Prevalence of HPV Vaccination and Factors Associated with HPV Vaccination Intention among First-year Female Undergraduate Students at Autonomous University in Chon Buri Province
Keywords:
Cervical cancer, HPV vaccination, Vaccination intentionAbstract
Background: Cervical cancer is a significant public health concern in Thailand. Data on HPV vaccination rates among female higher education students has been limited, showing very low vaccination rates. Among the unvaccinated group, the intention to get vaccinated is relatively low. Proper guidance is essential to improve understanding and intention to receive HPV vaccination, which can lead to a reduction in cervical cancer incidence. Objective: To study the prevalence of HPV vaccination and factors associated with HPV vaccination intention among first-year female undergraduate students at an autonomous university in Chon Buri Province. Methods: This cross-sectional study used multi-stage random sampling to select 314 first-year female students aged 18-26 years in the 2024 academic year. Data were analyzed using descriptive statistics and logistic regression analysis. Results: The prevalence of HPV vaccination among female undergraduate students was 21.3%.Factors associated with HPV vaccination intention among first-year female students included: self-efficacy regarding HPV vaccination (adjOR = 2.75, 95%CI: 1.571, 4.822)], subjective norms regarding HPV vaccination (adjOR = 2.32, 95%CI: 1.373, 3.936), perceived severity of cervical cancer (adjOR = 2.19, 95%CI: 1.289, 3.724), and attitudes toward HPV vaccination (adjOR = 1.74, 95CI: 1.024, 2.959). Conclusion: Healthcare services, public health agencies, and educational institutions should collaborate on implementing measures focusing on building self-22 efficacy by addressing practical vaccination barriers, utilizing positive social influence through peer education, communicating appropriate information about cervical cancer risks, and promoting positive attitudes toward vaccination. These efforts may help increase HPV vaccination intention and vaccination rates among female higher education students.
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