28% of the worldwide cases of this disease (4).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of HPV vaccine uptake intentions in Chinese clinical interns: an extended theory of planned behavior approach

Wang,

Xu,

Zhang

et al. 2024

Front. Public Health

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BackgroundThis study aims to utilize the extended Theory of Planned Behavior (TPB) model to examine the intentions of clinical interns in China towards Human papillomaviruses (HPV) vaccination. It also fills a significant gap in the literature concerning vaccine acceptance in this specific population.MethodsThis cross-sectional study was carried out with clinical interns in Shandong Province, China, with a total of 1,619 participants. Data were collected through self-reported questionnaires, including demographic characteristics, TPB variables, and HPV-related health knowledge. Hierarchical regression analysis was employed to identify key factors influencing vaccination intentions, and Structural Equation Modeling (SEM) was used to analyze the interrelationships between these factors.ResultsThis study initially identified key predictors affecting clinical interns’ intentions to receive the HPV vaccine through hierarchical regression analysis. The preliminary model, which accounted for demographic factors, revealed foundational impacts of household income and HPV-related clinical experience on intentions. After integrating TPB variables—attitude, subjective norm, perceived behavioral control, and HPV-related health knowledge—the model’s explanatory power was enhanced to 37.30%. SEM analysis focused on the interplay among TPB constructs and extended variables, confirming their significance in forming vaccination intentions, with subjective norm having the most substantial impact (β = 0.375, p < 0.001). The extended TPB model explained over half of the variance in vaccination intentions, substantiating the hypotheses and revealing the psychological determinants behind clinical interns’ decision-making for HPV vaccination.ConclusionThe extended TPB model from this study effectively explains the vaccination intentions among clinical interns for HPV, offering theoretical support for public health strategies and educational interventions targeting this group. These findings are of significant importance for public health practice and future health promotion strategies.

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“…For instance, Youqin Yi(2023) utilized SEM to analyze the factors in uencing parents' willingness to vaccinate against human papillomavirus (HPV) in China [8]. Antoinette(2009) focused on the uptake of the H1N1 in uenza vaccine among college students using the Health Belief Model and SEM [9].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Formation of Health Communication Competence among Chinese Physical Education Teachers: A Structural Equation Modeling (SEM) Approach

Chen,

Xu,

Yin

et al. 2023

Preprint

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Background As a crucial intervention for preventing chronic diseases and promoting physical health, sports and health communication via social media has gained increasing awareness in China due to the escalating public health and medical expenditures caused by the lack of physical activity. Chinese physical education teachers, as the main agents of health education in schools, play a vital role in the dissemination of health information and the promotion of social health. However, there is limited research on their health communication competence. Therefore, this study aims to explore the influencing factors of the health communication competence of physical education teachers, providing a basis for the development of health communication among physical education teachers and the promotion of social health communication. (2) Methods: This research integrated the Social Ecological Theory, combined with factors identified from interviews that influence the formation of physical education teachers' health communication competence. From the macro (social factors), meso (school factors), and micro (individual factors) levels, research hypotheses were formulated. Secondly, it conducted a questionnaire survey of 210 physical education teachers in primary and secondary schools in China and conducted exploratory factor analysis and descriptive statistical analysis of the data. Finally, it verified the hypothesis through Structural Equation Model(SEM) to explore the influencing factors of the formation of physical education teachers' Health communication competence. (3) Results: The formation of health communication competence among physical education teachers is influenced by multiple factors, including social factors, school factors, and individual factors, comprising a total of 13 sub-factors. The total effect value of social factors ranked at 0.396, followed by school factors with a total effect value of 0.379, and individual factor ranked third with a total effect value of 0.210. Among the total 13 sub-factors, relevant training implementation (composite index 0.377), the availability of related facilities and infrastructure (composite index 0.377) and policy support (composite index 0.341), degree of social recognition (composite index 0.337) and completeness of the educational system support (composite index 0.321) were the top five sub-factors. The level of health communication practice competence is the highest, language expression ability occupies the first place, with a path coefficient of 0.82, then the perception ability of the target audience with a path coefficient of 0.79, and the organizational design ability with a path coefficient of 0.78. (4) Conclusion: This study could help physical education teachers identify the factors that affect the formation of their health communication competence, to mitigate these factors and improve their deficiencies in health communication competence. When formulating public health-related policies, the government and relevant stakeholders should clarify the specific roles and provide policy support for physical education teachers’ engagement in health communication.

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Perceptions and acceptability of HPV vaccination among parents of female adolescents 9–14 in China: A cross-sectional survey based on the theory of planned behavior

Cited by 7 publications

References 44 publications

A Systematic Review of Knowledge, Attitudes, and Factors Influencing HPV Vaccine Acceptance Among Adolescents, Parents, Teachers, and Healthcare Professionals in the Middle East and North Africa (MENA) Region

A Systematic Review of Knowledge, Attitudes, and Factors Influencing HPV Vaccine Acceptance Among Adolescents, Parents, Teachers, and Healthcare Professionals in the Middle East and North Africa (MENA) Region

Determinants of HPV vaccine uptake intentions in Chinese clinical interns: an extended theory of planned behavior approach

Factors Influencing the Formation of Health Communication Competence among Chinese Physical Education Teachers: A Structural Equation Modeling (SEM) Approach

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