<p>To investigate the awareness, willingness, and barriers to Human Papillomavirus (HPV) vaccine among women in regions with relatively insufficient medical resources. A screening population of women aged 25–83 from Bachu and Moyu counties in China received a structured interview questionnaire survey from February 2023 to August 2024. A total of 8,618 individuals participated in the survey. Only 30.0% and 35.4% were aware of HPV and the HPV vaccine, respectively. Residing in Bachu, having education, non-agricultural occupations, and a history of cervical lesions or inflammation were associated with higher awareness of HPV and its vaccine. The awareness scores showed a downward trend among women aged 35 and older (<i>p</i> &lt; 0.05). Notably, only 1.1% had received the vaccine, while 91.3% expressed a willingness to receive it for themselves and 85.3% for their daughters. The main reasons for refusal were the perception of no risk or daughters being too young. Factors such as work status, recent screening, and awareness increased self-vaccination intention while being single demonstrated a negative impact on these intentions (OR = 0.79, 95% CI: 0.65–0.97). A weak linear association between awareness scores and vaccination willingness while a relatively stronger correlation was identified between one’s own vaccination willingness and the willingness to vaccinate their daughters (τ_b = 0.36, <i>p</i> &lt; 0.05). Enhancing awareness and vaccine acceptance among elderly illiterate rural women not only relies on education but also the early screening, diagnosis, and treatment of cervical lesions.</p>

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HPV vaccine awareness and acceptance among rural women in Xinjiang, China

  • Kadeliya Muhetaer,
  • Tangnuer Abulimiti,
  • Guzhanuer Abuduxikuer,
  • Guligeina Abudurexiti,
  • Qian Zhuo,
  • Wenyun Li,
  • Yumei Ouyang,
  • Xuelian Wen,
  • Maihebubai Reheman,
  • Anaerguli Aizezi,
  • Shuming Song,
  • Gulixian Tuerxun,
  • Remila Rezhake,
  • Guzhalinuer Abulizi

摘要

To investigate the awareness, willingness, and barriers to Human Papillomavirus (HPV) vaccine among women in regions with relatively insufficient medical resources. A screening population of women aged 25–83 from Bachu and Moyu counties in China received a structured interview questionnaire survey from February 2023 to August 2024. A total of 8,618 individuals participated in the survey. Only 30.0% and 35.4% were aware of HPV and the HPV vaccine, respectively. Residing in Bachu, having education, non-agricultural occupations, and a history of cervical lesions or inflammation were associated with higher awareness of HPV and its vaccine. The awareness scores showed a downward trend among women aged 35 and older (p < 0.05). Notably, only 1.1% had received the vaccine, while 91.3% expressed a willingness to receive it for themselves and 85.3% for their daughters. The main reasons for refusal were the perception of no risk or daughters being too young. Factors such as work status, recent screening, and awareness increased self-vaccination intention while being single demonstrated a negative impact on these intentions (OR = 0.79, 95% CI: 0.65–0.97). A weak linear association between awareness scores and vaccination willingness while a relatively stronger correlation was identified between one’s own vaccination willingness and the willingness to vaccinate their daughters (τ_b = 0.36, p < 0.05). Enhancing awareness and vaccine acceptance among elderly illiterate rural women not only relies on education but also the early screening, diagnosis, and treatment of cervical lesions.