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The impact of exposure to HPV related information and injunctive norms on young women's intentions to receive the HPV vaccine in China

A structural equation model based on KAP theory

Bibliographic Data

ID22077902
AuthorsYi Wang (0000-0003-2228-7009, Huaqiao University), Yubing Chen (0000-0001-6645-1662, Huaqiao University, corresponding author), Sheng Bao (0000-0003-2026-8058, Huaqiao University)
Year2023
Volume10
Pages1102590-1102590
Publication date2023-01-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1102590
PMID36726620
OpenAlexW4316500184
LanguageEN
Citations received5
References cited77

Background The HPV vaccination is a crucial line of defensing against cervical cancer. As a result of government support and positive publicity from the majority of media, a craze for HPV vaccination has occurred in China. Besides, the intentions to get the HPV vaccine among women of appropriate age is also influenced by families' and friends' attitudes and perceptions toward HPV vaccine. Therefore, the purpose of this study was to investigate how HPV related information exposure and injunctive norms affect young Chinese women's intentions to receive the HPV vaccine. Methods A structural equation model was developed based on KAP theory, and 567 effective questionnaires were collected through an online survey. We used SPSS 26.0 for the reliability and validity analysis and the differential testing of demographic characteristics, and Amos 26.0 for the goodness-of-fit analysis and paths testing of the model. Results Our findings showed that (1) intention to receive HPV vaccine differed significantly in age ( P = 0.046), educational background ( P = 0.001), and occupation ( P = 0.004). (2) Exposure to HPV related information positively affected knowledge about HPV (β = 0.316, P < 0.001) and intention to receive HPV vaccine (β = 0.141, P < 0.001). (3) Knowledge about HPV positively affected attitude toward HPV vaccine (β=0.341, P < 0.001), but negatively affected intention to receive HPV vaccine (β = −0.148, P < 0.05), and attitude toward HPV vaccine positively affected intention to receive HPV vaccine (β = 0.594, P < 0.001). (4) Injunctive norms positively affected attitude toward HPV vaccine (β = 0.362, P < 0.001) and intention to receive HPV vaccine (β = 0.420, P < 0.001). Conclusions Exposure to HPV related information influenced young Chinese women's intentions to receive the HPV vaccine and related knowledge, that is, the more frequently they were exposed to HPV related information, the stronger their intentions to receive the vaccine and the higher their HPV knowledge. Also, the perception and support of HPV vaccination by people around them will further influence their attitudes and intentions to receive the HPV vaccine

Cancer · Cervical cancer · HPV infection · Perception · Publicity · Social norms approach · Structural equation modeling · Vaccination · Vaccine efficacy · Young adult · Cervical Cancer and HPV Research · Demography · Health Literacy and Information Accessibility · Medicine · Psychology · Vaccine Coverage and Hesitancy · Immunology · Internal Medicine

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Unique citing works5
Citations per year2,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5

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