风险感知在社交媒体使用和大学生人乳头瘤病毒疫苗接种意愿中的作用

郭修杨; 王骋昊; 张国珍

doi:10.16835/j.cnki.1000-9817.2024168

风险感知在社交媒体使用和大学生人乳头瘤病毒疫苗接种意愿中的作用

doi: 10.16835/j.cnki.1000-9817.2024168

新疆医科大学公共卫生学院，乌鲁木齐 830017

基金项目:

新疆维吾尔自治区国家级大学生创新训练项目 202210760010

新疆艾滋病防控研究重点实验室开放课题 XJYS1706-2021011

详细信息

作者简介:
郭修杨(2003-)，男，山东德州人，大学本科，主要研究方向为预防医学

通讯作者:
张国珍，E-mail: 379974690@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R181.3⁺² TN919.8 G444
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- 被引次数: 0
出版历程
- 收稿日期: 2024-02-27
- 修回日期: 2024-03-18
- 网络出版日期: 2024-06-27
- 刊出日期: 2024-06-25

Role of risk perception between social media use and human papilloma virus vaccination willingness of college students

School of Public Health, Xinjiang Medical University, Urumqi(830017), Xinjiang Uygur Autonomous Region, China

摘要

摘要: 目的了解社交媒体使用对大学生人乳头瘤病毒(HPV)疫苗接种意愿的影响，为早期预防HPV病毒相关疾病传播和进行预防性宣教提供理论依据。方法于2022年3—4月，采用分层整群随机抽样方法从新疆农业大学、新疆师范大学、新疆医科大学3所大学共抽取834名大学生进行线上与线下调查。通过问卷获取研究对象的人口学特征、社交媒体使用情况、风险感知、接种意愿等数据，采用Logistic回归分析方法探讨HPV疫苗风险感知在大学生社交媒体使用和HPV疫苗接种意愿中的作用。结果社交媒体使用(接触强度、满足度、信任度)、风险感知(风险感知障碍、风险感知利益)与大学生HPV疫苗接种意愿均存在相关性(r值分别为0.37，0.34，0.35；0.25，0.31，P值均 < 0.05)。中介作用分析结果显示，风险感知利益在社交媒体接触强度、社交媒体满足度、社交媒体信任度与HPV疫苗接种意愿之间均存在中介效应，中介效应分别为0.03(95%CI=0.01~0.06), 0.04(95%CI=0.02~0.07), 0.04(95%CI=0.01~0.06)，中介效应占比分别为18.00%，26.35%，23.00%。风险感知障碍在社交媒体满足度与HPV疫苗接种意愿之间存在中介效应，中介效应为0.02(95%CI=0.00~0.04), 中介效应占比为11.36%。结论风险感知利益是HPV疫苗接种意愿主要的相关因素，在社交媒体使用与HPV疫苗接种意愿之间发挥中介效应。应在社交媒体平台中加强HPV宣传教育，促进大学生掌握更多的HPV相关知识，提高主动预防HPV感染的意识。
- 感知风险 /
- 信息交流媒体 /
- 人乳头瘤病毒 /
- 疫苗 /
- 接种 /
- 回归分析 /
- 学生
Abstract: Objective To understand the impact of social media usage on the human papilloma virus(HPV) vaccination willingness among college students in Xinjiang, so as to provide a theoretical basis for early prevention of HPV-related diseases and preventive education. Methods From March to April 2022, a total of 834 college students were selected from three universities including Xinjiang Agricultural University, Xinjiang Normal University and Xinjiang Medical University by stratified cluster random sampling method for online and offline surveys. The demographic characteristics, social media usage, risk perception, HPV vaccination willingness were obtained through questionnaires, and the Logistic regression analysis method was used to explore the role of HPV vaccine risk perception between social media use and HPV vaccination willingness of college students. Results Associations were found between social media use (contact intensity, satisfaction, trust), risk perception (risk perception disorder, risk perception benefit) and HPV vaccination willingness among college students (r=0.37, 0.34, 0.35; 0.25, 0.31, P < 0.05). Risk perception benefit had an intermediary effect between social media contact intensity, social media satisfaction, social media trust and HPV vaccination willingness, and the intermediary effects were 0.03 (95%CI=0.01-0.06), 0.04(95%CI=0.02-0.07), 0.04(95%CI=0.01-0.06), and the proportions of intermediary effect were 18.00%, 26.35%, 23.00%, respectively.Risk perception disorder had an intermediary effect between social media satisfaction and HPV vaccination willingness [0.02 (95%CI=0.00-0.04)], and the intermediary effect accounts for 11.36%. Conclusions Risk perception benefit is the most important related factors of HPV vaccine willingness, which plays an intermediary effect between social media usage and the willingness to HPV vaccination. HPV publicity and education should be strengthened on social media platforms to promote HPV-related knowledge and awareness of active prevention of HPV infection among college students.
- Perceived risk /
- Communications media /
- Human papillomavirus /
- Vaccines /
- Vaccination /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 新疆高校大学生HPV疫苗接种意愿的单因素分析

Table 1. Single-factor analysis of HPV vaccination willingness of college students in Xinjiang

组别	选项	人数	愿意接种人数	χ²/Z值	P值
性别	男	332	176(53.0)	49.02	< 0.01
	女	502	383(76.3)
专业	医学类	525	366(69.7)	4.63	0.03
	非医学类	309	193(62.5)
年龄/岁	≤20	210	137(65.2)	-1.01	0.31
	21~22	418	278(66.5)
	>22	206	144(69.9)
月生活费/元	≤1 000	118	71(60.2)	-0.97	0.34
	1 001~2 000	569	390(68.5)
	>2 000	147	98(66.7)
是否有宫颈癌史	是	85	61(71.8)	0.96	0.33
	否	749	498(66.5)
父亲受教育程度	初中及以下	393	267(67.9)	-1.07	0.29
	高中或职高	266	184(69.2)
	本科及以上	175	108(61.7)
母亲受教育程度	初中及以下	361	248(68.7)	-1.01	0.31
	高中或职高	261	174(66.7)
	本科及以上	212	137(64.6)
了解HPV疫苗渠道	传统媒体	190	109(57.4)	10.39	< 0.01
	新媒体	644	450(69.9)
担心接种HPV疫苗可能产生的影响	安全性	169	108(63.9)	5.93	0.12
	有效性	282	194(68.8)
	接种后出现不适症状	376	255(67.8)
	其他	7	2(28.6)
注：()内数字为报告率/%。

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表 2 新疆高校大学生社交媒体使用风险感知与HPV疫苗接种意愿的相关性分析(n=834，r值)

Table 2. Analysis and HPV vaccination willingness of the correlation between the risk perception of social media use of college students in Xinjiang(n=834, r)

变量	社交媒体接触强度	社交媒体满足度	社交媒体信任度	风险感知障碍	风险感知利益
社交媒体满足度	0.85
社交媒体信任度	0.88	0.86
风险感知障碍	0.58	0.52	0.59
风险感知利益	0.65	0.62	0.65	0.72
HPV疫苗接种意愿	0.37	0.34	0.35	0.25	0.31
注：P值均 < 0.01。

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