Factors influencing acceptance of human papillomavirus vaccine among young female college students in Thailand

Abstract

ObjectiveTo determine knowledge and beliefs related to human papillomavirus (HPV), cervical cancer, and vaccination among young Thai women, and thereby identify independent predictors associated with acceptance of HPV vaccination. MethodsA convenience sample of 747 young women aged 18–24years was recruited from universities and colleges located in the upper northern region of Thailand. An online questionnaire was performed to assess demographics; HPV and cervical cancer-related health characteristics; and knowledge and beliefs toward HPV and cervical cancer. Logistic regression analysis was used to determine independent predictors of HPV vaccine acceptance. ResultsKnowledge about HPV and cervical cancer was moderate. The mean total knowledge score was 7.5±3.8. Acceptance of the HPV vaccine was significantly associated with having received a recommendation for vaccination (odds ratio [OR] 2.12; 95% CI, 1.22–3.68); perceived susceptibility to disease (OR 1.37; 95% CI, 1.22–1.52); perceived benefits of vaccination (OR 1.33; 95% CI, 1.19–1.49); and perceived seriousness of disease (OR 0.90; 95% CI, 0.81–1.00). ConclusionUnderstanding variables associated with acceptance of HPV vaccination may guide immunization initiatives and so increase the uptake rate among young Thai women.