Influences on university students' intention to receive recommended vaccines: a cross-sectional survey

BMJ Open. 2017 Jul 21;7(7):e016544. doi: 10.1136/bmjopen-2017-016544.

Abstract

Objectives: To explore predictors of university students' intention to receive a recommended vaccine and the main sources of vaccine-related information accessed by university students.

Setting: Participants were recruited from University College London (UK) in summer 2015.

Participants: 177 university students participated. The majority of participants were female (58%), White (68%) and had no religion (58%). Participants were aged 18 to 42 (mean age=23.6).

Primary and secondary outcome measures: Primary outcome measures included vaccine attitude, perceived subjective norm, perceived behavioural control, perceived self-efficacy, past receipt of recommended childhood vaccines, perceived adverse reaction to past vaccination and needle fear. As a secondary outcome sources of vaccine-related information were assessed.

Results: Students classified as high intenders were more likely to have received all recommended childhood vaccines (OR 3.57; 95% CI 1.21 to 10.59; p=0.022), be less afraid of needles (OR 2.44; 95% CI 1.12 to 5.36; p=0.026) and to have lived in the UK until at least the age of 4 compared with those not living in the UK until at least the age of 4 (OR 0.39; 95% CI 0.18 to 0.83; p=0.015) and those who lived both in the UK and elsewhere (OR 0.42; 95% CI 0.04 to 4.06; p=0.424). The multivariable model explained 25.5% of variance in intention to receive a recommended vaccine. The internet was the most commonly reported source of vaccination information.

Conclusions: Findings provide an indication of the factors that may need to be addressed by interventions aiming to increase uptake of recommended vaccines in a university population. Future research is recommended using a prospective cohort design.

Keywords: infection control; preventive medicine; public health.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Guidelines as Topic
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intention*
  • Internet
  • London
  • Male
  • Patient Acceptance of Health Care*
  • Prospective Studies
  • Residence Characteristics
  • Students*
  • Surveys and Questionnaires
  • Universities*
  • Vaccination*
  • Vaccines*
  • Young Adult

Substances

  • Vaccines