Knowledge, Beliefs, and Practices Among U. S. College Students Concerning Papillomavirus Vaccination
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ORIGINAL PAPER
Knowledge, Beliefs, and Practices Among U. S. College Students Concerning Papillomavirus Vaccination Bulaporn Natipagon‑Shah1 · Eunice Lee2 · Shin‑Young Lee3 Accepted: 8 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Human papillomavirus (HPV) is the most common sexually transmitted disease in the U.S. Data on knowledge, attitudes, and beliefs related to HPV vaccination among college students are limited. The purpose of this study was to provide a comprehensive description of the variables influencing HPV vaccination uptake and intention among college students. This study employed a cross sectional descriptive quantitative design. Survey data were collected online from the 181 college students, aged 18–25 years. The data were analyzed to identify the students’ attitudes toward HPV vaccine (perceived potential harm, effectiveness, barriers, and uncertainty), knowledge of HPV and HPV vaccine, and their intention of receiving the vaccine in the next 6 months. Descriptive statistics, Chi-square tests, ANOVA, and logistic regressions were conducted to examine the correlates of vaccination intention and uptake. Among 181 participants, 101 (55.8%) were had received at least one dose of HPV vaccine, 52 (28.7%) intended to receive HPV vaccine, and 28 (15.5%) did not intend to receive HPV vaccine. On average, participants responded correctly to less than half of the questions on the HPV knowledge and HPV vaccine knowledge scales, and those who were vaccinated were significantly more knowledgeable than their counterparts. Multivariate logistic regression showed HPV vaccine knowledge and uncertainty were significant factors associated with HPV vaccine uptake. Providing education designed to improve HPV and HPV vaccination knowledge and decrease feelings of uncertainty could improve college students’ HPV vaccination uptake. Keywords Cervical cancer · HPV vaccination · Beliefs · Attitudes · College students
Introduction The human papillomavirus (HPV) is the most common sexually transmitted infection in the United States [1]. It can lead to cancer of the cervix, penis, anus, and back of the throat and cause other serious health problems [2]. For example, * Shin‑Young Lee [email protected] Bulaporn Natipagon‑Shah [email protected] Eunice Lee [email protected] 1
School of Nursing, California State University, San Marcos, 333 S. Twin Oaks Valley Rd., San Marcos, CA 92096, USA
2
School of Nursing, University of California, Los Angeles, 700 Tiverton Ave., #‑4‑258, Los Angeles, CA 90095, USA
3
Department of Nursing, Chosun University, 309 Pilmun‑daero, Dong‑gu, Gwangju 501‑759, Republic of Korea
more than 9 of every 10 cases of cervical cancer are caused by HPV [2]. HPV vaccination can prevent over 90% of HPV-related cancers [2]. Thus, the Advisory Committee on Immunization Practices (ACIP) recommended HPV vaccination (e.g., quadrivalent ‘Gardasil’ or bivalent ‘Cervarix’) for everyone 9 to 26 years of age, with a preferred age of 11–12 years
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