某市三大高校女学生HPV疫苗支付意愿及影响因素研究
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摘要
目的:了解赣州市女大学生对人乳头瘤病毒(HPV)及其预防性疫苗的支付意愿,分析其影响因素,为预防性HPV疫苗推广提供理论依据。方法:采用随机抽样的方法,对赣州市三大高校女大学生进行问卷调查,并对数据进行描述性分析、单因素分析及有序多分类logistic回归分析。结果:在不考虑价格的情况下,55. 5%的调查者选择9价,27. 3%表示都可以,选择4价和2价的人分别是10. 2%、7. 0%,考虑实际情况后,有17. 9%的调查者选择不接种,在选择接种的样本中,实际支付意愿<500、500～1 000、1 000～1 500、1 500～2 000、2 000～2 500、> 2 500的比例分别是:0. 9%、43. 2%、12. 7%、13. 4%、21. 5%、8. 3%。赣州市三所高校女大学生对HPV及其疫苗的支付意愿较低。不同学校、专业、年级、家庭居住地、家庭人均收入、婚前性行为态度和认知得分对实际支付意愿差异均有统计学意义,赣南医学院与江西理工大学相比实际支付意愿更低;认知得分越强,实际支付意愿越强,家庭居住地在城镇的同学比农村的同学支付意愿更强,家庭收入高于2 000的家庭与低于2 000的家庭相比,支付意愿更强,且家庭收入越高,影响越大。结论:赣州市三大高校女大学生支付能力有限,主要和家庭经济水平、家庭居住地和认知情况有关,对于家庭情况较好、居住地在城镇、认知度较高的大学生来说,支付意愿更强。
Objective: To understand the willingness of female college students in Ganzhou to pay for human papillomavirus(HPV) and its preventive vaccine,the influencing factors were anaaalysed to provide theoretical basis for the promotion of preventive HPV vaccine. Methods: Random sampling was used to survey female college students in three universities in Ganzhou city,and wih descriptive analysis. Univariate analysis and ordinal multiple logistic regression analysis were performed on the data. Results: In the case of no consideration of price,55. 5% of respondents chose 9 price,and27. 3% indicated that they were all right. The respondents who chose 4 price and 2 price were 10. 2%,7. 0%. After taking into account the actual situation,17. 9% of respondents chose not to be vaccinated. In the samples selected for vaccination,the actual payment willingness < 500,500-1 000,1 000-1 500,1 500-2 000,2 000-2 500,and >2 500 were 0. 9%,43. 2%,12. 7%,13. 4%,21. 5%,8. 3%,respectively. Female college students in three universities in Ganzhou city have low willingness to pay for HPV and its vaccine. Different schools,majors,grades,family residence,family per capita income,attitudes toward premarital sex and cognitive scores have statistical significance for differences in actual willingness to pay. The stronger the cognitive score,the stronger the actual willingness to pay,the students living in cities had stronger willingness to pay than those living in rural areas. The families with higher income than 2 000 had stronger willingness to pay,and the higher family income,the greater the impact. Conclusions: Female college students in three universities in Ganzhou have limited ability to pay,which is mainly related to family economic level,family residence and cognition. For college students with better family status,living in cities and higher recognition,they have stronger willingness to pay.
Objective: To understand the willingness of female college students in Ganzhou to pay for human papillomavirus(HPV) and its preventive vaccine,the influencing factors were anaaalysed to provide theoretical basis for the promotion of preventive HPV vaccine. Methods: Random sampling was used to survey female college students in three universities in Ganzhou city,and wih descriptive analysis. Univariate analysis and ordinal multiple logistic regression analysis were performed on the data. Results: In the case of no consideration of price,55. 5% of respondents chose 9 price,and27. 3% indicated that they were all right. The respondents who chose 4 price and 2 price were 10. 2%,7. 0%. After taking into account the actual situation,17. 9% of respondents chose not to be vaccinated. In the samples selected for vaccination,the actual payment willingness < 500,500-1 000,1 000-1 500,1 500-2 000,2 000-2 500,and >2 500 were 0. 9%,43. 2%,12. 7%,13. 4%,21. 5%,8. 3%,respectively. Female college students in three universities in Ganzhou city have low willingness to pay for HPV and its vaccine. Different schools,majors,grades,family residence,family per capita income,attitudes toward premarital sex and cognitive scores have statistical significance for differences in actual willingness to pay. The stronger the cognitive score,the stronger the actual willingness to pay,the students living in cities had stronger willingness to pay than those living in rural areas. The families with higher income than 2 000 had stronger willingness to pay,and the higher family income,the greater the impact. Conclusions: Female college students in three universities in Ganzhou have limited ability to pay,which is mainly related to family economic level,family residence and cognition. For college students with better family status,living in cities and higher recognition,they have stronger willingness to pay.
引文
[1]潘锋.正确理解HPV疫苗对宫颈癌预防的意义---访中国医师协会妇产科分会副会长、北京大学人民医院魏丽惠教授[J].中国医药导报,2018,15(17):1-3.
[2]May J.HPV vaccination-a paradigm shift in public health[J].Aust Fam Physician,2007,36(3):106-111.
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[4]Zhao F H,Tiggelaar S M,Hu S Y,et al.A multi-center survey of HPV knowledge and attitudes toward HPV vaccination among women,government officials,and medical personnel in China[J].Asian Pac J Cancer Prev,2012,13(5):2369-2378.
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[7]曾晓敏,任泽舫,魏雪灵,等.中山大学本科生对HPV及疫苗认知的调查[J].现代预防医学,2015,42(10):1822-1825.
[8]庞震苗,陈西金,向媛薇.广州大学城女大学生对人乳头瘤病毒疫苗的认知及接种意愿影响因素调查分析[J].保健医学研究与实践,2016,13(2):22-24,31.
[9]陆瑾,牟文,姜铭波,等.上海市部分大学生对HPV及HPV疫苗的认知情况调查[J].上海预防医学,2015,27(12):762-766.
[10]黄荷,赵方辉,谢瑶,等.成都市大学生对HPV及HPV预防性疫苗的认知态度调查[J].现代预防医学,2013(16):3071-3073.
[11]王玲,欧阳艳琼,王晓惠.大学生对HPV及其疫苗的认知态度情况及健康教育需求[J].大家健康(学术版),2015,9(10):23-24.
[12]宫凡钦.非医学专业大学生对人乳头瘤病毒及其疫苗认知现况调查分析[D].大连:大连医科大学,2014.
[13]杨瑾,许璐洁,徐蕾,等.西安非医学专业女大学生对HPV和HPV疫苗的认知[J].中国妇幼健康研究,2016,8(8):923-925.
[14]王训花.我国政府应对免疫接种公共卫生事件的法律探讨[D].上海:复旦大学,2014.
[15]莫秀婷.我国宫颈癌预防策略的经济学评价[D].济南:山东大学,2015.
[2]May J.HPV vaccination-a paradigm shift in public health[J].Aust Fam Physician,2007,36(3):106-111.
[3]Bynum S A,Brandt H M,FRIEDMAN D B,et al.Knowledge,beliefs,and behaviors:examining human papillomavirus-related gender differences among African American college students[J].J Am Coll Health,2011,59(4):296-302.
[4]Zhao F H,Tiggelaar S M,Hu S Y,et al.A multi-center survey of HPV knowledge and attitudes toward HPV vaccination among women,government officials,and medical personnel in China[J].Asian Pac J Cancer Prev,2012,13(5):2369-2378.
[5]Li J,Li L K,Ma J F,et al.Knowledge and attitudes about human papillomavirus(HPV)and HPV vaccines among women living in metropolitan and rural regions of China[J].Vaccine,2009,27(8):1210-1215.
[6]陈玲.湖南省大学女生对人乳头瘤病毒及其疫苗认知现状研究[D].武汉:中南大学,2014.
[7]曾晓敏,任泽舫,魏雪灵,等.中山大学本科生对HPV及疫苗认知的调查[J].现代预防医学,2015,42(10):1822-1825.
[8]庞震苗,陈西金,向媛薇.广州大学城女大学生对人乳头瘤病毒疫苗的认知及接种意愿影响因素调查分析[J].保健医学研究与实践,2016,13(2):22-24,31.
[9]陆瑾,牟文,姜铭波,等.上海市部分大学生对HPV及HPV疫苗的认知情况调查[J].上海预防医学,2015,27(12):762-766.
[10]黄荷,赵方辉,谢瑶,等.成都市大学生对HPV及HPV预防性疫苗的认知态度调查[J].现代预防医学,2013(16):3071-3073.
[11]王玲,欧阳艳琼,王晓惠.大学生对HPV及其疫苗的认知态度情况及健康教育需求[J].大家健康(学术版),2015,9(10):23-24.
[12]宫凡钦.非医学专业大学生对人乳头瘤病毒及其疫苗认知现况调查分析[D].大连:大连医科大学,2014.
[13]杨瑾,许璐洁,徐蕾,等.西安非医学专业女大学生对HPV和HPV疫苗的认知[J].中国妇幼健康研究,2016,8(8):923-925.
[14]王训花.我国政府应对免疫接种公共卫生事件的法律探讨[D].上海:复旦大学,2014.
[15]莫秀婷.我国宫颈癌预防策略的经济学评价[D].济南:山东大学,2015.