title: How university students view human papillomavirus (HPV) vaccination: A cross-sectional study in Jinan, China.
abstract: The acceptability of HPV vaccination among university students in China is not well understood. Our study was of cross-sectional study design. We collected a questionnaire about socio-demographic characteristics, knowledge of, attitude toward and acceptability of HPV vaccination. A total of 351 students were included in data analyses, among whom 47.6% were males and 70.0% aged 19-21. Only 10.3% had previously heard of HPV and 5.4% HPV vaccine. Male and female students were equally likely to accept HPV vaccine (71.8 vs 69.4%, p = 0.634) and recommend it to sexual partners (73.1 vs 76.7%, p = 0.441). The great majority of students could only afford RMB 300 (USD 50) or less for HPV vaccination. HPV vaccination acceptance was associated with being in year-one (Adjusted odds ratio (AOR)  = 3.78, 95% confidence interval (CI): 2.12-6.75), being from a key university (AOR = 1.88, 95%CI: 1.07-3.31), having heard of HPV-related morbidities (AOR = 1.88, 95% CI: 1.05-3.35), being concerned about HPV-related morbidities (AOR = 2.23, 95% CI: 1.16-4.27) and believing the vaccine should be given before first sexual contact (AOR = 2.44, 95% CI: 1.38-4.29). Female students were more likely to anticipate a late uptake of HPV vaccination (p = 0.002). The relatively lower levels of HPV knowledge but higher levels of vaccine acceptance among undergraduates highlighted the need for education on the roles of sexual behaviors in HPV transmission.
authors: a Kirby Institute; University of New South Wales ; Sydney , Australia.
authors: Huachun
authors: H
authors: Zou
authors: b Department of Epidemiology ; School of Public Health; Shandong University ; Jinan , China.
authors: Wei
authors: W
authors: Wang
authors: c School of Finance & Economics; Shandong Jiaotong University ; Jinan , China.
authors: Yuanyuan
authors: Y
authors: Ma
authors: d School of Public Health; Shandong University ; Jinan , China.
authors: Yongjie
authors: Y
authors: Wang
authors: e Department of Epidemiology ; Cancer Institute of Chinese Academy of Medical Sciences; Peking Union Medical College ; Beijing , China.
authors: Fanghui
authors: F
authors: Zhao
authors: e Department of Epidemiology ; Cancer Institute of Chinese Academy of Medical Sciences; Peking Union Medical College ; Beijing , China.
authors: Shaoming
authors: S
authors: Wang
authors: e Department of Epidemiology ; Cancer Institute of Chinese Academy of Medical Sciences; Peking Union Medical College ; Beijing , China.
authors: Shaokai
authors: S
authors: Zhang
authors: b Department of Epidemiology ; School of Public Health; Shandong University ; Jinan , China.
authors: Wei
authors: W
authors: Ma
mesh_terms: D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care; D013334:Students; D011795:Surveys and Questionnaires; D014495:Universities; D014611:Vaccination / Q000523:psychology*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: China; HPV; Human papillomavirus; college students; vaccination