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Cervical cancer is still a major public health problem worldwide. However, the uptake of human papillomavirus vaccine remains low among college women in Thailand. A cross-sectional and structural equation model to predict the intention to obtain human papillomavirus vaccine by young college women in Thailand was developed and tested. Data were collected from 191 college women aged 18-26 from the non-health sciences who were enrolled in two universities in Southern Thailand. Data collection involved the use of a structured questionnaire, which included demographic information, human papillomavirus and vaccine awareness, attitudes, subjective norms, perceived behavioral control, perceived susceptibility, perceived effectiveness, cost, knowledge of HPV and cervical cancer, and intention to obtain HPV vaccination. The data were analyzed using descriptive statistics and structural equation modeling.
The results showed that, in the modified Model of Human Papillomavirus Vaccination Intention among Young Women, attitudes, subjective norms, perceived behavioral control, and perceived susceptibility of HPV-related disease all had significant and direct effects on the intention to obtain HPV vaccine, and able to explain 38% of the variance. Attitude was found to be the mediator of knowledge about human papillomavirus and cervical cancer, subjective norms, perceived behavioral control and the perceived effectiveness toward the intention to obtain human papillomavirus vaccination. Thus, nurses should take the initiative and make college women more familiar with the human papillomavirus vaccine, promote positive attitudes towards human papillomavirus vaccination and empower college women to take control of their vaccination decision-making.
Copyright: The Pacific Rim International Journal of Nursing Research, Thailand Nursing & Midwifery Council has exclusive rights to publish, reproduce and distribute the manuscript and all contents therein.
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