Prevention among female college students in China: A KAP-Based analysis of current status and influencing factors
我国女大学生HPV感染预防知信行现状及影响因素分析

摘要

目的 了解我国女大学生HPV感染预防知信行现状，分析影响因素，为有针对性在女大学生中开展HPV感染预防措施提供参考。方法 采用多阶段抽样的方法选择我国东部、东北、中部、西部四个地区在校女大学生作为调查对象，采用自行设计的《女大学生HPV感染预防知信行现状调查表》，通过线上、线下两种途径进行调查。结果 共调查1156名女大学生。其中219名（18.94%）被调查者接种了HPV疫苗；调查对象在HPV感染预防知识、信念、行为三方面的得分率分别为77.01%、83.18%和77.06%。年龄、年级、地区和家庭组成显著影响女大学生HPV感染预防知信行表现（均有P<0.05）。阻碍我国女大学生HPV疫苗接种的因素主要为疫苗短缺预约困难、对疫苗不了解和价格过高。结论 我国女大学生HPV疫苗接种率偏低；HPV感染预防信念较好，但知识储备和行为落实不足。政府及相关部门应增加疫苗供给量、降低疫苗接种成本，加强教育宣传，提高女大学生HPV疫苗接种率。

Abstract

Objective To investigate the current status of knowledge, attitudes, and practices (KAP) regarding HPV infection prevention among female college students in China, analyze influencing factors, and provide references for targeted preventive measures.
Methods A multi-stage sampling method was used to select female college students from eastern, northeastern, central, and western regions of China. A self-designed Questionnaire on KAP of HPV Infection Prevention Among Female College Students was administered through online and offline channels. Achievements: A total of 1,156 female college students were surveyed. Among them, 219 (18.94%) had received HPV vaccination. The score rates for knowledge, attitudes, and practices related to HPV infection prevention were 77.01%, 83.18%, and 77.06%, respectively. Age, grade, region, and family structure significantly influenced KAP performance (all P < 0.05). Key barriers to HPV vaccination included vaccine shortages and appointment difficulties, insufficient knowledge about the vaccine, and high costs.
Conclusion   The HPV vaccination rate among female college students in China remains suboptimal. While their preventive attitudes are positive, knowledge and behavioral practices require improvement. Governments and relevant agencies should enhance vaccine supply, reduce costs, and strengthen educational campaigns to improve HPV vaccination rates.