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