Intent to Receive an HPV Vaccine among University Men and Women and Implications for Vaccine Administration
Objective: An effective human papillomavirus (HPV) vaccine must be accepted by young persons in order to achieve its full public health benefits. This study examines the intention to receive an HPV vaccine among college age men and women. Methods Summary: 340 university students, 138 men and 202 women, ages 18 to 32 (mean age of 20.8) completed self-administered questionnaires. Intention was measured by asking participants how likely they would be to accept an HPV vaccine that prevented 1) all HPV, 2), cervical cancer but not genital warts, 3), warts but not cancer, or 4) both warts and cancer Results: Both men and women reported high intent to receive an HPV vaccine, though women significantly more so, 77.5% and 88.6% respectively (p < .01). Men were less willing to receive a vaccine that prevents cervical cancer in women (men can transmit HPV to their sexual partners) compared to one that prevents cervical cancer and genital warts (34.1% vs.77.5%, p < .001). Intent to receive the HPV vaccine was significantly greater among participants having more than five partners compared to those having no partners (OR = 4.4; 95% CI = 1.4, 14.4). Intent was also significantly greater among those answering two or three HPV knowledge questions correctly compared to those getting none or only one question correct (OR = 3.6; 95% CI = 1.3, 9.9). Conclusions: A great majority of university students in this study were willing to receive the vaccine. Interest varied according to sexual history and knowledge about HPV, and in men, according to whether the vaccine targeted genital warts. Public Health Significance: An effective HPV vaccine, and one that is accepted, could have enormous public health benefits as vaccinations are one of the most successful public health approaches to preventing and controlling many infectious diseases.
Advisor:Robert Cook, MD, MPH; Rodger Beatty, PhD, LSW; James Butler, MEd, DrPH; Martha Ann Terry, PhD
School:University of Pittsburgh
School Location:USA - Pennsylvania
Source Type:Master's Thesis
Keywords:behavioral and community health sciences
Date of Publication:06/28/2007