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预防医学  2023, Vol. 35 Issue (4): 295-297,326    DOI: 10.19485/j.cnki.issn2096-5087.2023.04.005
  论著 本期目录 | 过刊浏览 | 高级检索 |
基于技术接受与使用统一理论2的妇科门诊就诊患者HPV疫苗接种行为研究
李改芳1, 冯勤梅1,2, 仇丽霞1
1.山西医科大学公共卫生学院,山西 太原 030001;
2.山西医科大学第五临床医院,山西 太原 030001
Human papillomavirus vaccination behaviors among gynecological outpatients based on extended unified theory of acceptance and use of technology
LI Gaifang1, FENG Qinmei1,2, QIU Lixia1
1. School of Public Health, Shanxi Medical University, Taiyuan, Shanxi 030001, China;
2. The Fifth Clinical Hospital of Shanxi Medical University, Taiyuan, Shanxi 030001, China
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摘要 目的 基于技术接受与使用统一理论2,分析妇科门诊就诊患者HPV疫苗接种行为的影响因素,为HPV疫苗接种行为干预提供依据。方法 选择2021年10月—2022年8月在山西省人民医院妇科门诊就诊的≤45岁患者为调查对象,通过问卷调查收集人口学信息、HPV疫苗接种情况和未接种原因。基于技术接受与使用统一理论2建立结构方程模型分析HPV疫苗接种行为的影响因素。结果 调查门诊就诊女性患者431例,其中36~45岁163例,占37.82%;大专及以上学历272例,占63.11%;家庭人均月收入>3 000元253例,占58.70%。HPV疫苗接种率为24.36%,未接种原因以“高价疫苗预约困难”为主。价格价值、社会影响和疗效期望可以通过接种意愿(β=0.11、0.08、0.07,均P<0.05),以及接种意愿和努力期望(β=0.10、0.07、0.06,均P<0.05)正向影响接种行为;努力期望在接种意愿与接种行为间存在中介效应(β=0.28,P<0.05)。结论 疗效期望、社会影响、价格价值、接种意愿和努力期望可正向影响HPV疫苗接种行为。
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李改芳
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仇丽霞
关键词 人乳头瘤病毒疫苗技术接受和使用统一理论2结构方程模型    
AbstractObjective To investigate the factors affecting human papillomavirus (HPV) vaccination behaviors among gynecological outpatients based on extended unified theory of acceptance and use of technology (UTAUT2), so as to provide insights into the development of HPV vaccination behavioral interventions. Methods Patients at ages of 45 years and younger that were admitted to the outpatient department of gynecological of Shanxi Provincial People's Hospital from October 2021 to August 2022 were recruited, and the factors affecting HPV vaccination behaviors were identified using UTAUT2. Results A total of 431 female outpatients were enrolled, including 163 patients at ages of 36 to 45 years (37.82%), 272 cases with an educational level of college degree and above (63.11%) and 253 patients with per capita monthly household income of more than 3 000 Yuan (58.70%). The coverage of HPV vaccination was 24.36%, and the main cause of non-vaccination was difficulty in high-valent HPV vaccine appointment. Price value, social impact and efficacy expectation posed a positive impact on HPV vaccination behaviors via intention of vaccination (β=0.11, 0.08, 0.07, all P<0.05) and intention of vaccination and effort expectancy (β=0.10, 0.07, 0.06, all P<0.05), and effort expectancy played a mediating effect between intention of vaccination and vaccination behaviors (β=0.28, P<0.05). Conclusion Efficacy expectation, social impact, price value, intention of vaccination and effort expectancy may positively affect HPV vaccination behaviors.
Key wordshuman papillomavirus vaccine    extended unified theory of acceptance and use of technology    structural-equation modeling
收稿日期: 2022-09-22      修回日期: 2023-03-15      出版日期: 2023-04-10
中图分类号:  R186  
基金资助:山西省基础研究计划项目(202103021224387)
通信作者: 冯勤梅,E-mail:qmf369@hotmail.com   
作者简介: 李改芳,硕士研究生在读
引用本文:   
李改芳, 冯勤梅, 仇丽霞. 基于技术接受与使用统一理论2的妇科门诊就诊患者HPV疫苗接种行为研究[J]. 预防医学, 2023, 35(4): 295-297,326.
LI Gaifang, FENG Qinmei, QIU Lixia. Human papillomavirus vaccination behaviors among gynecological outpatients based on extended unified theory of acceptance and use of technology. Preventive Medicine, 2023, 35(4): 295-297,326.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.04.005      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I4/295
[1] 刘宗超,李哲轩,张阳,等.2020全球癌症统计报告解读[J].肿瘤综合治疗电子杂志,2021,7(2):1-14.
[2] SONG D,LI H,LI H B,et al.Effect of human papillomavirus infection on the immune system and its role in the course of cervical cancer[J].Oncol lett,201510(2):600-606.
[3] FALCARO M,CASTANON A,NDELA B,et al.The effects of the national HPV vaccination programme in England,UK,on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence:a register-based observational study[J].Lancet,2021,398(10316):2084-2092.
[4] SHLLING H,GARLAND S M,ATCHISON S,et al.Human pap-illomavirus prevalence and risk factors among Australian women 9-12 years after vaccine program introduction[J].Vaccine,2021,39(34):4856-4863.
[5] DE OLIVEIRA L H,JANUSZ C B,DA COSTA M T,et al.HPV vaccine introduction in the Americas:a decade of progress and lessons learned[J].Expert Rev Vaccines,2022,21(11):1569-1580.
[6] 梁辉,唐婷婷,吕华坤,等.中小学生家长关于女儿接种HPV疫苗的知识和意愿调查[J].预防医学,2021,33(9):884-888.
[7] EZENWA B N,BALOGUN M R,OKAFOR I P.Mothers' human papilloma virus knowledge and willingness to vaccinate their adolescent daughters in Lagos,Nigeria[J].Int J Womens Health,2013,5:371-377.
[8] VENKATESH V,THONG J Y L,XU X.Consumer acceptance and use of information technology:extending the unified theory of acceptance and use of technology[J].MIS Q,2012,36(1):157-178.
[9] 刘倩倩. 基于SEM模型的HPV疫苗接受度影响因素研究[D].武汉:华中师范大学,2020.
[10] 张佳莹,韩颖,王瑞杰,等.不同人群对人乳头瘤病毒及HPV疫苗的知信行调查研究[J].中国健康教育,2020,36(2):147-152.
[11] 朱义雯,邓桢,巴观平,等.基于创新扩散理论的人乳头瘤病毒疫苗接种行为分析[J].预防医学,2021,33(5):457-461.
[12] 郝艳会,石雷.中国大学生人乳头瘤病毒疫苗知晓率与接受率的Meta分析[J].中国热带医学,2018,18(11):1106-1110.
[13] 冀慧方,张志伟,李强,等.黄渡社区女性居民人乳头瘤病毒认知及疫苗接种意愿调查[J].预防医学,2020,32(6):625-628.
[14] 孙秀,张六仁,陈涛,等.基于防范行为采纳模型的女大学生HPV疫苗犹豫干预研究[J].预防医学,2022,34(1):22-26.
[15] 云雪霞,王大虎,谭慧峰,等.广州市HPV疫苗上市后接种实施及人群接种状况初步分析[J].医学动物防制,2020,36(8):787-791.
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