Predictors of Intention to Obtain HPV Vaccination among Thai Female College Students


  • Sukmadewi SUKMADEWI Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Songkhla 90110, Thailand
  • Kamonthip WIWATTANAWONGSA Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Songkhla 90110, Thailand
  • Sopen CHUNUAN Department of Maternal and Newborn Nursing and Midwifery, Faculty of Nursing, Prince of Songkla University, Songkhla 90110, Thailand
  • Aris WIDAYATI Department of Social, Behavioral, and Administrative Pharmacy, Faculty of Pharmacy, Sanata Dharma University, Yogyakarta, Indonesia



College women, Human papillomavirus, Intention, Immunizations


This study determined the predictors of intention to obtain HPV vaccination among Thai female college students. The participants of this study were Thai female college students aged 18 - 26 years who were unvaccinated (N = 191). The study used a cross-sectional survey conducted from October to November of 2018. Seven predictors were included in the conceptual framework and analyzed for their relative contribution using multiple regression. The questionnaire reliability was > 0.80 for each construct, except knowledge (0.714). Significant predictors for intention to obtain HPV vaccine were found to be attitude to obtain HPV vaccination (β = 0.31, p < 0.001); perceived behavioral control (β = 0.31, p < 0.001); and perceived susceptibility (β = 0.22, p = 0.005), accounting for 40 % of its variance. Increasing intention to obtain the vaccine of HPV among Thai female college students should focus on enhancing positive attitudes toward obtaining the HPV vaccination, boosting perceived behavioral control, and increasing perceived susceptibility to its infection and diseases.


  • Significant factors that influence the intention for receiving HPV vaccine were described
  • Attitude, perceived behavioral control, and perceived susceptibility are important factors for HPV vaccination in young Thai females
  • The intention to get vaccination should be focusing on enhancing all these factors


Download data is not yet available.


Metrics Loading ...


World Health Organization, Available at:, accessed March 2019.

L Bruni, LR Barrionuevo, G Albero, B Serrano, M Mena, D Gómez, J Muñoz, FX Bosch and SD Sanjosé. Human papillomavirus and related disease in Thailand, ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre), Barcelona, 2018.

R Hull, M Mbele, T Makhafola, C Hicks, S-M Wang, RM Reis, R Mehrotra, Z Mkhize-Kwitshana, G Kibiki, DO Bates and Z Dlamini. Cervical cancer in low and middle‑income countries (Review). Oncol. Lett. 2020; 20, 2058-74.

FX Bosch, A Lorincz, N Muñoz, CJLM Meijer and KV Shah. The causal relation between human papillomavirus and cervical cancer. J. Clin. Pathol. 2002; 55, 244-65.

C Suthipintawong, S Siriaunkgul, K Tungsinmunkong, C Pientong, T Ekalaksananan, A Karalak, P Kleebkaow, S Vinyuvat, S Triratanachat, S Khunamornpong and T Chongsuwanich. Human papilloma virus prevalence, genotype distribution, and pattern of infection in Thai women. Asian Pac. J. Cancer Prev. 2011; 12, 853-6.

N Phoolcharoen, N Kantathavorn, T Sricharunrat, S Saeloo and W Krongthong. A population-based study of cervical cytology findings and human papillomavirus infection in a suburban area of Thailand. Gynecol. Oncol. Rep. 2017; 21, 73-7.

Centers for Disease Control and Prevention (US). Youth risk behavior surveillance: National college health risk behavior survey-United States, 1995. MMWR CDC Surveill. Summ. 1997; 46, 1-56.

NT Ratanasiripong. 2012, What college women know, think, and do about human papillomavirus (HPV) and HPV vaccine. Ph. D. Dissertation. University of Missouri, Missouri, United States.

A Herrera-Ortiz, CJ Conde-Glez, ML Olamendi-Portugal, S Garcia-Cisneros, T Plett-Torres and MA Sanchez-Aleman. College women, HPV genotyping and sexual behavior before HPV vaccination: Results from samples stored for a long time. J. Infect. Publ. Health 2018; 11, 286-9.

AB Moscicki, Y Ma, J Jonte, S Miller-Benningfield, E Hanson, J Jay, CGD Medina, S Farhat, L Clayton and S Shiboski. The role of sexual behavior and human papillomavirus persistence in predicting repeated infections with new human papillomavirus types. Cancer Epidemiol. Biomarkers Prev. 2010; 19, 2055-65.

W Klinsupa, P Pensuk, J Thongluan, S Boonsut, R Tragoolpua, P Yoocharoen and S Jiamsiri. O16.3 HPV vaccine introduction in Thailand. Sex Transm. Infect. 2015; 91, A61.

E Meites, A Kempe, LE Markowitz. Use of a 2-dose schedule for human papillomavirus vaccination - updated recommendations of the advisory committee on immunization practices. Am. J. Transplant. 2017; 17, 834-7.

World Health Organization, Available at: comprehensive_cervical_cancer_who_2013.pdf, accessed September 2017.

TA Westra, MH Rozenbaum, RM Rogoza, HW Nijman, T Daemen, MJ Postma and JC Wilschut. Until which age should women be vaccinated against HPV infection? Recommendation based on cost-effectiveness analyses. J. Infect. Dis. 2011; 204, 377-84.

The United Nations Educational, Scientific and Cultural Organization, Available at:, accessed April 2018.

I Ajzen. The theory of planned behavior. Organ. Behav. Hum. Decis. Process. 1991; 50, 179-211.

DA Patel, M Zochowski, S Peterman, AF Dempsey, S Ernst and VK Dalton. Human papillomavirus vaccine intent and uptake among female college students. J. Am. Coll. Health 2012; 60, 151-61.

MA Knudtson. 2017, The effects of a HPV educational intervention aimed at collegiate males on knowledge, vaccine intention and uptake. Ph. D. Evidence-based practice project report. Valparaiso University, Indiana, United States.

P Juntasopeepun, PM Davidson, N Suwan, Y Phianmongkhol and J Srisomboon. Human papillomavirus vaccination intention among young women in Thailand. Asian Pac J Cancer P. 2011; 12, 3213-9.

NT Ratanasiripong, S Sri-Umporn, D Kathalae, S Hanklang and P Ratanasiripong. Human papillomavirus (HPV) vaccination and factors related to intention to obtain the vaccine among young college women in Thailand. J Health Res. 2018; 32, 142-51.

A Borlu, O Gunay, E Balci and M Sagiroglu. Knowledge and attitudes of medical and non-medical Turkish University students about cervical cancer and HPV vaccination. Asian Pac. J. Cancer Prev. 2016; 17, 299-303.

HL Gainforth, W Cao and AE Latimer-Cheung. Determinants of human papillomavirus (HPV) vaccination intent among three Canadian target groups. J. Cancer Educ. 2012; 27, 717-24.

AL Krawczyk, S Perez, E Lau, CA Holcroft, R Amsel, B Knäuper and Z Rosberger. Human papillomavirus vaccination intentions and uptake in college women. Health Psychol. 2012; 31, 685-93.

NT Ratanasiripong, AL Cheng and M Enriquez. What college women know, think, and do about human papillomavirus (HPV) and HPV vaccine. Vaccine 2013; 31, 1370-6.

AM Teitelman, M Stringer, GT Nguyen, AL Hanlon, T Averbuch and AW Stimpfel. Social cognitive and clinical factors associated with HPV vaccine initiation among urban, economically disadvantaged women. J. Obstet. Gynecol. Neonatal. Nurs. 2011; 40, 691-701.

MA Gerend and JE Shepherd. Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior. Ann. Behav. Med. 2012; 44, 171-80.

EM Donadiki, R Jimenez-Garcia, V Hernandez-Barrera, P Sourtzi, P Carrasco-Garrido, ALD Andres, I Jimenez-Trujillo and EG Velonakis. Health belief model applied to non-compliance with HPV vaccine among female university students. Publ. Health 2014; 128, 268-73.

JM Cortina. What is coefficient alpha? An examination of theory and applications. J. Appl. Psychol. 1993; 78, 98-104.

RL Piedmont. Inter-item correlations. In: AC Michalos (Ed). Encyclopedia of quality of life and well-being research. Springer Netherlands, Dordrecht, 2014, p. 3303-4.

KK Bennett, JA Buchanan and AD Adams. Social-cognitive predictors of intention to vaccinate against the human papillomavirus in college-age women. J. Soc. Psychol. 2012; 152, 480-92.

MC Wang, CY Chou, MC Ma and YY Hsu. Parental intention regarding the administration of the HPV vaccine for adolescent daughters in Taiwan. Women Health 2016; 56, 361-75.

Field AP. Discovering statistics using SPSS: And sex and drugs and rock 'n' roll. 3th eds. SAGE Publications, Los Angeles, 2009.

SB Plichta and EA Kelvin. MUNRO’S statistical methods for health care research. 6th eds. Wolters Kluwer Health/Lippincott Williams & Wilkin, Philadelphia, 2013.

KP Vatcheva, M Lee, JB McCormick and MH Rahbar. Multicollinearity in regression analyses conducted in epidemiologic studies. Epidemiol. Open Access 2016; 6, 227.

M Dany, A Chidiac and AH Nassar. Human papillomavirus vaccination: Assessing knowledge, attitudes, and intentions of college female students in Lebanon, a developing country. Vaccine 2015; 33, 1001-7.

Ratanasiripong NT. 2012, What college women know, think, and do about human papillomavirus (HPV) and HPV vaccine. Ph. D. Dissertation. University of Missouri, Missouri, USA.

J Bodson, A Wilson, EL Warner and D Kepka. Religion and HPV vaccine-related awareness, knowledge, and receipt among insured women aged 18-26 in Utah. PLoS One 2017; 12, e0183725.

B Feiring, I Laake, T Molden, I Cappelen, SE Haberg, P Magnus, ÓA Steingrímsdóttir, BH Strand, J Stålcrantz and L Trogstad. Do parental education and income matter? A nationwide register-based study on HPV vaccine uptake in the school-based immunisation programme in Norway. BMJ Open 2015; 5, e006422.

A Leval, E Herweijer, A Ploner, S Eloranta, JF Simard, J Dillner, C Young, E Netterlid, P Sparén and L Arnheim-Dahlström. Quadrivalent human papillomavirus vaccine effectiveness: A Swedish national cohort study. J. Natl. Cancer Inst. 2013; 105, 469-74.

O Tulananda, DM Young and JL Roopnarine. Thai and American fathers’ involvement with preschool‐age children. Early Child Dev. Care 2006; 97, 123-33.

NM Punyanunt-Carter. An examination of communication motives and relationship maintenance behaviors in Thai and US father-daughter relationships. Asian Comm. Res. 2016; 13, 157-79.

DL Putnick, MH Bornstein, JE Lansford, L Chang, K Deater-Deckard, LD Giunta, S Gurdal, KA Dodge, PS Malone, P Oburu, C Pastorelli, AT Skinner, E Sorbring, S Tapanya, LMU Tirado, A Zelli, LP Alampay, SM Al-Hassan, D Bacchini and AS Bombi. Agreement in mother and father acceptance-rejection, warmth, and hostility/rejection/neglect of children across nine countries. Cross-Cult. Res. 2012; 46, 191-223.

PA Newman, CH Logie, A Lacombe-Duncan, P Baiden, S Tepjan, C Rubincam, N Doukas and F Asey. Parents’ uptake of human papillomavirus vaccines for their children: A systematic review and meta-analysis of observational studies. BMJ Open 2018; 8, e019206.

K Vikram, R Vanneman and S Desai. Linkages between maternal education and childhood immunization in India. Soc. Sci. Med. 2012; 75, 331-9.

G Godin and G Kok. The theory of planned behavior: A review of its applications to health-related behaviors. Am. J. Health Promot. 1996; 11, 87-98.

I Ajzen, Available at:, accessed March 2018.

W Hosking, R Borland, HH Yong, G Fong, M Zanna, F Laux, JThrasher, WB Lee, B Sirirassamee and M Omar. The effects of smoking norms and attitudes on quitting intentions in Malaysia, Thailand and four Western nations: A cross-cultural comparison. Psychol. Health 2009; 24, 95-107.

G Hofstede, GJ Hofstede and M Minkov. Culture and organization: Software of the mind. McGraw-Hill, London, 1991.




How to Cite

SUKMADEWI, S. ., WIWATTANAWONGSA, K. ., CHUNUAN, S. ., & WIDAYATI, A. . (2021). Predictors of Intention to Obtain HPV Vaccination among Thai Female College Students . Walailak Journal of Science and Technology (WJST), 18(14), Article 10968 (15 pages).