Postpartum Women's Intention To Have Children Received The Human Papillomavirus Vaccine And Its Influential Factors In Hengyang

ObjectiveTo provide the basic evidence for improving management and promoting the use of HPV vaccine in China,the intention of postpartum women who have children received the human papillomavirus vaccine during hospitalization in Hengyang was investigated and the influential factors were ascertained.MethodsThere were two stages in this study.The first stage: A total of 600 postpartum women hospitalized in four tertiary hospitals were selected with convenient sampling to conduct questionnaire surveys in Hengyang from December 25,2017 to April 5,2018.The questionnaire,‘Mother-to-child HPV vaccination intention questionnaire',was used via a few adjustments.A total of 600 questionnaires were distributed and 575 qualified questionnaires were returned with an effective rate of 95.8%.The second stage: Based on the results of the questionnaire survey,the interview outline was formulated on the basis of combining literature review and expert discussion.The intention and influential factors were further understood through semi-structured interviews and a purpose sampling.The data of the questionnaires were analyzed by SPSS18.0.Description statistics were calculated for frequency distribution,means,and standard deviations.Measurement data were analyzed by t-test and count material were analyzed by chi-square test.The relationship between each dimension and the intention was analyzed by binary logistic regression.Colaizzi contents analysis was utilised for the qualitative data yielded in this study.Results(1)Among 575 postpartum women,420(73.0%)of them had heard of HPV and their intention to HPV vaccination was significantly higher than that of the unknown group(P<0.05).Among the 420 women who had heard of HPV,360(85.7%)of them knew that HPV infection could cause cervical cancer and 61.4% of them knew that HPV was mainly transmitted by sexual behavior.(2)A total of 440(76.5%)women had reported a high intention to vaccinate children against HPV.If the government provided the vaccine free of charge,88.9% women would be willing to vaccinate;41.2% of women had a positive attitude towards HPV vaccine;75.8% of women thought they were affected by others when children were vaccinated;77.9% of women believed that they could make decisions independently about vaccinating their children with HPV vaccine;89.4% of women believed that HPV vaccination had limited impact on sexual behavior of children.(3)Women with different educational levels had significant differences in intention to vaccinate children against HPV(P<0.05)and women were more likely to vaccinate with a college degree or above.The vaccination intentions of different medical insurance groups were statistically different(P<0.05)and women were more likely to vaccinate with commercial insurance.The vaccination intention was related to family health history and the women was more willing to vaccinate the children(P<0.05)if the members of family had suffered from gynecological or gynecological cancer or relatives and friends had suffered from cancer.(4)Attitude toward the HPV vaccine,subjective norm,perceived behavioral control and perceived that vaccination had limited influence on sexual behavior were significant predictors of behavioral intention,accounting for 68.4% of its variance by binary logistic regression analysis.(5)Five themes were extracted after interviewing deeply with postpartum women: limited awareness and knowledge of HPV vaccine;attitude toward HPV vaccination(acceptance,negative perceptions);the influence of physician recommendation;concerns and desire for information related to vaccine safety;sexual health education with HPV vaccination recommendations.Conclusions(1)Postpartum women in Hengyang have higher intentions to vaccinate their children against HPV,but they concern about vaccine safety.The government should strengthen support and supervision of policy,and continue to provide evidence-based information.(2)Attitude toward the HPV vaccine,subjective norm,perceived behavioral control and perceived that vaccination had limited influence on sexual behavior are significant predictors of behavioral intention.(3)Postpartum women attach importance to sexual health education and express urgent needs of it.The Health authorities should strengthen their attention to sexual health education and develop training courses for parents and children.It is best to incorporate a broader sexual health education with HPV vaccination recommendations.