Factors Associated with Human Papillomavirus Vaccination and the Intention among Undergraduate Nursing Students: A Cross-Sectional, Correlational Study

ABSTRACT

Purpose

To examine factors associated with overall human papillomavirus (HPV) vaccination status, completion of HPV vaccination, and intention to receive vaccination among nursing students.

Design

A Cross-sectional, correlational study

Methods

Data from 86 students were analyzed using logistic and multiple regression.

Findings

Among knowledge, attitudes and beliefs, and recommendation, more positive attitudes and beliefs were the only factors associated with initiation and/or completion of HPV vaccination and the intention to receive HPV vaccination.

Conclusions

More positive attitudes and beliefs need to be enhanced for HPV vaccination.

Clinical Evidence

Changes in attitudes and beliefs can be important targets of interventions to increase HPV vaccination.

Disclosure Statement

No potential conflict of interest was reported by the author(s).

Knowledge and Awareness Health Questionnaire

Please answer the following anonymous questions to the best of your ability.

1. What is your gender?

___ Female

___ Male

___ Transgender

___ Prefer not to answer

2. What is your age? ___________ years old

3. What race do you identify with?

___ American Indian or Alaskan Native

___ Asian

___ Black or African American

___ Native Hawaiian or Other Pacific Islander

___ White

___ Other (If so, please list: ___________________________)

4. What ethnicity do you identify with?

___ Hispanic or Latino

___ Not Hispanic or Latino

___ Other (If so, please list: ___________________________)

5. Which of the following best represents how you think of yourself?

___ heterosexual (straight)

___ gay or lesbian

___ bisexual

___ other

___ not sure

6. What state are you from? ______________________________________________

7. What year in school are you?

___ Freshman ___ Sophomore ___ Junior ___ Senior ___ Other (_________________________)

8. What is your major? _____________________________________________________

9. During your life, with whom have you had sexual contact?

___ I have never had sexual contact

___ Females

___ Males

___ Females and males

10. Before today, had you ever heard of Human Papillomavirus (HPV)?

___ Yes

___ No

___ I don’t know

1 now

11 now

11. If yes, where have you learned about HPV? (Please check all that apply)

___ Health care provider___ Radio/TV

___ Friend___ CDC STD hotline

___ Family member___ Internet

___ School Health education class___ Other (If so, please list: ________________________)

___ Community health program

___ Magazine/newspaper

12. Before today, had you ever heard of the HPV vaccine?

___ Yes

___ No

___ I don’t know

13 now

13. Has a physician or other health care provider ever recommended that you receive the HPV vaccine?

___ Yes

___ No

___ I don’t know

14 now

14. Have you received at least one dose of the HPV vaccine?

___ Yes

___ No

___ I don’t know

15 now

15. I am at risk for HPV infection.

___ Agree strongly

___ Somewhat agree

___ Neutral

___ Somewhat disagree

___ Disagree strongly

16. I would feel ashamed if I found out I had HPV.

___ Agree strongly

___ Somewhat agree

___ Neutral

___ Somewhat disagree

___ Disagree strongly

Initiation and Completion of HPV vaccination

1. Have you completed the 3-injection HPV vaccine series?

___ Yes

___ No

___ I don’t know

2 now

2. Have you received the HPV vaccine?

___ Yes

___ No

___ I don’t know

Intention to Initiate or Complete HPV Vaccination

1. I plan to get the human papillomavirus vaccine soon.

___ Strongly agree

___ Agree

___ Uncertain

___ Disagree

___ Strongly disagree

2. I plan to get all 3 injections of the human papillomavirus vaccine.

___ Strongly agree

___ Agree

___ Uncertain

___ Disagree

___ Strongly disagree

Human Papillomavirus (HPV) Questionnaire

For each statement, please circle “True” (T), “False” (F), or “I don’t know” (DK). If you do not know, please do not guess, please circle “DK.”

Table

Attitudes and Beliefs Toward Human Papillomavirus Questionnaire

Instructions: We would like to ask you about your personal beliefs and practices related to HPV and the HPV vaccine. Please indicate the extent to which you agree or disagree with each statement by placing a check mark in the appropriate box. There are no right or wrong answers. I am interested in your personal views.

Table

Additional information

Funding

This study was supported by The Mercer University Seed Grant, which was given to Dr. Tara Bertulfo. The funding agency was not involved in any processes of this study, including the data collection, analysis, and interpretation, writing of this manuscript, and the decision to submit this manuscript for publication.