Factors Associated to Decision for Receive HPV Vaccination Among Female High School Students, Mueang Chai Nat District, Chai Nat Province
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Abstract
This research aimed to explore: (1) the factors related to personal characteristics, knowledge, attitudes, and health literacy concerning cervical cancer and the HPV vaccine; (2) the decisions to receive the HPV vaccine; and (3) the influence of personal characteristics, knowledge, attitudes, and health literacy on the decisions to receive the HPV vaccine among female high school students in Chai Nat’s Mueang district.
This a cross-sectional analysis research was conducted among 246 students selected from 963 female high school students in the Mueang district. The sample size was calculated using the G*Power 3.1.9.6 software [Power (1-β err prob) 0.8]. The research instrument was a questionnaire with a content validity index of 0.95 and a reliability score of 0.79. The knowledge-related questions yielded a KR-20 score of 0.95. Data were collected and then analyzed using frequency distribution, percentage, mean, standard deviation, and logistic regression analysis.
The findings revealed that, among the participants: (1) Most of them were 16 years old on average, studying in grade 11, residing in Chai Nat with parents who were mostly laborers and had a family income exceeding 25,000 baht per month. Mostly they did not have family members or close friends with cervical cancer, nor had they received the HPV vaccine. They had had a boyfriend or romantic partner but had never had sexual intercourse, and had regular menstrual cycles. They were willing to receive the HPV vaccine, had a high level of knowledge, good attitudes, and very good health literacy. (2) Most of them were strongly determined to receive the HPV vaccine. (3) Educational level and attitudes were significantly associated with the decisions to receive the HPV vaccine. Students in grade 12 were 2.21 times more likely to receive the vaccine than those in grade 11, and those with a higher level of attitudes were 3 times more likely to receive the vaccine than those with a moderate level of attitudes.
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