基于COM-B模型的女大学生人乳头瘤病毒疫苗接种意愿影响因素研究OA北大核心CSTPCD

Objective To analyze the intention of female college students to receive human papilloma virus(HPV)vaccination and its influencing factors based on the Capability-Opportunity-Motivation-Behavior(COM-B)model.Methods We conducted a cross-sectional survey from May 13 to June 27,2023,at seven full-time universities in Taiyuan,Shanxi Province(Northern China)and Hangzhou,Zhejiang Province(Eastern China).Female college students aged 18 to 26 years were selected through convenience sampling.We distributed 596 questionnaires and analyzed demographic data along with COM-B model variables using descriptive statistics.Independent sample t-tests,pearson correlation analysis,and multiple linear regression were applied to examine the relationships between demographic variables,COM-B variables,and HPV vaccination intention.Results A total of 565 returned questionnaires were valid.The mean score for HPV vaccination intention among female college students was 3.72±0.88.Multiple linear regression analysis showed that knowledge level(β=0.08,P=0.02),prescriptive social norms(β=0.13,P＜0.01),feasibility of vaccination timing(β=0.13,P＜0.01),affordability of vaccine costs(β=0.11,P=0.02),perceived severity(β=-0.13,P＜0.01),opportunity cost(β=-0.08,P=0.03),self-efficacy(β=0.21,P<0.001),risk perception(β=0.09,P=0.019),and educational level(β=0.14,P＜0.01)significantly influenced HPV vaccination intention.Conclusions The vaccination intention is moderate,with potential for improvement.Social norms and risk perception are crucial factors in stimulating vaccination intention.However,overemphasizing the severity of disease may provoke fear or anxiety,deterring vaccination.Individuals often prioritize immediate benefits over long-term cost-effectiveness when considering vaccination.