Awareness of human papillomavirus vaccine knowledge and willingness to receive human papillomavirus vaccination among women in Hainan Province / 预防医学

ABSTRACT

Objective@#To investigate the awareness of human papillomavirus (HPV) vaccine knowledge among women in Hainan Province and the willingness to receive HPV vaccination among women and their daughters, so as to provide insights into HPV vaccine promotion and cervical cancer control. @*Methods@#Women aged 20 to 64 years who participated in the cervical cancer screening program in Hainan Province from July 2021 to February 2022 were enrolled, and participants' demographics, awareness of knowledge about HPV vaccine, and willingness to receive HPV vaccination among themselves and their daughters using a questionnaire survey. The factors affecting willingness to receive HPV vaccination were identified using a multivariable logistic regression model.@*Results@#A total of 4 300 questionnaires were allocated and 4 023 valid questionnaires were recovered, with an effective recovery rate of 93.56%. The respondents had a mean age of (35.52±6.48) years, and their daughters had a mean age of (8.93±4.83) years. There were 826 participants knowing HPV vaccine-related knowledge, with an awareness rate of 20.35%. The proportions of willingness to receive HPV vaccination were 75.07% among respondents and 71.36% among their daughters. Multivariable logistic regression analysis identified age (20 to <30 years, OR=1.474, 95%CI 1.167-1.862; 30 to <40 years, OR=1.455, 95%CI 1.199-1.765), urban-registered residence (OR=1.251, 95%CI 1.016-1.541), monthly household income (3 000 to <5 000 Yuan, OR=1.568, 95%CI 1.314-1.873; 5 000 Yuan and more, OR=1.231, 95%CI 1.014-1.496), affordable fees for a single dose of HPV vaccination (100 to <500 Yuan, OR=1.358, 95%CI 1.159-1.590; 500 Yuan and higher, OR=1.609, 95%CI 1.188-2.180), and awareness of HPV vaccine-related knowledge (OR=4.473, 95%CI 3.416-5.855) as factors affecting respondents' willingness to receive HPV vaccination, and participation in New Rural Cooperative Medical Insurance (OR=1.652, 95%CI 1.087-2.511), affordable fees for a single dose of HPV vaccination (100 to <500 Yuan, OR=1.905, 95%CI 1.633-2.221; 500 Yuan and higher, OR=1.683, 95%CI 1.275-2.223), awareness of HPV vaccine-related knowledge (OR=3.625, 95%CI 2.847-4.615), daughter's active request for HPV vaccination (OR=1.695, 95%CI 1.293-2.222), and frequency of sexual health education for daughters (frequently, OR=2.142, 95%CI 1.789-2.564; occasionally, OR=1.707, 95%CI 1.416-2.059) as factors affecting the willingness to receive HPV vaccination among respondents' daughters. @*Conclusions@#The awareness of HPV vaccine-related knowledge is low among women aged 20 to 64 years in Hainan Province, and the women's and their daughters' willingness to receive HPV vaccination is associated with age, household registration, economic level, price of HPV vaccine and awareness of HPV vaccine-related knowledge.