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題名:以健康信念模式探討臺灣北部大學生接種人類乳突病毒疫苗之行為意圖及相關因素研究
書刊名:臺灣公共衛生雜誌
作者:黃莉芸張鳳琴 引用關係苗迺芳 引用關係
作者(外文):Huang, Li-yunChang, Fong-chingMiao, Nae-fang
出版日期:2017
卷期:36:1
頁次:頁77-86
主題關鍵詞:健康信念模式人類乳突病毒疫苗HPV疫苗接種行為意圖大學生Health belief modelHPV vaccineHPV vaccination intentionUniversity students
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:7
  • 點閱點閱:63
目標:本研究旨在以健康信念模式探討大學生接種人類乳突病毒疫苗之行為意圖及相關因素。方法:本研究採立意取樣,選取103學年度第二學期就讀台灣北部3所大學的學生,以自填式問卷進行調查,共分析533人,有效問卷率97%。以複迴歸檢視影響大學生接種人類乳突病毒疫苗之意圖。結果:大學生HPV相關知識偏中高程度,HPV行動線索主要來源是從學校、媒體及衛生單位。HPV行動線索、HPV自覺罹患性、HPV疫苗自覺行動利益、HPV疫苗自我效能與HPV疫苗行為意圖呈顯著正相關;HPV疫苗自覺行動障礙與HPV疫苗行為意圖呈顯著負相關。整體而言,大學生HPV行動線索、HPV自覺罹患性、HPV疫苗自我效能可有效預測HPV疫苗接種行為意圖。依性別,影響男性HPV疫苗接種行為意圖之因子包括HPV自覺罹患性、HPV疫苗自我效能;而影響女性之因子為年級、HPV行動線索、HPV疫苗自我效能。結論:衛生單位可增加HPV疫苗訊息的暴露,來強化HPV行動線索,及增加HPV相關活動來提升大學生HPV自覺罹患性、HPV疫苗自我效能,增進學生HPV疫苗接種之意圖。
Objectives: The purpose of this study was to explore factors associated with university students' intention to receive human papillomavirus vaccination (HPV). Methods: Using the purposive sampling method, the present study queried 533 undergraduate students from three universities in northern Taiwan in 2015. Self-administered structured questionnaires were used. The effective response rate was 97%. Multivariate regression was used to analyze the data. Results: Overall, university students had average/high scores for their level of knowledge about HPV. HPV cues to action were mainly from schools, media and healthcare providers. HPV cues to action, perceived susceptibility, perceived benefits, and self-efficacy were positively associated with intention for HPV vaccination, while perceived barriers was negatively associated with such intention. Generally speaking, HPV cues to action, perceived susceptibility to HPV, and self-efficacy could predict intention for HPV vaccination. By gender, the factors associated with male students' HPV intention included perceived susceptibility to HPV and self-efficacy; female students' factors included grade, cue to action and self-efficacy. Conclusions: We suggest that health sectors should increase exposure to messages about the HPV vaccine in order to increase cues to action, and conduct HPV educational activities to improve students' perceived susceptibility and self-efficacy with regard to HPV vaccination.
期刊論文
1.林敬旺、蔡文正、曾盈甄(20110400)。父母對於青少女接種人類乳突病毒疫苗接受度與影響因素探討。澄清醫護管理雜誌,7(2),38-50。  延伸查詢new window
2.Gerend, M. A.、Shepherd, J. E.(2012)。Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior。Annals of Behavioral Medicine,44(2),171-180。  new window
3.溫麗芬、洪麗珍、張彩秀(20080400)。青少女自費接種子宮頸癌疫苗意向之相關因素探討。臺灣公共衛生雜誌,27(2),133-142。new window  延伸查詢new window
4.Reiter, P. L.、Brewer, N. T.、Gottlieb, S. L.、McRee, A. L.、Smith, J. S.(2009)。Parents' health beliefs and HPV vaccination of their adolescent daughters。Social Science &; Medicine,69,475-480。  new window
5.詹明錦、邱勝康、吳建昌、方啟泰(20130800)。人類乳突病毒疫苗接種政策:公共衛生倫理觀點。臺灣公共衛生雜誌,32(4),309-319。new window  延伸查詢new window
6.Zimet, G. D.、Weiss, T. W.、Rosenthal, S. L.、Good, M. B.、Vichnin, M. D.(2010)。Reasons for non-vaccination against HPV and future vaccination intentions among 19-26 year-old women。BMC Women's Health,10,27-32。  new window
7.陳菁徽、邱立軒、黎進三、阮芳賦、陳國彥、劉偉民、朱元祥(20140500)。人類乳突病毒、子宮頸癌預防策略與性行為模式。臺灣性學學刊,20(1),83-110。new window  延伸查詢new window
8.葉樹人、陳慧祺、黃立民(20071100)。子宮頸癌疫苗。臺灣醫學,11(6),649-654。  延伸查詢new window
9.Lu, C. Y.、Santosham, M.、APECI members(2012)。Survey of national immunization programs and vaccine coverage rates in Asia Pacific countries。Vaccine,30,2250-2255。  new window
10.Stokley, S.、Jeyarajah, J.、Yankey, D.(2014)。Human papillomavirus vaccination coverage among adolescents, 2007-2013, and postlicensure vaccine safety monitoring, 2006-2014-United States。MMWR Morb Mortal Wkly Rep.,63,620-624。  new window
11.Marlow, L. A.、Waller, J.、Evans, R. E.、Wardle, J.(2009)。Predictors of interest in HPV vaccination: a study of British adolescents。Vaccine,27,2483-2488。  new window
12.李金治、李思賢、陳天順、盧玉玫、林勳(20101200)。金門縣婦女對接種人類乳突病毒疫苗之意向及相關因素研究。健康促進暨衛生教育雜誌,30,1-16。new window  延伸查詢new window
13.Canfell, K.、Egger, S.、Velentzis, L. S.(2015)。Factors related to vaccine uptake by young adult women in the catchup phase of the National HPV Vaccination Program in Australia: results from an observational study。Vaccine,33,2387-2394。  new window
14.Rosenthal, S. L.、Zimet, G. D.、Ma, L.、Good, M. B.、Vichnin, M. D.(2011)。Predictors of HPV vaccine uptake among women aged 19-26: importance of a physician's recommendation。Vaccine,29,890-895。  new window
15.Kessels, S. J.、Marshall, H. S.、Watson, M.、Braunack-Mayer, A. J.、Reuzel, R.、Tooher, R. L.(2012)。Factors associated with HPV vaccine uptake in teenage girls: a systematic review。Vaccine,30,3546-3556。  new window
16.Gerend, M. A.、Barley, J.(2009)。Human papillomavirus vaccine acceptability among young adult men。Sexually Transmitted Diseases,36,58-62。  new window
17.Marlow, L. A.、Zimet, G. D.、McCaffery, K. J.、Ostini, R.、Waller, J.(2013)。Knowledge of human papillomavirus (HPV) and HPV vaccination: an international comparison。Vaccine,31,763-679。  new window
18.Kahn, J. A.、Rosenthal, S. L.、Jin, Y.、Huang, B.、Namakydoust, A.、Zimet, G. D.(2008)。Rates of human papillomavirus vaccination, attitudes about vaccination, and human papillomavirus prevalence in young women。Obstet Gynecol,111(5),1103-1110。  new window
19.Kang, H. S.、Moneyham, L.(2010)。Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students。Vaccine,28,811-816。  new window
20.Khan, T. M.、Buksh, M. A.、Rehman, I. U.、Saleem, A.(2016)。Knowledge, attitudes, and perception towards human papillomavirus among university students in Pakistan。Papillomavirus Res,2,22-27。  new window
21.Krawczyk, A. L.、Perez, S.、Lau, E.(2012)。Human papillomavirus vaccination intentions and uptake in college women。Health Psychol,31,685-693。  new window
22.Rosenstock, Irwin M.(1974)。Historical origins of the Health Belief Model。Health Education & Behavior,2(4),328-335。  new window
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研究報告
1.衛生福利部。103年國人死因統計結果。  延伸查詢new window
其他
1.International Agency for Research on Cancer(2012)。Cancer fact sheets,http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx?cancer=cervix。  new window
 
 
 
 
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