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Alcorcón, Spain

Donadiki E.M.,National and Kapodistrian University of Athens | Jimenez-Garcia R.,Av. of Athens | Hernandez-Barrera V.,Av. of Athens | Carrasco-Garrido P.,Av. of Athens | And 2 more authors.

One of the biggest public health measures to prevent HPV infection, and consequently, cervical cancer, is the HPV vaccine. Greece introduced HPV vaccines to its National Vaccination Program in 2008.The aims of this study were to estimate HPV vaccination coverage among female Greek students in higher education and to identify uptake predictors. We conducted a cross-sectional study. Data was collected through a self-completed questionnaire. The sample size included 3153 women with an 87% participation rate. Overall 25.8% of students reported they had received three doses of the HPV vaccine. Positive predictors of vaccine uptake were: younger age, higher educational level (own and parents), ever previous visit(s) to the gynecologist, always use of condoms, not smokers, not being in a stable relationship and easy access to Health Care Services.Vaccine compliance was unacceptably low despite the fact that the vaccination is free-of-charge. Interventions on college campuses should stress vaccination as a normative behavior. © 2012 Elsevier Ltd. Source

Donadiki E.M.,National and Kapodistrian University of Athens | Jimenez-Garcia R.,Av. of Athens | Hernandez-Barrera V.,Av. of Athens | Sourtzi P.,National and Kapodistrian University of Athens | And 4 more authors.
Public Health

Objectives: To investigate the reasons for refusal of human papillomavirus (HPV) vaccination, and to explore participants' perceptions and attitudes about Health Belief Model (HBM) constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy) among a sample of female university students. Study design: Cross-sectional. A self-administered questionnaire based on the HBM was used. Methods: Confirmatory factor analysis was applied to the data to examine the construct validity of the six factor models extracted from the HBM. The predictors of non-HPV vaccination were determined by logistic regression models, using non-HPV vaccination as the dependent variable. Results: The sample included 2007 students. The participation rate was 88.9% and the percentage of non-vaccination was 71.65%. Participants who had high scores for 'general perceived barriers', 'perceived barriers to vaccination', 'no perceived general benefits', 'no perceived specific benefits' and 'no general benefits' were more likely to report being unvaccinated. Conclusions: The findings demonstrated the utility of HBM constructs in understanding vaccination intention and uptake. There is an urgent need to improve health promotion and information campaigns to enhance the benefits and reduce the barriers to HPV vaccination. © 2013 The Royal Society for Public Health. Source

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