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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

张晓莹 张宁

健康发展与政策研究2024,Vol.27Issue(3):260-268,9.
健康发展与政策研究2024,Vol.27Issue(3):260-268,9.DOI:10.12458/HDPR.202404033

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

Using the COM-B model to study on influencing factors of human papilloma virus vaccination intention among female college students

张晓莹 1张宁1

作者信息

  • 1. 浙江大学医学院公共卫生学院,浙江 杭州 310058||浙江大学医学院附属第二医院,浙江 杭州 310009
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摘要

Abstract

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.

关键词

人乳头瘤病毒疫苗/接种意愿/女大学生/能力、机会、动机—行为模型

Key words

human papilloma virus vaccine/intention/female college students/Capability-Opportunity-Motivation-Behavior model

分类

医药卫生

引用本文复制引用

张晓莹,张宁..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[J].健康发展与政策研究,2024,27(3):260-268,9.

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