Analysis of Influencing Factors of HPV Vaccination Willingness of Female Sex Workers in Urban Entertainment Venues Based on IMB Model in Guangxi, China

Analysis of Influencing Factors of HPV Vaccination Willingness of Female Sex Workers in Urban Entertainment Venues Based on IMB Model in Guangxi, China | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Analysis of Influencing Factors of HPV Vaccination Willingness of Female Sex Workers in Urban Entertainment Venues Based on IMB Model in Guangxi, China Zhiyan HE, Junhong WEI, Jianming JIANG, Rui HU, Guangzi QI This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3333612/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 24 Feb, 2024 Read the published version in BMC Women's Health → Version 1 posted 9 You are reading this latest preprint version Abstract Background To investigate the willingness of female sex workers in urban entertainment venues in Guangxi, China to vaccinate against HPV and its influencing factors. Methods From August 15 to October 15, 2022, the intentional sampling method was used to select female sex workers in commercial sex trading entertainment venues in an urban area of Guangxi as the respondents of the study for the questionnaire survey. The questionnaire based on the information-motivation-behavior skills (IMB) model collected the basic information, HPV and HPV vaccine-related information and cognition, vaccination motivation, behavioral skills, and willingness to vaccination of the respondents. A multi-factor logistic regression model was used to analyze the influencing factors of the HPV vaccination willingness of the respondents. Results Among the 921 respondents, 712 (77.31%) were willing to receive HPV vaccination. The higher the level of awareness of HPV and HPV vaccine-related information, the stronger the motivation for HPV and HPV vaccination, and the higher the behavioral skills score, the higher the willingness of female sex workers in entertainment venues to receive HPV vaccination (P < 0.001). Female sex workers in entertainment venues with lower grades [OR(95% CI) = 0.693 (0.539, 0.891), P = 0.004] were more reluctant to receive HPV vaccination; those who favored the vaccines as effective in preventing disease [OR(95% CI) = 2.144 (1.449, 3.174), P < 0.001] , had heard of HPV vaccine [OR( 95% CI) = 2.105 (1.451, 3.054), p < 0.001] , being able to perceive the benefits of HPV vaccination [OR(95% CI) = 1.134 (1.045, 1.230), p = 0.002] and acquiring more behavioral skills i.e. self-decision for HPV vaccination [OR(95% CI) = 1.130 (1.008, 1.267), P = 0.036] and self-efficacy [OR (95% CI) = 1.135 (1.081, 1.191), P < 0.001] preferred to receive HPV vaccination. Conclusion Female sex workers in urban entertainment venues in Guangxi, China, have relatively high willingness to vaccinate against HPV, and should focus on introducing the benefits of primary prevention measures such as HPV vaccine to individuals and behavioral skills of HPV vaccination, so as to improve the willingness and vaccination rate of HPV vaccine. Human papilloma virus vaccine Inoculation willingness IMB model entertainment venue Female sex worker Logistic regression Introduction Cervical cancer is one of the important malignant tumors threatening women's health, and its incidence and mortality rate rank second in female malignant tumors in the world, and the first in developing countries [1] . For women aged from 15–44, it is the second highest incidence and the third highest mortality rate among female malignant tumors [2] . In recent years, the incidence and mortality rate of cervical cancer in developing countries has been on the rise and has tended to be younger [3, 4] . The occurrence of cervical cancer is the result of a multi-factorial, multi-genetic and multi-step combination [5] , and persistent human papilloma virus (HPV, human papilloma virus) infection is the main cause of cervical cancer and its precancerous lesions [6] .HPV infection is common among the population and has various routes of infection, mainly sexual transmission, and relevant epidemiological studies have shown that HPV infection is associated with a variety of factors, including high-risk factors such as premature age of sexual initiation, unclean sexual life, multiple sexual partners, and poor lifestyle habits such as alcohol abuse and smoking, especially sexual disorders are one of the important factors leading to HPV infection in women [7–9] . Cervical cancer is the only malignant tumor with a clear etiology and can be prevented by vaccination with related vaccines to reduce mortality. As a primary prevention measure for cervical cancer, HPV vaccine can prevent 70–90% of HPV-related cancers, the development of HPV infection, cervical carcinogenesis and treatment are also closely related to whether to get HPV vaccination, so it can reduce the incidence of cervical cancer by improving women’s awareness of HPV and HPV vaccine, early HPV vaccination and other effective measures [10, 11] .According to statistics, from 2017–2020, the vaccination rate of women aged from 9 to 45 in China was only about 3% [12] . There is currently little information on knowledge and attitudes related to HPV among adult women in the Asia-Pacific region, particularly high-risk women such as female sex workers (FSWs) in entertainment venues [13, 14] . Female sex workers in entertainment venues are at high-risk of HPV infection because of their complex occupations and living environments, relatively open sexuality, and weak awareness of their health [15] . Understanding the willingness of women in this profession to vaccinate against HPV and its influencing factors is of great significance for the prevention and control of HPV infection and the occurrence and the development of cervical cancer in China. The information-motivation-behavior skills (IMB) model was first proposed by JD Fischer and WA Fischer in 1992. As a new behavioral intervention theory, the IMB model is increasingly used in public health [16–19] . As a health behavior, the promotion of HPV vaccination is influenced by information, motivation, and behavioral skills, which is consistent with the IMB model [20, 21] . Based on the information-motivation-behavior skills (IMB) model, this study investigated the current situation of female sex workers' knowledge about HPV and HPV vaccine in an urban entertainment venue in Guangxi, China, and analyzed their willingness to receive HPV vaccination and its influencing factors, so as to provide a theoretical basis for disease prevention institutions and women's health care and medical units to formulate health education and publicity measures for cervical cancer, HPV and HPV vaccine. Respondents and Methods 1.1 Respondents of the Study The targeted respondents of this survey were female sex workers in commercial sex trafficking entertainment venues in an urban area of Guangxi, and the survey period was from August 15 to October 15, 2022. Referring to the classification of "places where high-risk behaviors occur among people with secret prostitutes" in the Operation Manual of the National AIDS Sentinel Surveillance Implementation Program (for Trial Implementation), combined with the actual situation in an urban area of Guangxi, entertainment venues are layered into high, medium and low grades, among which the high-end includes nightclubs, entertainment clubs, KTV, dance halls, bars, saunas, and bathing centers; the mid-range includes health care massage shops, foot bath shops and hotels; the low-end includes hair salons, rental houses, roadside shops, small restaurants, streets and parks. 1.2 Instruments Drawing on references to domestic and international literature [20, 22–25] , the “Human Papillomavirus (HPV) Vaccine Cognition, Attitude, and Psychological Behavior Questionnaire” was developed. The contents include: basic information questionnaire, IMB model-based HPV and HPV vaccine-related information and cognitive, vaccination motivation, and behavioral skills questionnaire, and HPV vaccination willingness questionnaire. 1.2.1 Basic information The questionnaire includes general demographic characteristics, sexual behavior-related content, and health-related lifestyle habits of the research respondents. 1.2.2 IMB Module The IMB model questionnaire has a total of 45 items in 3 dimensions, of which HPV and HPV vaccine-related information questionnaire includes 5 items of basic understanding and 12 items of understanding of related knowledge, the understanding of relevant knowledge is a judgment question with three options of "right", "wrong" and "unclear". The scoring method is 1 point for the correct answer, 0 point for the wrong answer or the unclear answer. The total score ranges from 0–12 points. The higher the score is, the higher the respondents’ awareness of cervical cancer, HPV and HPV vaccine is. The contents of the HPV and HPV vaccination motivation questionnaire are divided into four aspects of personal motivation, namely perceived severity, perceived susceptibility, perceived benefits, perceived obstructions, and social motivation, with a total of 20 items, using a 5-point Likert scale of "1 = strongly disapproving", "2 = disapprove", "3 = uncertain", "4 = favorable", and "5 = very favorable". Among them, "I am worried about the side effects of HPV vaccination," "I am afraid of the unbearable needle pain of HPV vaccination," "I am hesitant to receive HPV vaccination." “I am worried about the unbearable cost of HPV vaccination," “I am worried about the complicated procedure of HPV vaccination and it wastes time.” The reverse scoring method is adopted in 6 items, and the higher the total score, the stronger the attitude towards HPV vaccination of the respondents. The HPV and HPV vaccination behavioral skills includes self-decision making and self-efficacy, with a total of 8 items, all of which use Likert grading from 1–5. The score is "1 = strongly disapproving", "2 = disapprove", "3 = uncertain", "4 = favorable", and "5 = very favorable". "The higher the total score, the stronger the psychological behavior of the respondents towards HPV vaccination. The total Cronbach's alpha coefficient for the scale dimensions of this questionnaire was 0.792. 1.2.3 Willingness to receive HPV vaccine That is, whether the respondents themselves were willing to receive the HPV vaccine or not. 1.3 Survey method and quality control The cross-sectional survey used the method of intentional sampling to select the respondents of the study, and the female sex worker outreach intervention staff of the Guangxi Urban Center for Disease Control and Prevention contacted the owners of the entertainment venue for support and assistance in advance, and entered the survey site with the consent to recruit the respondents of the study according to the agreed time. Informed consent was obtained from the respondents before the survey, and the principle of complete voluntariness was adopted, with the respondents having the right to withdraw and refuse to participate at any time, and the respondents could not be forced to go against their will, and the researcher should strictly keep the information of respondents confidential. On-site face-to-face anonymous questionnaires are conducted by uniformly trained investigators, with each respondent participating only once, avoiding duplication and crossover. In order to ensure the validity and credibility of the questionnaire, all questionnaire scales were personally distributed and collected by the researcher on the spot, and the purpose of the questionnaire and the matters that need attention were filled out patiently and in detail while distributing the questionnaire, so as to avoid survey errors caused by the researcher himself in the process of collecting the questionnaire as much as possible. When collecting questionnaires, carefully review the filling out of the questionnaire, and promptly communicate with the respondent and supplement and modify the questionnaire if the questionnaire is incomplete, questionable, or inconsistent, and the questionnaire that does not meet the requirements should be eliminated as appropriate. Inclusion criteria: (1) female sex workers working in an entertainment venue for commercial sex transaction in an urban area of Guangxi from August 15 to October 16, 2022; (2) voluntary participation and informed consent to the questionnaire; (3) have never participated in HPV and HPV-related questionnaires. Exclusion criteria: involuntary filling out of the questionnaire. A total of 923 female sex workers in entertainment venues participated in filling out the questionnaire, and 2 involuntary questionnaires were excluded, so a total of 921 valid questionnaires were collected, with a valid questionnaire recovery rate of 99.78%. 1.4 Statistical methods and Statistical software 1.4.1 Statistical methods In this paper, the mean ± standard deviation ( ±s) is used for statistical description of the measurement data and frequency (%) of the counting data. The chi-square test and t-test were used to compare the differences between respondents of the study with different vaccination willingnesses. Logistic Regression, or Logistic Regression Analysis, is a probabilistic model for generalized linear regression analysis, which is a machine learning method for solving dichotomous (0 or 1) problems, estimating the probability of something, commonly used to find risk factors of a disease, to predict the probability of a disease or a situation in different independent variables, or to judge the probability that a person belongs to a certain disease or a certain condition. It is a regression model which is widely used in which the dependent variable is a dichotomous categorical variable [26–29] . In this study, the result of the dependent variable Y was divided into willing and unwilling to vaccinate female sex workers in entertainment venues, which is a dichotomous categorical variable that can be analyzed using a binary logistic regression model. In this paper, a multi-factor logistic regression model was used to analyze the influencing factors of HPV vaccination willingness of the respondents. The difference was statistically significant at P ＜0.05. 1.4.2 Statistical Software In this paper, EpiData 3.1 software was used to establish the database, the data were exported and organized by Excel 2019 software, and SPSS 26.0 software was used to analyze the data descriptively. Results 2.1 Basic information Among the 921 respondents, 378 (41.04%) were high-end entertainment venues, 227 (24.65%) were the mid-range and 316 (34.31%) were the low-end; the age of the respondents was concentrated in the 27–45 years old group (476, 51.68%); The ethnic groups were mainly Han (398, 43.21%) and Zhuang (388, 42.13%); The education level was mostly high school/vocational high school/technical school/technical secondary school (371, 40.28%); 501 people (54.40%) had a family location in rural areas; 566 people (61.45%) had a monthly personal income ≥ 3800 yuan; the length of time in the current occupation was mostly > 12 months (496, 53.85%); The highest educational attainment of fathers (403, 43.76%) and mothers (364, 39.52%) was concentrated in junior high school; a total of 437 (47.45%) were unmarried, of whom 207 (22.48%) had no boyfriend, 230 (24.97%) had a boyfriend, and 360 (39.09%) were married. The age of first sexual intercourse was mostly less than 20 years old (512, 55.59%), and condoms were mostly used during sexual intercourse (503, 54.61%) as contraceptive measures, and by far the majority of those who have had ≥ 3 sexual partners (357, 38.76%); 534 (57.98%) said that premarital sex was acceptable; only 481 (52.23%) have received sex education (sexual health training, male and female reproductive system learning), and only 494 (53.64%) have received training on infectious diseases, preventive medicine education or sexually transmitted diseases such as AIDS; 256 people (27.80%) said some of their relatives, friends or other close relationships had cancer (including but not limited to cervical cancer); and only 333 people (36.16%) had no tobacco or alcohol addiction. ( Table 1 . ) 2.2 HPV vaccination willingness of female sex workers in entertainment venues with different basic conditions Among the respondents in the study, 712 (77.31%) were willing to receive the HPV vaccination. Grade of venues, age, ethnicity, personal monthly income, length of time in current occupation, the highest education level of father, the highest education level of mother, contraception during sex, attitude towards premarital sex, sex education (sexual health training, male and female reproductive system learning) or not, and tobacco and alcohol habits differed between female sex workers who were willing and unwilling to receive HPV vaccination ( P < 0.05) in entertainment venues. ( Table 1 . ) Table 1 HPV vaccination willingness of female sex workers in entertainment venues with different basic conditions Variables Total(%) Willing to be vaccinated(%) Reluctance to be vaccinated(%) χ 2 P Number of people 921(100.00) 712(77.31) 209(22.69) Place class 134.138 ＜0.001 high -grade 378(41.04) 359(94.97) 19(5.03) Mid-range 227(24.65) 126(55.51) 101(44.49) low-grade 316(34.31) 227(71.84) 89(28.16) Age (weeks) 31.052 ＜0.001 ＜20 87(9.45) 65(74.71) 22(25.29) 20～26 282(30.62) 199(70.57) 83(29.43) 27～45 476(51.68) 401(84.24) 75(15.76) ≥ 46 76(8.25) 47(61.84) 29(38.16) Ethnicity 9.551 0.008 Han Chinese 398(43.21) 303(76.13) 95(23.87) Zhuang 388(42.13) 316(81.44) 72(18.56) Other Minorities 135(14.66) 93(68.89) 42(31.11) Education level 9.258 0.055 Elementary school and below 52(5.65) 40(76.92) 12(23.08) Junior High School 304(33.01) 239(78.62) 65(21.38) High school or vocational high school or technical school or junior high school 371(40.28) 297(80.05) 74(19.95) College 132(14.33) 96(72.73) 36(27.27) Bachelor's degree or above 62(6.73) 40(64.52) 22(35.48) Home Location 0.549 0.459 City 420(45.60) 320(76.19) 100(23.81) Rural 501(54.40) 392(78.24) 109(21.76) Personal monthly income (Yuan per month) 20.336 ＜0.001 ＜1500 88(9.55) 64(72.73) 24(27.27) 1500～ 267(28.99) 183(68.54) 84(31.46) ≥ 3800 566(61.45) 465(82.16) 101(17.84) Length of time in current occupation (months) 17.031 0.001 ＜1 50(5.43) 39(78.00) 11(22.00) 1～6 168(18.24) 122(72.62) 46(27.38) 7～12 207(22.48) 143(69.08) 64(30.92) ＞12 496(53.85) 408(82.26) 88(17.74) Continued Variables Total(%) Willing to be vaccinated(%) Reluctance to be vaccinated(%) χ 2 P The highest level of education of the father 14.130 0.007 Elementary school and below 260(28.23) 206(79.23) 54(20.77) Junior High School 403(43.76) 327(81.14) 76(18.86) High school or vocational high school or technical school or junior high school 183(19.87) 127(69.40) 56(30.60) College 57(6.19) 38(66.67) 19(33.33) Bachelor's degree or above 18(1.95) 14(77.78) 4(22.22) The highest level of education of the mother 13.146 0.011 Elementary school and below 332(36.05) 258(77.71) 74(22.29) Junior High School 364(39.52) 295(81.04) 69(18.96) High school or vocational high school or technical school or junior high school 178(19.33) 130(73.03) 48(26.97) College 29(3.15) 16(55.17) 13(44.83) Bachelor's degree or above 18(1.95) 13(72.22) 5(27.78) Marital Status 6.568 0.087 Unmarried, no boyfriend 207(22.48) 164(79.23) 43(20.77) Unmarried, have a boyfriend 230(24.97) 178(77.39) 52(22.61) Married 360(39.09) 285(79.17) 75(20.83) Divorced or widowed 124(13.46) 85(68.55) 39(31.45) Age of first sexual intercourse 4.791 0.091 Never had sexual intercourse 52(5.65) 34(65.38) 18(34.62) < 20 years old 512(55.59) 396(77.34) 116(22.66) ≥ 20 years old 357(38.76) 282(78.99) 75(21.01) Contraceptive measures used during sexual intercourse 70.485 ＜0.001 Never had sexual intercourse 52(5.65) 34(65.38) 18(34.62) Condoms 503(54.61) 440(87.48) 63(12.52) Intrauterine device (IUD) 112(12.16) 81(72.32) 31(27.68) Contraceptives 104(11.29) 66(63.46) 38(36.54) No contraception 150(16.29) 91(60.67) 59(39.33) Number of sexual partners to date 4.817 0.186 0 52(5.65) 34(65.38) 18(34.62) 1 284(30.84) 221(77.82) 63(22.18) 2 228(24.76) 181(79.39) 47(20.61) ≥ 3 357(38.76) 276(77.31) 81(22.69) Continued Variables Total(%) Willing to be vaccinated(%) Reluctance to be vaccinated(%) χ 2 P Attitudes toward premarital sex 35.158 ＜0.001 Agree or support 122(13.25) 88(72.13) 34(27.87) Acceptable 534(57.98) 449(84.08) 85(15.92) Oppose or reject 77(8.36) 52(67.53) 25(32.47) Doesn't matter 188(20.41) 123(65.43) 65(34.57) Whether or not they have received sex education (sexual health training, male and female reproductive system learning) 11.098 0.001 No 440(47.77) 319(72.50) 121(27.50) Yes 481(52.23) 393(81.70) 88(18.30) Whether they have received training on infectious diseases, preventive medicine education or knowledge about sexually transmitted diseases such as AIDS 2.062 0.151 No 427(46.36) 321(75.18) 106(24.82) Yes 494(53.64) 391(79.15) 103(20.85) Any family member, friend or other close relative who has cancer (including but not limited to cervical cancer) 5.102 0.078 No 409(44.41) 328(80.20) 81(19.80) Yes 256(27.80) 198(77.34) 58(22.66) Not sure 256(27.80) 186(72.66) 70(27.34) Tobacco and alcohol hobbies 21.408 ＜0.001 None 333(36.16) 269(80.78) 64(19.22) Smoking 60(6.51) 39(65.00) 21(35.00) Drinking 233(25.30) 196(84.12) 37(15.88) Smoking and drinking 295(32.03) 208(70.51) 87(29.49) 2.3 IMB model dimension scores and HPV vaccination willingness of female sex workers in entertainment venues Female sex workers in entertainment venues who were willing to receive the HPV vaccine agree that the vaccine can effectively prevent disease, and their knowledge of HPV, HPV-related diseases, and the HPV vaccine, and active knowledge of HPV vaccines are significantly higher than those who were unwilling to be vaccinated, and their scores of related knowledges on HPV and HPV vaccine are also higher than those who were unwilling to be vaccinated(P < 0.001). Perceived severity and susceptibility to HPV, perceived benefits of HPV vaccination, social motivation, and behavioral skills related to HPV vaccination namely self-decision-making and self-efficacy were higher among female sex workers in entertainment venues who were willing to be vaccinated than among those who were unwilling to be vaccinated, and the differences were statistically significant (P < 0.005). (Table 2 .) Table 2 Comparison of the scores of each dimension of the IMB model with the willingness of HPV vaccination among female sex workers in entertainment venues IMB Module Variables Willing to be vaccinated(%) Reluctance to be vaccinated(%) t-value /χ 2 P Information Do you agree that vaccines are effective in preventing disease? 101.825 ＜0.001 Yes 615 113 No 97 96 Have you heard of HPV? 69.647 ＜0.001 Yes 553 100 No 159 109 Have you heard of HPV-related diseases? 38.670 ＜0.001 Yes 503 99 No 209 110 Have you heard of the HPV vaccine? 85.370 ＜0.001 Yes 551 92 No 161 117 Have you proactively learned about the HPV vaccine? 41.699 ＜0.001 Yes 409 67 No 303 142 HPV and HPV vaccine knowledge score 5.36 ± 2.73 4.20 ± 2.09 6.566 ＜0.001 Motivation Perceived severity 15.79 ± 3.28 14.05 ± 3.87 5.899 ＜0.001 Perceived susceptibility 6.04 ± 1.93 5.64 ± 1.83 2.649 0.008 Perceived benefits 11.99 ± 2.30 9.97 ± 2.55 10.320 ＜0.001 Perceptual hindrance 17.27 ± 4.45 17.11 ± 4.30 0.469 0.639 Social motivation 16.77 ± 3.21 15.34 ± 3.67 5.081 ＜0.001 Behavioral Skills Self-determination 8.49 ± 1.43 7.41 ± 1.81 7.895 ＜0.001 Self-efficacy 22.83 ± 4.49 18.46 ± 4.17 12.536 ＜0.001 2.4 Multifactor analysis of HPV vaccination willingness of female sex workers in entertainment venues Taking HPV vaccination willingness as the dependent variable (willing = 1, unwilling = 0) and the variables with statistically significant differences (p < 0.05) in the above univariate analysis as independent variables, the enter method was used to establish a multi-factor logistic regression model, and the independent variables and the results are shown in Table 3 . 2.5 Validity, fitting effect and predictive value of Logistic regression model In this study, the likelihood ratio of Logistic regression model was χ 2 = 246.338, DF = 25, P < 0.001, indicating that the model establishment was statistically significant; Waldχ 2 = 242.754, DF = 1, P 0.05, indicating that the model fitting effect was good, and the model was able to correctly classify 80.2% of the respondents. The results of the goodness-of-fit and the likelihood ratio tests of this multi-factor logistic regression model showed that the goodness-of-fit of the model is -2logL = 740.121, which can be inferred that the value of its likelihood function is less than any likelihood function in the single-factor logistic regression. However, the results of the analysis in Table 3 show that at the confidence level of ɑ=0.05, only the place class (X 1 ), smoking and drinking habits (X 2 ), whether they agree that the vaccine is effective in preventing the disease (X 3 ), whether they have heard of the HPV vaccine (X 4 ), perceived benefits of HPV vaccination (X 5 ), mastering the regression coefficients of more behavioral skills for HPV vaccination, namely self-decision-making (X 6 ) and self-efficacy (X 7 ), were estimated to be statistically significant. The influencing factors that were not statistically significant were removed and fitted again, as shown in Table 4 .The results showed that the willingness of female sex workers in entertainment venues to receive HPV vaccination was related to the venue class, smoking and drinking habits, whether they agreed that the vaccine is effective in preventing diseases, whether they had heard about HPV vaccine, perceived benefits of HPV vaccination, and acquiring more behavioral skills for HPV vaccination, that is, self-decision-making and self-efficacy. Among them, female sex workers in entertainment venues with lower grade were less willing to receive HPV vaccine [OR(95% CI) = 0.693(0.539, 0.891),P = 0.004]; those who agreed that vaccines can effectively prevent disease were more likely to be vaccinated [OR (95% CI) = 2.144 (1.449, 3.174), p < 0.001]; those who had heard of the HPV vaccine were more likely to get HPV vaccination [OR (95% CI) = 2.105 (1.451, 3.054), p < 0.001]; those who could perceive the benefits of HPV vaccination were more likely to get HPV vaccination [OR (95% CI) = 1.134 (1.045, 1.230), p = 0.002]; those with more behavioral skills for HPV vaccination i.e., self-decision [OR (95% CI) = 1.130 (1.008, 1.267), P = 0.036] and self-efficacy [OR (95% CI) = 1.135 (1.081, 1.191), P < 0.001] were more willing to receive HPV vaccination. The likelihood ratio of the multifactorial logistic regression model obtained by refitting χ 2 = 234.692, DF = 7, P 0.05, indicating that the model fitting effect is good, and the goodness-of-fit of the model is -2logL = 751.767, at which point the model is able to correctly classify 80.9% of the respondents. Through the statistics and analysis data of the logistic regression model at this time, the predicted probability P of female sex workers in entertainment venues willing to receive HPV vaccine was obtained, and the cumulative superiority logistic regression model was: Logit (P) = -3.710-0.367X 1 -0.358X 2 + 0.763X 3 + 0.744X 4 + 0.126X 5 + 0.123X 6 + 0.126X 7 . Table 3 Multi-factor logistic regression analysis of HPV vaccination willingness of female sex workers in entertainment venues Variables and classification Assignment situation β Standard error Wald χ 2 P OR(95% CI) Basic information Place class Grade information (from highest to lowest) -0.335 0.148 5.138 0.023 0.716(0.536～0.956) Age Grade information (from lowest to highest) -0.003 0.123 0.001 0.980 0.997(0.784～1.268) Ethnicity Han Chinese Control group 1.000 Zhuang 0.286 0.213 1.805 0.179 1.331(0.877～2.021) Other Minorities 0.120 0.267 0.202 0.653 1.127(0.668～1.903) Personal monthly income (Yuan per month) Grade information (from the lowest to the highest) -0.118 0.167 0.501 0.479 0.889(0.641～1.232) Length of time in current occupation Grade information (from the lowest to the highest) 0.074 0.116 0.400 0.527 1.076(0.857～1.352) The highest level of education of the father Grade information (from the lowest to the highest) -0.032 0.134 0.056 0.814 0.969(0.745～1.260) Highest level of education of the mother Grade information (from the lowest to the highest) 0.014 0.136 0.010 0.920 1.014(0.777～1.322) Contraceptive measures used during sexual intercourse Never had sexual intercourse -0.042 0.425 0.010 0.921 0.959(0.417～2.206) Take contraceptive measures such as condoms, IUDs, and birth control pills 0.333 0.240 1.927 0.165 1.395(0.872～2.232) No contraception Control group 1.000 Attitudes toward premarital sex Agree or support, acceptable, indifferent 0.506 0.319 2.523 0.112 1.659(0.888～3.097) Oppose or reject 1.000 Whether or not they have received sex education (sexual health training, male and female reproductive system studies) No(Control group) 1.000 Yes -0.028 0.199 0.020 0.888 0.973(0.659～1.435) Tobacco and alcohol hobbies No 1.000 Smoking, drinking alcohol or smoking and drinking alcohol -0.428 0.210 4.137 0.042 0.652(0.432～0.985) Continued Variables and classification Assignment situation β Standard error Wald χ 2 P OR(95% CI) IMB Module Variables Information Do you agree that vaccines are effective in preventing disease? No(Control group) 1.000 Yes 0.694 0.213 10.602 0.001 2.001(1.318～3.039) Have you heard of HPV? No(Control group) 1.000 Yes 0.285 0.221 1.659 0.198 1.329(0.862～2.050) Have you heard of HPV-related diseases? No(Control group) 1.000 Yes -0.064 0.220 0.085 0.771 0.938(0.609～1.444) Have you heard of the HPV vaccine? No(Control group) 1.000 Yes 0.633 0.218 8.475 0.004 1.884(1.230～2.886) Have you proactively learned about the HPV vaccine? No(Control group) 1.000 Yes 0.032 0.228 0.020 0.888 1.033(0.661～1.613) HPV and HPV vaccine knowledge score Continuous variables -0.019 0.045 0.188 0.664 0.981(0.899～1.070) Motivation Perceived severity Continuous variables 0.009 0.029 0.095 0.758 1.009(0.954～1.067) Perceived susceptibility Continuous variables 0.032 0.055 0.350 0.554 1.033(0.928～1.150) Perceived benefits Continuous variables 0.130 0.044 8.564 0.003 1.139(1.044～1.243) Social motivation Continuous variables 0.007 0.031 0.049 0.825 1.007(0.948～1.069) Behavioral Skills Self-determination Continuous variables 0.125 0.062 4.094 0.043 1.134(1.004～1.280) Self-efficacy Continuous variables 0.115 0.026 18.991 ＜0.001 1.121(1.065～1.181) Discussion The age of the 921 respondents in this survey was concentrated between 27 and 45 years old, and they were at the peak of sexual desire in young adults [30] . Their education level was mostly high school/vocational high school/technical school/technical secondary school and their family locations were mostly in rural areas, the highest education level of their parents was concentrated in junior high school, their workplaces were mostly high-class, their personal monthly income was mostly more than or equal 3800 RMB and the duration of their current occupation was mostly more than 12 months, considering that they chose to enter the society earlier due to their educational environment or family conditions, and they chose to engage in this profession because they could not find a high-paying job due to their personal knowledge level and the technical ability. It is suggested that the local government should pay more attention to rural young and middle-aged women, increase the opportunities for women to learn knowledge and skills, improve their education level and employability, obtain property through legal and compliant channels, and reduce the number of female sex workers in entertainment venues from the source, and fundamentally curb the occurrence and development of HPV and other diseases that cause disease mainly through sexual transmission. The majority of the respondents were unmarried and most of them said that they could accept premarital sex was acceptable, and the age of the first sexual intercourse of those who had sex was mostly less than 20 years old and the number of their sexual partners was more than or equal three. Only about one-third were free of tobacco and alcohol, which was consistent with the high-risk factors of HPV infection [31, 32] , suggesting that women in this occupation are a high-risk group for HPV infection. It has been shown that single HPV infection increases the risk of cervical cancer by 19.9 times while multiple HPV infections increase this risk by 31.8 times [33] , and the strongest predictors of multiple HPV types of infection are young and multiple sexual partners [34] , and that HPV multiple infections may have a synergistic effect in cervical lesions, thus affecting the prognosis of cervical cancer [35, 36] , suggesting that the risk of multiple HPV infections and cervical cancer in the respondents is much higher than that of ordinary women, and the development of the disease and poor prognosis may be more severe. Most female sex workers in entertainment venues use condoms as a contraceptive measure, and even though condoms may reduce the risk of HPV infection to some extent, they are not absolutely avoidable, so a multi-pronged approach such as HPV vaccination, condom wearing, and regular screening is still advocated to prevent HPV infection and cervical cancer development. Only 52.23% and 53.64% of the respondents have received sex education (sexual health training, male and female reproductive system learning) and training on infectious diseases, preventive medicine education or knowledge about sexually transmitted diseases such as AIDS, indicating that the level of knowledge about gender education and sexually transmitted diseases among this type of working women is not high and they cannot protect their personal health from infringement by themselves, and organizations such as communities and women's federations should pay attention to The community, women's federations and other organizations should pay attention to the management of such professional women, strengthen gender education and science popularization of knowledge about sexually transmitted diseases, call for and encourage them to have regular physical examination, pay attention to the screening of two cancers, and improve the level of health care knowledge and awareness. China is currently in the initial stage of HPV vaccine promotion and research and development, female sex workers in entertainment venues, as a high-risk group of HPV infection, is a key group for HPV vaccination, and improving the awareness of HPV and HPV vaccination rate of women in this group is crucial to reducing the incidence of cervical cancer and protecting women's health in China. The results of this study showed that the willingness of female sex workers in an urban entertainment venue in Guangxi, China, to vaccinate against HPV was 77.31%, which was higher than the average in China (62.2%) [37] , but lower than that of Peru (97.5%) [38] and Phnom Penh, Cambodia (100%) [39] . The approval of HPV vaccine on the market in China is short, the dissemination rate and popularity of HPV-related knowledge and HPV vaccination information are not high, and the public's understanding of it is even less optimistic [40] . In recent years, an urban area of Guangxi, China, has strengthened the detection and supervision of sexually transmitted diseases among female sex workers in entertainment venues, including a significant increase in the dissemination of HPV and HPV vaccine-related information, resulting in a relatively high willingness of female sex workers in entertainment venues to be vaccinated against HPV in this area. It has been shown that the factors influencing HPV vaccination contain personal factors as well as social, family and interpersonal relationships [21] . Based on the IMB model theory, this survey analyzed the factors influencing female sex workers' willingness to receive HPV vaccination in an urban entertainment venue in Guangxi, China, in terms of three factors: information factors, motivational factors, and behavioral skill factors. 3.1 Information Factor The survey found that female sex workers in entertainment venues with the higher level of awareness of cervical cancer, HPV and HPV vaccine-related information were more willing to receive HPV vaccine. Those who agreed that the vaccine could effectively prevent diseases were 2.144 times more willing to receive the HPV vaccine than those who did not, probably because they were more willing to receive the HPV vaccine to reduce HPV infection and develop HPV because they had a lower chance of developing the disease or reduced symptoms during their previous preventive vaccination, which was beneficial to their health and daily life, and they recognized the effectiveness of primary prevention measures such as vaccination. So they were more willing to reduce the probability of HPV infection and cervical cancer through HPV vaccination. Female sex workers in entertainment venues who have heard of the HPV vaccine were more willing to receive the HPV vaccine, 2.105 times more than those who have not heard of it, and after hearing about HPV vaccine could they know its preventive effects on HPV infection and cervical cancer and could they selectively receive the HPV vaccine in consideration of their own situation. It is recommended that communities, women's federations and disease prevention and control institutions should continue to strengthen the popularization of knowledge and information about the HPV vaccine when promoting science popularization, so that more age-appropriate and key groups have access to the HPV vaccine. At the same time, innovative publicity channels, such as information exchange through social media platforms or the development of peer education liaison, strengthen the level of awareness of cervical cancer, HPV and HPV vaccine-related information for professional women, and increase the willingness and vaccination rate of HPV vaccination. 3.2 Motivational factors The stronger the motivation for HPV and HPV vaccination among the study participants, the higher the willingness to receive HPV vaccine. Among them, the perceived benefit is one of the main reasons affecting the willingness of female sex workers in entertainment venues to receive HPV vaccination, which is different from the findings of other populations in China such as female university students [21, 41] . The reason may be that female sex workers in entertainment venues can perceive the serious impact of HPV infection and cervical cancer on themselves and their occupation due to their occupational particularities, and to some extent understand their occupational susceptibility to HPV infection, and can overcome the obstacles to HPV vaccination such as vaccine safety, effectiveness, side effects, etc., and have a certain economic foundation and self-determination ability compared to students, but they have doubts about the beneficial degree of HPV vaccination to themselves. The results showed that those who could perceive the benefits of HPV vaccination were more willing to receive HPV vaccination than those who could not perceive the benefits of HPV vaccination, which was 1.134 times more than those who could not perceive the benefits of HPV vaccination, which was consistent with the fact that those who favored the vaccine could effectively prevent diseases were more willing to receive it, suggesting that vaccine production and development institutions should pay attention to effectiveness of the vaccine itself in the process of vaccine testing and marketing, guarantee the role of the vaccine in preventing diseases, and make the respondents feel beneficial in the behavior of vaccination. At the same time, in the publicity and education of female sex workers in entertainment venues, more attention should be paid to objectively explaining the beneficial effects of HPV vaccination to reduce the incidence of HPV infection and cervical cancer, strengthen the concept that primary prevention measures such as vaccination are beneficial to individuals in controlling the occurrence and development of disease, so that the public can establish the awareness that prevention is better than treatment and gradually eliminate the occurrence of high-risk sexual behavior. 3.3 Behavioral skill factors The IMB model believes that even if individuals have a high willingness and cognition to change behavior, they need to master certain behavioral skills before they can achieve individual behavior change [21] . This survey found that female sex workers in entertainment venues with higher behavioral skill scores were more willing to receive HPV vaccine because they had good self-decision-making and self-efficacy so that they were able to communicate with relatives, friends or medical staff about HPV vaccine and use it to obtain HPV vaccination institutions and processes, and those who mastered more behavioral skills for HPV vaccination, that is, self-decision-making and self-efficacy, were 1.130 times and 1.135 times more willing to receive HPV vaccine was higher than those who were unable to do so, respectively. It is suggested that the future direction of popularization should appropriately add contents on the behavioral skills of HPV vaccination, such as vaccination locations, appointment methods, and vaccination processes, so as to enhance the willingness of female sex workers in entertainment venues to receive HPV vaccination. 3.4 Multifactorial analysis of HPV vaccination willingness The results of the analysis showed that the willingness of female sex workers in entertainment venues to receive HPV vaccination was related to the rank of the venue, smoking and drinking habits, whether they agreed that the vaccine could effectively prevent diseases, whether they had heard of HPV vaccine, perceived the benefits of HPV vaccination, and mastering more behavioral skills of HPV vaccination, that is, self-decision-making and self-efficacy. Among them, the lower the grade of the venue, the less willing to be vaccinated against HPV among female sex workers in entertainment venues. Every time the grade of the place drops, the willingness to be vaccinated is 0.693 times that of the previous grade, which may due to the fact that female sex workers in upscale entertainment venues need to undergo some conventional standard selection and pre-service training before taking up their jobs, and their understanding of HPV and other sex-related transmission diseases and prevention methods has increased, making them have a certain awareness of sexual safety and can make more profit in the sex trade; while female sex workers in low-grade entertainment venues lack training and management, compared with the high-grade ones who are scattered and hidden, lack of self-health protection awareness, especially in sex-related education and training, the acceptance rate is not high, prompting local regulatory authorities to deal with the registration of female sex workers in entertainment venues, especially those in the low-end and middle-end. Conducting regular health education and training so that they can protect their own health while reducing the spread of sex-related diseases at the root. Combined with the actual situation of the outreach interventions of female sex workers in entertainment venues by the Center for Disease Control and Prevention in an urban of Guangxi, China, it shows that there are still certain difficulties in face-to-face and in-depth communication with female sex service workers for example, some publicity and education are only allowed in the lobby, and in some venues only the foreman receives them. Due to the risk of being cracked down on by public security and other organizations, female sex workers in entertainment venues, especially those with low-grade places, are very wary of communication with investigators and are evasive of survey questions, which undoubtedly makes the work of popularizing HPV and HPV vaccine education and promoting vaccination more difficult. Secondly, due to the specificity of the survey site and insufficient investment for intervention funds, it is difficult to motivate grassroots staff and some departments are understaffed, making it difficult to carry out relevant work and making outreach intervention work inevitably a formality. It is suggested that the intervention model of institutions such as disease control and community health service centers need to be changed in the future, national government departments should increase funding, and at the same time, introduce relevant policies and regulations to standardize the management of entertainment venues with commercial sex transactions, provide practical assistance for female sex workers in entertainment venues for disease detection and mental health regulation, strengthen the intervention of sexually transmitted diseases, and increase the HPV vaccination rate. In summary, female sex workers in an urban entertainment venue in Guangxi, China, had higher willingness to receive HPV vaccination, and their willingness to receive vaccination was associated with venue class and smoking and drinking habits in the basic situation of the respondents. In terms of information, motivation,and behavioral skills based on the IMB model, whether one agrees that the vaccine can effectively prevent diseases, whether one has heard of HPV vaccine, perceived the benefits of HPV vaccination, and master more behavioral skills of HPV vaccination, that is, self-decision-making and self-efficacy, are the influencing factors affecting the respondents' willingness to receive HPV vaccination. Local governments and preventive health care institutions should strengthen the management of female sex workers in entertainment venues, avoid the occurrence of high-risk sexual behaviors and effectively protect the physical and mental health of women in this profession. At the same time, they should widely carry out publicity and education on HPV and other sexually transmitted diseases, and innovate the methods and forms of science popularization, focusing on introducing the benefits of primary prevention measures such as HPV vaccine for individuals and behavioral skills of HPV vaccination, so as to improve the willingness and vaccination rate of HPV vaccination, promote the process of national immunization planning, and advance the construction of a healthy China. Declarations Ethics approval and consent to participate This study passed the review of the Ethics Committee of Youjiang Medical College for Nationalities and was carried out following the World Medical Association Declaration of Helsinki. Oral agreement was obtained from each recruited woman before starting the completion of the questionnaire. All the completed questionnaires were kept confidential. A detailed explanation of the study and its purpose was given to all women with the emphasis on the confidentiality of obtained information and that participation is completely voluntary. Consent for publication Not applicable. Availability of data and materials The datasets used and/or analysed during the current study available from the corresponding author on reasonable request. Competing interests All authors declare no competing interests. Author contributions HZY and QGZ originated and designed the study. HZY contributed to the analysis of the data and coordinated the writing of the article. HZY, WJH and HR were responsible for the questionnaire survey in Guangxi, China. JJM and QGZ provided technical guidance, contributed to the interpretation of findings and revision of the manuscript. All authors have read and approved the final manuscript. Each author has participated sufficiently in the work to take public responsibility for the content. 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Cite Share Download PDF Status: Published Journal Publication published 24 Feb, 2024 Read the published version in BMC Women's Health → Version 1 posted Editorial decision: Revision requested 22 Jan, 2024 Reviews received at journal 15 Jan, 2024 Reviewers agreed at journal 11 Jan, 2024 Reviewers agreed at journal 11 Jan, 2024 Reviewers invited by journal 11 Jan, 2024 Editor assigned by journal 11 Jan, 2024 Editor invited by journal 04 Oct, 2023 Submission checks completed at journal 04 Oct, 2023 First submitted to journal 07 Sep, 2023 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3333612","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":237753932,"identity":"640e9cab-c746-4c6c-b353-d3a9db559dc9","order_by":0,"name":"Zhiyan HE","email":"","orcid":"","institution":"Youjiang Medical College for Nationalities","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Zhiyan","middleName":"","lastName":"HE","suffix":""},{"id":237753933,"identity":"c16f6bc2-966d-433b-8e55-73cd953e2a3d","order_by":1,"name":"Junhong WEI","email":"","orcid":"","institution":"Youjiang Medical College for Nationalities","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Junhong","middleName":"","lastName":"WEI","suffix":""},{"id":237753935,"identity":"f39e48ba-0666-4210-8cb8-7addbc89de6f","order_by":2,"name":"Jianming JIANG","email":"","orcid":"","institution":"Youjiang Medical College for Nationalities","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Jianming","middleName":"","lastName":"JIANG","suffix":""},{"id":237753937,"identity":"9cdeb8b6-bbc4-4c67-a822-f79bb1af9f51","order_by":3,"name":"Rui HU","email":"","orcid":"","institution":"Youjiang Medical College for Nationalities","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Rui","middleName":"","lastName":"HU","suffix":""},{"id":237753939,"identity":"b7aa5ada-51d9-4270-8209-7c75fd279640","order_by":4,"name":"Guangzi QI","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA6klEQVRIiWNgGAWjYDACZijNxt4AZR0gWgsPTClBLXAgkUCkFr7j7Nckfu6oteeTfGO6mXcHgxzfjQTGzwV4tEge5imT7D1znJlNOsfsNu8ZBmPJGwnM0jPwaDE4zJMmwdt2jA2ipY0hccONBDZmHgJaJP+2HeNhkzwD1lJPhBb2Y9K8bTUSbBI8YC0JBoS0AP3CbC3bdsCAjSet7ObcNgnDmWceNkvj08J3/vjDm2/b6uzl2w9vu/G2zUae73jywc/4tDAc4DEAkoeBmAPEkABixgZ8GoBa2B8AyTogBjNGwSgYBaNgFGACAE7oSOEC0qB5AAAAAElFTkSuQmCC","orcid":"","institution":"Youjiang Medical College for Nationalities","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Guangzi","middleName":"","lastName":"QI","suffix":""}],"badges":[],"createdAt":"2023-09-07 08:59:24","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-3333612/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-3333612/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12905-024-02962-y","type":"published","date":"2024-02-24T15:01:59+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":51648951,"identity":"02093765-04ed-414c-89e1-3bc145503988","added_by":"auto","created_at":"2024-02-26 15:16:23","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":824054,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-3333612/v1/310c8e2c-c69b-45ef-8a7d-a708ceacd3da.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Analysis of Influencing Factors of HPV Vaccination Willingness of Female Sex Workers in Urban Entertainment Venues Based on IMB Model in Guangxi, China","fulltext":[{"header":"Introduction","content":"\u003cp\u003eCervical cancer is one of the important malignant tumors threatening women's health, and its incidence and mortality rate rank second in female malignant tumors in the world, and the first in developing countries \u003cb\u003e[1]\u003c/b\u003e. For women aged from 15–44, it is the second highest incidence and the third highest mortality rate among female malignant tumors \u003cb\u003e[2]\u003c/b\u003e. In recent years, the incidence and mortality rate of cervical cancer in developing countries has been on the rise and has tended to be younger \u003cb\u003e[3, 4]\u003c/b\u003e. The occurrence of cervical cancer is the result of a multi-factorial, multi-genetic and multi-step combination \u003cb\u003e[5]\u003c/b\u003e, and persistent human papilloma virus (HPV, human papilloma virus) infection is the main cause of cervical cancer and its precancerous lesions \u003cb\u003e[6]\u003c/b\u003e.HPV infection is common among the population and has various routes of infection, mainly sexual transmission, and relevant epidemiological studies have shown that HPV infection is associated with a variety of factors, including high-risk factors such as premature age of sexual initiation, unclean sexual life, multiple sexual partners, and poor lifestyle habits such as alcohol abuse and smoking, especially sexual disorders are one of the important factors leading to HPV infection in women \u003cb\u003e[7–9]\u003c/b\u003e. Cervical cancer is the only malignant tumor with a clear etiology and can be prevented by vaccination with related vaccines to reduce mortality. As a primary prevention measure for cervical cancer, HPV vaccine can prevent 70–90% of HPV-related cancers, the development of HPV infection, cervical carcinogenesis and treatment are also closely related to whether to get HPV vaccination, so it can reduce the incidence of cervical cancer by improving women’s awareness of HPV and HPV vaccine, early HPV vaccination and other effective measures \u003cb\u003e[10, 11]\u003c/b\u003e.According to statistics, from 2017–2020, the vaccination rate of women aged from 9 to 45 in China was only about 3% \u003cb\u003e[12]\u003c/b\u003e. There is currently little information on knowledge and attitudes related to HPV among adult women in the Asia-Pacific region, particularly high-risk women such as female sex workers (FSWs) in entertainment venues \u003cb\u003e[13, 14]\u003c/b\u003e. Female sex workers in entertainment venues are at high-risk of HPV infection because of their complex occupations and living environments, relatively open sexuality, and weak awareness of their health \u003cb\u003e[15]\u003c/b\u003e. Understanding the willingness of women in this profession to vaccinate against HPV and its influencing factors is of great significance for the prevention and control of HPV infection and the occurrence and the development of cervical cancer in China.\u003c/p\u003e \u003cp\u003eThe information-motivation-behavior skills (IMB) model was first proposed by JD Fischer and WA Fischer in 1992. As a new behavioral intervention theory, the IMB model is increasingly used in public health \u003cb\u003e[16–19]\u003c/b\u003e. As a health behavior, the promotion of HPV vaccination is influenced by information, motivation, and behavioral skills, which is consistent with the IMB model \u003cb\u003e[20, 21]\u003c/b\u003e. Based on the information-motivation-behavior skills (IMB) model, this study investigated the current situation of female sex workers' knowledge about HPV and HPV vaccine in an urban entertainment venue in Guangxi, China, and analyzed their willingness to receive HPV vaccination and its influencing factors, so as to provide a theoretical basis for disease prevention institutions and women's health care and medical units to formulate health education and publicity measures for cervical cancer, HPV and HPV vaccine.\u003c/p\u003e \u003cdiv id=\"Sec2\" class=\"Section2\"\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e\u003c/p\u003e \u003c/div\u003e"},{"header":"Respondents and Methods","content":"\u003cp\u003e1.1 Respondents of the Study\u003c/p\u003e\n\u003cp\u003eThe targeted respondents of this survey were female sex workers in commercial sex trafficking entertainment venues in an urban area of Guangxi, and the survey period was from August 15 to October 15, 2022. Referring to the classification of \u0026quot;places where high-risk behaviors occur among people with secret prostitutes\u0026quot; in the Operation Manual of the National AIDS Sentinel Surveillance Implementation Program (for Trial Implementation), combined with the actual situation in an urban area of Guangxi, entertainment venues are layered into high, medium and low grades, among which the high-end includes nightclubs, entertainment clubs, KTV, dance halls, bars, saunas, and bathing centers; the mid-range includes health care massage shops, foot bath shops and hotels; the low-end includes hair salons, rental houses, roadside shops, small restaurants, streets and parks.\u003c/p\u003e\n\u003cp\u003e1.2 Instruments\u003c/p\u003e\n\u003cp\u003eDrawing on references to domestic and international literature \u003cstrong\u003e[20, 22\u0026ndash;25]\u003c/strong\u003e, the \u0026ldquo;Human Papillomavirus (HPV) Vaccine Cognition, Attitude, and Psychological Behavior Questionnaire\u0026rdquo; was developed. The contents include: basic information questionnaire, IMB model-based HPV and HPV vaccine-related information and cognitive, vaccination motivation, and behavioral skills questionnaire, and HPV vaccination willingness questionnaire.\u003c/p\u003e\n\u003cp\u003e1.2.1 Basic information\u003c/p\u003e\n\u003cp\u003eThe questionnaire includes general demographic characteristics, sexual behavior-related content, and health-related lifestyle habits of the research respondents.\u003c/p\u003e\n\u003cp\u003e1.2.2 IMB Module\u003c/p\u003e\n\u003cp\u003eThe IMB model questionnaire has a total of 45 items in 3 dimensions, of which HPV and HPV vaccine-related information questionnaire includes 5 items of basic understanding and 12 items of understanding of related knowledge, the understanding of relevant knowledge is a judgment question with three options of \u0026quot;right\u0026quot;, \u0026quot;wrong\u0026quot; and \u0026quot;unclear\u0026quot;. The scoring method is 1 point for the correct answer, 0 point for the wrong answer or the unclear answer. The total score ranges from 0\u0026ndash;12 points. The higher the score is, the higher the respondents\u0026rsquo; awareness of cervical cancer, HPV and HPV vaccine is. The contents of the HPV and HPV vaccination motivation questionnaire are divided into four aspects of personal motivation, namely perceived severity, perceived susceptibility, perceived benefits, perceived obstructions, and social motivation, with a total of 20 items, using a 5-point Likert scale of \u0026quot;1\u0026thinsp;=\u0026thinsp;strongly disapproving\u0026quot;, \u0026quot;2\u0026thinsp;=\u0026thinsp;disapprove\u0026quot;, \u0026quot;3\u0026thinsp;=\u0026thinsp;uncertain\u0026quot;, \u0026quot;4\u0026thinsp;=\u0026thinsp;favorable\u0026quot;, and \u0026quot;5\u0026thinsp;=\u0026thinsp;very favorable\u0026quot;. Among them, \u0026quot;I am worried about the side effects of HPV vaccination,\u0026quot; \u0026quot;I am afraid of the unbearable needle pain of HPV vaccination,\u0026quot; \u0026quot;I am hesitant to receive HPV vaccination.\u0026quot; \u0026ldquo;I am worried about the unbearable cost of HPV vaccination,\u0026quot; \u0026ldquo;I am worried about the complicated procedure of HPV vaccination and it wastes time.\u0026rdquo; The reverse scoring method is adopted in 6 items, and the higher the total score, the stronger the attitude towards HPV vaccination of the respondents. The HPV and HPV vaccination behavioral skills includes self-decision making and self-efficacy, with a total of 8 items, all of which use Likert grading from 1\u0026ndash;5. The score is \u0026quot;1\u0026thinsp;=\u0026thinsp;strongly disapproving\u0026quot;, \u0026quot;2\u0026thinsp;=\u0026thinsp;disapprove\u0026quot;, \u0026quot;3\u0026thinsp;=\u0026thinsp;uncertain\u0026quot;, \u0026quot;4\u0026thinsp;=\u0026thinsp;favorable\u0026quot;, and \u0026quot;5\u0026thinsp;=\u0026thinsp;very favorable\u0026quot;. \u0026quot;The higher the total score, the stronger the psychological behavior of the respondents towards HPV vaccination. The total Cronbach\u0026apos;s alpha coefficient for the scale dimensions of this questionnaire was 0.792.\u003c/p\u003e\n\u003cp\u003e1.2.3 Willingness to receive HPV vaccine\u003c/p\u003e\n\u003cp\u003eThat is, whether the respondents themselves were willing to receive the HPV vaccine or not.\u003c/p\u003e\n\u003cp\u003e1.3 Survey method and quality control\u003c/p\u003e\n\u003cp\u003eThe cross-sectional survey used the method of intentional sampling to select the respondents of the study, and the female sex worker outreach intervention staff of the Guangxi Urban Center for Disease Control and Prevention contacted the owners of the entertainment venue for support and assistance in advance, and entered the survey site with the consent to recruit the respondents of the study according to the agreed time. Informed consent was obtained from the respondents before the survey, and the principle of complete voluntariness was adopted, with the respondents having the right to withdraw and refuse to participate at any time, and the respondents could not be forced to go against their will, and the researcher should strictly keep the information of respondents confidential. On-site face-to-face anonymous questionnaires are conducted by uniformly trained investigators, with each respondent participating only once, avoiding duplication and crossover. In order to ensure the validity and credibility of the questionnaire, all questionnaire scales were personally distributed and collected by the researcher on the spot, and the purpose of the questionnaire and the matters that need attention were filled out patiently and in detail while distributing the questionnaire, so as to avoid survey errors caused by the researcher himself in the process of collecting the questionnaire as much as possible. When collecting questionnaires, carefully review the filling out of the questionnaire, and promptly communicate with the respondent and supplement and modify the questionnaire if the questionnaire is incomplete, questionable, or inconsistent, and the questionnaire that does not meet the requirements should be eliminated as appropriate. Inclusion criteria: (1) female sex workers working in an entertainment venue for commercial sex transaction in an urban area of Guangxi from August 15 to October 16, 2022; (2) voluntary participation and informed consent to the questionnaire; (3) have never participated in HPV and HPV-related questionnaires. Exclusion criteria: involuntary filling out of the questionnaire. A total of 923 female sex workers in entertainment venues participated in filling out the questionnaire, and 2 involuntary questionnaires were excluded, so a total of 921 valid questionnaires were collected, with a valid questionnaire recovery rate of 99.78%.\u003c/p\u003e\n\u003cp\u003e\u003cspan\u003e1.4 Statistical methods and Statistical software\u003cbr\u003e\u003c/span\u003e\u003cspan\u003e1.4.1 Statistical methods\u003cbr\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003eIn this paper, the mean\u0026thinsp;\u0026plusmn;\u0026thinsp;standard deviation\u003cem\u003e( \u0026plusmn;s)\u003c/em\u003eis used for statistical description of the measurement data and frequency (%) of the counting data. The chi-square test and t-test were used to compare the differences between respondents of the study with different vaccination willingnesses.\u003c/p\u003e\n\u003cp\u003eLogistic Regression, or Logistic Regression Analysis, is a probabilistic model for generalized linear regression analysis, which is a machine learning method for solving dichotomous (0 or 1) problems, estimating the probability of something, commonly used to find risk factors of a disease, to predict the probability of a disease or a situation in different independent variables, or to judge the probability that a person belongs to a certain disease or a certain condition. It is a regression model which is widely used in which the dependent variable is a dichotomous categorical variable \u003cstrong\u003e[26\u0026ndash;29]\u003c/strong\u003e. In this study, the result of the dependent variable Y was divided into willing and unwilling to vaccinate female sex workers in entertainment venues, which is a dichotomous categorical variable that can be analyzed using a binary logistic regression model. In this paper, a multi-factor logistic regression model was used to analyze the influencing factors of HPV vaccination willingness of the respondents. The difference was statistically significant at \u003cem\u003eP\u003c/em\u003e＜0.05.\u003c/p\u003e\n\u003cp\u003e1.4.2 Statistical Software\u003c/p\u003e\n\u003cp\u003eIn this paper, EpiData 3.1 software was used to establish the database, the data were exported and organized by Excel 2019 software, and SPSS 26.0 software was used to analyze the data descriptively.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003e2.1 Basic information\u003c/p\u003e\n\u003cp\u003eAmong the 921 respondents, 378 (41.04%) were high-end entertainment venues, 227 (24.65%) were the mid-range and 316 (34.31%) were the low-end; the age of the respondents was concentrated in the 27\u0026ndash;45 years old group (476, 51.68%); The ethnic groups were mainly Han (398, 43.21%) and Zhuang (388, 42.13%); The education level was mostly high school/vocational high school/technical school/technical secondary school (371, 40.28%); 501 people (54.40%) had a family location in rural areas; 566 people (61.45%) had a monthly personal income\u0026thinsp;\u0026ge;\u0026thinsp;3800 yuan; the length of time in the current occupation was mostly\u0026thinsp;\u0026gt;\u0026thinsp;12 months (496, 53.85%); The highest educational attainment of fathers (403, 43.76%) and mothers (364, 39.52%) was concentrated in junior high school; a total of 437 (47.45%) were unmarried, of whom 207 (22.48%) had no boyfriend, 230 (24.97%) had a boyfriend, and 360 (39.09%) were married. The age of first sexual intercourse was mostly less than 20 years old (512, 55.59%), and condoms were mostly used during sexual intercourse (503, 54.61%) as contraceptive measures, and by far the majority of those who have had\u0026thinsp;\u0026ge;\u0026thinsp;3 sexual partners (357, 38.76%); 534 (57.98%) said that premarital sex was acceptable; only 481 (52.23%) have received sex education (sexual health training, male and female reproductive system learning), and only 494 (53.64%) have received training on infectious diseases, preventive medicine education or sexually transmitted diseases such as AIDS; 256 people (27.80%) said some of their relatives, friends or other close relationships had cancer (including but not limited to cervical cancer); and only 333 people (36.16%) had no tobacco or alcohol addiction.\u003cstrong\u003e(\u003c/strong\u003eTable\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e.\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e2.2 HPV vaccination willingness of female sex workers in entertainment venues with different basic conditions\u003c/p\u003e\n\u003cp\u003eAmong the respondents in the study, 712 (77.31%) were willing to receive the HPV vaccination. Grade of venues, age, ethnicity, personal monthly income, length of time in current occupation, the highest education level of father, the highest education level of mother, contraception during sex, attitude towards premarital sex, sex education (sexual health training, male and female reproductive system learning) or not, and tobacco and alcohol habits differed between female sex workers who were willing and unwilling to receive HPV vaccination (\u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05) in entertainment venues. \u003cstrong\u003e(\u003c/strong\u003eTable \u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e.\u003cstrong\u003e)\u003c/strong\u003e\u003c/p\u003e\u0026nbsp;\u003ctable id=\"Tab1\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e\n \u003cdiv class=\"CaptionContent\"\u003e\n \u003cp\u003eHPV vaccination willingness of female sex workers in entertainment venues with different basic conditions\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariables\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eTotal(%)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eWilling to be vaccinated(%)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eReluctance to be vaccinated(%)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026chi;\u003c/em\u003e\u003csup\u003e\u003cem\u003e2\u003c/em\u003e\u003c/sup\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003eP\u003c/em\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eNumber of people\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e921(100.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e712(77.31)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e209(22.69)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003ePlace class\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e134.138\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ehigh -grade\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e378(41.04)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e359(94.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e19(5.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMid-range\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e227(24.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e126(55.51)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e101(44.49)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003elow-grade\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e316(34.31)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e227(71.84)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e89(28.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge (weeks)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e31.052\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e87(9.45)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e65(74.71)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e22(25.29)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e20～26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e282(30.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e199(70.57)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e83(29.43)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e27～45\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e476(51.68)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e401(84.24)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e75(15.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026ge;\u0026thinsp;46\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e76(8.25)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e47(61.84)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e29(38.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eEthnicity\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e9.551\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.008\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHan Chinese\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e398(43.21)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e303(76.13)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e95(23.87)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eZhuang\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e388(42.13)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e316(81.44)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e72(18.56)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eOther Minorities\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e135(14.66)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e93(68.89)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e42(31.11)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducation level\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e9.258\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.055\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eElementary school and below\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52(5.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e40(76.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e12(23.08)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eJunior High School\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e304(33.01)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e239(78.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e65(21.38)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHigh school or vocational high school or technical school or junior high school\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e371(40.28)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e297(80.05)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e74(19.95)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCollege\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e132(14.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e96(72.73)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e36(27.27)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBachelor\u0026apos;s degree or above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e62(6.73)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e40(64.52)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e22(35.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eHome Location\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.549\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.459\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e420(45.60)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e320(76.19)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100(23.81)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eRural\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e501(54.40)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e392(78.24)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e109(21.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003ePersonal monthly income (Yuan per month)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e20.336\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜1500\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e88(9.55)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e64(72.73)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e24(27.27)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1500～\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e267(28.99)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e183(68.54)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e84(31.46)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026ge;\u0026thinsp;3800\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e566(61.45)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e465(82.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e101(17.84)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eLength of time in current occupation (months)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e17.031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e50(5.43)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e39(78.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e11(22.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1～6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e168(18.24)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e122(72.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e46(27.38)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e7～12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e207(22.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e143(69.08)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e64(30.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＞12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e496(53.85)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e408(82.26)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e88(17.74)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eContinued\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eWilling to be vaccinated(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eReluctance to be vaccinated(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026chi;\u003c/strong\u003e\u003csup\u003e\u003cstrong\u003e2\u003c/strong\u003e\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eP\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eThe highest level of education of the father\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e14.130\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.007\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eElementary school and below\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e260(28.23)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e206(79.23)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e54(20.77)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eJunior High School\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e403(43.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e327(81.14)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e76(18.86)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHigh school or vocational high school or technical school or junior high school\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e183(19.87)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e127(69.40)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e56(30.60)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCollege\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e57(6.19)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e38(66.67)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e19(33.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBachelor\u0026apos;s degree or above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18(1.95)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e14(77.78)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4(22.22)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eThe highest level of education of the mother\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e13.146\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.011\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eElementary school and below\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e332(36.05)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e258(77.71)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e74(22.29)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eJunior High School\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e364(39.52)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e295(81.04)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e69(18.96)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHigh school or vocational high school or technical school or junior high school\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e178(19.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e130(73.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e48(26.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCollege\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e29(3.15)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e16(55.17)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e13(44.83)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBachelor\u0026apos;s degree or above\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18(1.95)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e13(72.22)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5(27.78)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eMarital Status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e6.568\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.087\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eUnmarried, no boyfriend\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e207(22.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e164(79.23)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e43(20.77)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eUnmarried, have a boyfriend\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e230(24.97)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e178(77.39)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52(22.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMarried\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e360(39.09)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e285(79.17)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e75(20.83)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eDivorced or widowed\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e124(13.46)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e85(68.55)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e39(31.45)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge of first sexual intercourse\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4.791\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.091\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNever had sexual intercourse\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52(5.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34(65.38)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18(34.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;20 years old\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e512(55.59)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e396(77.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e116(22.66)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026ge;\u0026thinsp;20 years old\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e357(38.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e282(78.99)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e75(21.01)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eContraceptive measures used during sexual intercourse\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e70.485\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNever had sexual intercourse\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52(5.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34(65.38)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18(34.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCondoms\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e503(54.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e440(87.48)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e63(12.52)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eIntrauterine device (IUD)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e112(12.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e81(72.32)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e31(27.68)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContraceptives\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e104(11.29)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e66(63.46)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e38(36.54)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo contraception\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e150(16.29)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e91(60.67)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e59(39.33)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eNumber of sexual partners to date\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4.817\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.186\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52(5.65)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34(65.38)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18(34.62)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e284(30.84)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e221(77.82)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e63(22.18)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e228(24.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e181(79.39)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e47(20.61)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026ge;\u0026thinsp;3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e357(38.76)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e276(77.31)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e81(22.69)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eContinued\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eTotal(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eWilling to be vaccinated(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eReluctance to be vaccinated(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026chi;\u003c/strong\u003e\u003csup\u003e\u003cstrong\u003e2\u003c/strong\u003e\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eP\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eAttitudes toward premarital sex\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e35.158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAgree or support\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e122(13.25)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e88(72.13)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34(27.87)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAcceptable\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e534(57.98)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e449(84.08)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e85(15.92)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eOppose or reject\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e77(8.36)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e52(67.53)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e25(32.47)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eDoesn\u0026apos;t matter\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e188(20.41)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e123(65.43)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e65(34.57)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether or not they have received sex education (sexual health training, male and female reproductive system learning)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e11.098\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e440(47.77)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e319(72.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e121(27.50)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e481(52.23)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e393(81.70)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e88(18.30)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eWhether they have received training on infectious diseases, preventive medicine education or knowledge about sexually transmitted diseases such as AIDS\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e2.062\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.151\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e427(46.36)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e321(75.18)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e106(24.82)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e494(53.64)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e391(79.15)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e103(20.85)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eAny family member, friend or other close relative who has cancer (including but not limited to cervical cancer)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5.102\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.078\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e409(44.41)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e328(80.20)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e81(19.80)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e256(27.80)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e198(77.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e58(22.66)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNot sure\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e256(27.80)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e186(72.66)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e70(27.34)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eTobacco and alcohol hobbies\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e21.408\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNone\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e333(36.16)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e269(80.78)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e64(19.22)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSmoking\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e60(6.51)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e39(65.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e21(35.00)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eDrinking\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e233(25.30)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e196(84.12)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e37(15.88)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSmoking and drinking\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e295(32.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e208(70.51)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e87(29.49)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003c/p\u003e\n\u003cp\u003e2.3 IMB model dimension scores and HPV vaccination willingness of female sex workers in entertainment venues\u003c/p\u003e\n\u003cp\u003eFemale sex workers in entertainment venues who were willing to receive the HPV vaccine agree that the vaccine can effectively prevent disease, and their knowledge of HPV, HPV-related diseases, and the HPV vaccine, and active knowledge of HPV vaccines are significantly higher than those who were unwilling to be vaccinated, and their scores of related knowledges on HPV and HPV vaccine are also higher than those who were unwilling to be vaccinated(P\u0026thinsp;\u0026lt;\u0026thinsp;0.001). Perceived severity and susceptibility to HPV, perceived benefits of HPV vaccination, social motivation, and behavioral skills related to HPV vaccination namely self-decision-making and self-efficacy were higher among female sex workers in entertainment venues who were willing to be vaccinated than among those who were unwilling to be vaccinated, and the differences were statistically significant (P\u0026thinsp;\u0026lt;\u0026thinsp;0.005). (Table \u003cspan class=\"InternalRef\"\u003e2\u003c/span\u003e.)\u0026nbsp;\u003c/p\u003e\u0026nbsp;\u003ctable id=\"Tab2\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e\n \u003cdiv class=\"CaptionContent\"\u003e\n \u003cp\u003eComparison of the scores of each dimension of the IMB model with the willingness of HPV vaccination among female sex workers in entertainment venues\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eIMB Module Variables\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eWilling to be vaccinated(%)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eReluctance to be vaccinated(%)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003et-value\u003c/em\u003e/\u0026chi;\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003eP\u003c/em\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eInformation\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eDo you agree that vaccines are effective in preventing disease?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e101.825\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e615\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e113\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e97\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e96\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you heard of HPV?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e69.647\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e553\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e159\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e109\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you heard of HPV-related diseases?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e38.670\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e503\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e99\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e209\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e110\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you heard of the HPV vaccine?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e85.370\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e551\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e92\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e161\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e117\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you proactively learned about the HPV vaccine?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e41.699\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e409\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e67\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e303\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e142\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHPV and HPV vaccine knowledge score\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5.36\u0026thinsp;\u0026plusmn;\u0026thinsp;2.73\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4.20\u0026thinsp;\u0026plusmn;\u0026thinsp;2.09\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e6.566\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eMotivation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceived severity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e15.79\u0026thinsp;\u0026plusmn;\u0026thinsp;3.28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e14.05\u0026thinsp;\u0026plusmn;\u0026thinsp;3.87\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e5.899\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceived susceptibility\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e6.04\u0026thinsp;\u0026plusmn;\u0026thinsp;1.93\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5.64\u0026thinsp;\u0026plusmn;\u0026thinsp;1.83\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e2.649\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.008\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceived benefits\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e11.99\u0026thinsp;\u0026plusmn;\u0026thinsp;2.30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e9.97\u0026thinsp;\u0026plusmn;\u0026thinsp;2.55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e10.320\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceptual hindrance\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e17.27\u0026thinsp;\u0026plusmn;\u0026thinsp;4.45\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e17.11\u0026thinsp;\u0026plusmn;\u0026thinsp;4.30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.469\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.639\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSocial motivation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e16.77\u0026thinsp;\u0026plusmn;\u0026thinsp;3.21\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e15.34\u0026thinsp;\u0026plusmn;\u0026thinsp;3.67\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e5.081\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eBehavioral Skills\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSelf-determination\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e8.49\u0026thinsp;\u0026plusmn;\u0026thinsp;1.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e7.41\u0026thinsp;\u0026plusmn;\u0026thinsp;1.81\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e7.895\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSelf-efficacy\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e22.83\u0026thinsp;\u0026plusmn;\u0026thinsp;4.49\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18.46\u0026thinsp;\u0026plusmn;\u0026thinsp;4.17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e12.536\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003c/p\u003e\n\u003cp\u003e2.4 Multifactor analysis of HPV vaccination willingness of female sex workers in entertainment venues\u003c/p\u003e\n\u003cp\u003eTaking HPV vaccination willingness as the dependent variable (willing\u0026thinsp;=\u0026thinsp;1, unwilling\u0026thinsp;=\u0026thinsp;0) and the variables with statistically significant differences (p\u0026thinsp;\u0026lt;\u0026thinsp;0.05) in the above univariate analysis as independent variables, the enter method was used to establish a multi-factor logistic regression model, and the independent variables and the results are shown in Table\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e3\u003c/span\u003e.\u003c/p\u003e\n\u003cp\u003e2.5 Validity, fitting effect and predictive value of Logistic regression model\u003c/p\u003e\n\u003cp\u003eIn this study, the likelihood ratio of Logistic regression model was \u0026chi;\u003csup\u003e2\u003c/sup\u003e\u0026thinsp;=\u0026thinsp;246.338, DF\u0026thinsp;=\u0026thinsp;25, P\u0026thinsp;\u0026lt;\u0026thinsp;0.001, indicating that the model establishment was statistically significant; Wald\u0026chi;\u003csup\u003e2\u003c/sup\u003e\u0026thinsp;=\u0026thinsp;242.754, DF\u0026thinsp;=\u0026thinsp;1, P\u0026thinsp;\u0026lt;\u0026thinsp;0.001, indicating that the model construction was effective. The Hosmer-Lemeshow goodness-of-fit test noted Chi-Square\u0026thinsp;=\u0026thinsp;14.360, DF\u0026thinsp;=\u0026thinsp;8, P\u0026thinsp;=\u0026thinsp;0.073\u0026thinsp;\u0026gt;\u0026thinsp;0.05, indicating that the model fitting effect was good, and the model was able to correctly classify 80.2% of the respondents. The results of the goodness-of-fit and the likelihood ratio tests of this multi-factor logistic regression model showed that the goodness-of-fit of the model is -2logL\u0026thinsp;=\u0026thinsp;740.121, which can be inferred that the value of its likelihood function is less than any likelihood function in the single-factor logistic regression. However, the results of the analysis in Table \u003cspan class=\"InternalRef\"\u003e3\u003c/span\u003e show that at the confidence level of ɑ=0.05, only the place class (X\u003csub\u003e1\u003c/sub\u003e), smoking and drinking habits (X\u003csub\u003e2\u003c/sub\u003e), whether they agree that the vaccine is effective in preventing the disease (X\u003csub\u003e3\u003c/sub\u003e), whether they have heard of the HPV vaccine (X\u003csub\u003e4\u003c/sub\u003e), perceived benefits of HPV vaccination (X\u003csub\u003e5\u003c/sub\u003e), mastering the regression coefficients of more behavioral skills for HPV vaccination, namely self-decision-making (X\u003csub\u003e6\u003c/sub\u003e) and self-efficacy (X\u003csub\u003e7\u003c/sub\u003e), were estimated to be statistically significant.\u003c/p\u003e\n\u003cp\u003eThe influencing factors that were not statistically significant were removed and fitted again, as shown in \u003cstrong\u003eTable\u0026nbsp;4\u003c/strong\u003e.The results showed that the willingness of female sex workers in entertainment venues to receive HPV vaccination was related to the venue class, smoking and drinking habits, whether they agreed that the vaccine is effective in preventing diseases, whether they had heard about HPV vaccine, perceived benefits of HPV vaccination, and acquiring more behavioral skills for HPV vaccination, that is, self-decision-making and self-efficacy. Among them, female sex workers in entertainment venues with lower grade were less willing to receive HPV vaccine [OR(95% CI)\u0026thinsp;=\u0026thinsp;0.693(0.539, 0.891),P\u0026thinsp;=\u0026thinsp;0.004]; those who agreed that vaccines can effectively prevent disease were more likely to be vaccinated [OR (95% CI)\u0026thinsp;=\u0026thinsp;2.144 (1.449, 3.174), p\u0026thinsp;\u0026lt;\u0026thinsp;0.001]; those who had heard of the HPV vaccine were more likely to get HPV vaccination [OR (95% CI)\u0026thinsp;=\u0026thinsp;2.105 (1.451, 3.054), p\u0026thinsp;\u0026lt;\u0026thinsp;0.001]; those who could perceive the benefits of HPV vaccination were more likely to get HPV vaccination [OR (95% CI)\u0026thinsp;=\u0026thinsp;1.134 (1.045, 1.230), p\u0026thinsp;=\u0026thinsp;0.002]; those with more behavioral skills for HPV vaccination i.e., self-decision [OR (95% CI)\u0026thinsp;=\u0026thinsp;1.130 (1.008, 1.267), P\u0026thinsp;=\u0026thinsp;0.036] and self-efficacy [OR (95% CI)\u0026thinsp;=\u0026thinsp;1.135 (1.081, 1.191), P\u0026thinsp;\u0026lt;\u0026thinsp;0.001] were more willing to receive HPV vaccination. The likelihood ratio of the multifactorial logistic regression model obtained by refitting \u0026chi;\u003csup\u003e2\u003c/sup\u003e\u0026thinsp;=\u0026thinsp;234.692, DF\u0026thinsp;=\u0026thinsp;7, P\u0026thinsp;\u0026lt;\u0026thinsp;0.001, was statistically significant, indicating that the model was meaningful at this point. The Hosmer-Lemeshow goodness-of-fit test pointed out that Chi-Square\u0026thinsp;=\u0026thinsp;13.769, DF\u0026thinsp;=\u0026thinsp;8, P\u0026thinsp;=\u0026thinsp;0.088\u0026thinsp;\u0026gt;\u0026thinsp;0.05, indicating that the model fitting effect is good, and the goodness-of-fit of the model is -2logL\u0026thinsp;=\u0026thinsp;751.767, at which point the model is able to correctly classify 80.9% of the respondents. Through the statistics and analysis data of the logistic regression model at this time, the predicted probability P of female sex workers in entertainment venues willing to receive HPV vaccine was obtained, and the cumulative superiority logistic regression model was: Logit (P) = -3.710-0.367X\u003csub\u003e1\u003c/sub\u003e-0.358X\u003csub\u003e2\u003c/sub\u003e\u0026thinsp;+\u0026thinsp;0.763X\u003csub\u003e3\u003c/sub\u003e\u0026thinsp;+\u0026thinsp;0.744X\u003csub\u003e4\u003c/sub\u003e\u0026thinsp;+\u0026thinsp;0.126X\u003csub\u003e5\u003c/sub\u003e\u0026thinsp;+\u0026thinsp;0.123X\u003csub\u003e6\u003c/sub\u003e\u0026thinsp;+\u0026thinsp;0.126X\u003csub\u003e7\u003c/sub\u003e.\u0026nbsp;\u003c/p\u003e\u0026nbsp;\u003ctable id=\"Tab3\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e\n \u003cdiv class=\"CaptionContent\"\u003e\n \u003cp\u003eMulti-factor logistic regression analysis of HPV vaccination willingness of female sex workers in entertainment venues\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariables and classification\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eAssignment situation\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026beta;\u003c/em\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eStandard error\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eWald \u003cem\u003e\u0026chi;\u003c/em\u003e\u003csup\u003e\u003cem\u003e2\u003c/em\u003e\u003c/sup\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003eP\u003c/em\u003e\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eOR(95% CI)\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eBasic information\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003cth align=\"left\"\u003e\u0026nbsp;\u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePlace class\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eGrade information (from highest to lowest)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.335\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.148\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5.138\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.023\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.716(0.536～0.956)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eGrade information (from lowest to highest)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.980\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.997(0.784～1.268)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eEthnicity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHan Chinese\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eControl group\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eZhuang\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.286\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.213\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.805\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.179\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.331(0.877～2.021)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eOther Minorities\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.120\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.267\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.202\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.653\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.127(0.668～1.903)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePersonal monthly income (Yuan per month)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eGrade information (from the lowest to the highest)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.118\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.167\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.501\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.479\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.889(0.641～1.232)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eLength of time in current occupation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eGrade information (from the lowest to the highest)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.074\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.116\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.400\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.527\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.076(0.857～1.352)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eThe highest level of education of the father\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eGrade information (from the lowest to the highest)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.032\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.134\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.056\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.814\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.969(0.745～1.260)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHighest level of education of the mother\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eGrade information (from the lowest to the highest)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.014\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.136\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.010\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.920\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.014(0.777～1.322)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContraceptive measures used during sexual intercourse\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNever had sexual intercourse\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.042\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.425\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.010\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.921\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.959(0.417～2.206)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTake contraceptive measures such as condoms, IUDs, and birth control pills\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.333\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.240\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.927\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.165\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.395(0.872～2.232)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo contraception\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eControl group\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAttitudes toward premarital sex\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAgree or support, acceptable, indifferent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.506\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.319\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e2.523\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.112\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.659(0.888～3.097)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eOppose or reject\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eWhether or not they have received sex education (sexual health training, male and female reproductive system studies)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo(Control group)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.028\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.199\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.020\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.888\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.973(0.659～1.435)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTobacco and alcohol hobbies\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSmoking, drinking alcohol or smoking and drinking alcohol\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.428\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.210\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4.137\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.042\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.652(0.432～0.985)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinued\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eVariables and classification\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eAssignment situation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026beta;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eStandard error\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eWald\u003c/strong\u003e \u003cstrong\u003e\u0026chi;\u003c/strong\u003e\u003csup\u003e\u003cstrong\u003e2\u003c/strong\u003e\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eP\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eOR(95% CI)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eIMB Module Variables\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eInformation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eDo you agree that vaccines are effective in preventing disease?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo(Control group)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.694\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.213\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e10.602\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e2.001(1.318～3.039)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you heard of HPV?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo(Control group)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.285\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.221\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.659\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.198\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.329(0.862～2.050)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you heard of HPV-related diseases?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo(Control group)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.064\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.220\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.085\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.771\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.938(0.609～1.444)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you heard of the HPV vaccine?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo(Control group)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.633\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.218\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e8.475\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.004\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.884(1.230～2.886)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHave you proactively learned about the HPV vaccine?\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNo(Control group)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.000\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.032\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.228\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.020\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.888\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.033(0.661～1.613)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHPV and HPV vaccine knowledge score\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e-0.019\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.045\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.188\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.664\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.981(0.899～1.070)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMotivation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceived severity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.009\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.029\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.095\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.758\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.009(0.954～1.067)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceived susceptibility\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.032\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.055\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.350\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.554\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.033(0.928～1.150)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003ePerceived benefits\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.130\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.044\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e8.564\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.139(1.044～1.243)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSocial motivation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.049\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.825\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.007(0.948～1.069)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBehavioral Skills\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003ctd align=\"left\"\u003e\u0026nbsp;\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSelf-determination\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.125\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.062\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4.094\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.043\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.134(1.004～1.280)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eSelf-efficacy\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eContinuous variables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0.115\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e0.026\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e18.991\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e＜0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.121(1.065～1.181)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cimg src=\"https://myfiles.space/user_files/122228_c8a1650c59388082/122228_custom_files/img1696849226.png\"\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThe age of the 921 respondents in this survey was concentrated between 27 and 45 years old, and they were at the peak of sexual desire in young adults \u003cstrong\u003e[30]\u003c/strong\u003e. Their education level was mostly high school/vocational high school/technical school/technical secondary school and their family locations were mostly in rural areas, the highest education level of their parents was concentrated in junior high school, their workplaces were mostly high-class, their personal monthly income was mostly more than or equal 3800 RMB and the duration of their current occupation was mostly more than 12 months, considering that they chose to enter the society earlier due to their educational environment or family conditions, and they chose to engage in this profession because they could not find a high-paying job due to their personal knowledge level and the technical ability. It is suggested that the local government should pay more attention to rural young and middle-aged women, increase the opportunities for women to learn knowledge and skills, improve their education level and employability, obtain property through legal and compliant channels, and reduce the number of female sex workers in entertainment venues from the source, and fundamentally curb the occurrence and development of HPV and other diseases that cause disease mainly through sexual transmission. The majority of the respondents were unmarried and most of them said that they could accept premarital sex was acceptable, and the age of the first sexual intercourse of those who had sex was mostly less than 20 years old and the number of their sexual partners was more than or equal three. Only about one-third were free of tobacco and alcohol, which was consistent with the high-risk factors of HPV infection \u003cstrong\u003e[31, 32]\u003c/strong\u003e, suggesting that women in this occupation are a high-risk group for HPV infection. It has been shown that single HPV infection increases the risk of cervical cancer by 19.9 times while multiple HPV infections increase this risk by 31.8 times\u003cstrong\u003e[33]\u003c/strong\u003e, and the strongest predictors of multiple HPV types of infection are young and multiple sexual partners \u003cstrong\u003e[34]\u003c/strong\u003e, and that HPV multiple infections may have a synergistic effect in cervical lesions, thus affecting the prognosis of cervical cancer \u003cstrong\u003e[35, 36]\u003c/strong\u003e, suggesting that the risk of multiple HPV infections and cervical cancer in the respondents is much higher than that of ordinary women, and the development of the disease and poor prognosis may be more severe. Most female sex workers in entertainment venues use condoms as a contraceptive measure, and even though condoms may reduce the risk of HPV infection to some extent, they are not absolutely avoidable, so a multi-pronged approach such as HPV vaccination, condom wearing, and regular screening is still advocated to prevent HPV infection and cervical cancer development. Only 52.23% and 53.64% of the respondents have received sex education (sexual health training, male and female reproductive system learning) and training on infectious diseases, preventive medicine education or knowledge about sexually transmitted diseases such as AIDS, indicating that the level of knowledge about gender education and sexually transmitted diseases among this type of working women is not high and they cannot protect their personal health from infringement by themselves, and organizations such as communities and women\u0026apos;s federations should pay attention to The community, women\u0026apos;s federations and other organizations should pay attention to the management of such professional women, strengthen gender education and science popularization of knowledge about sexually transmitted diseases, call for and encourage them to have regular physical examination, pay attention to the screening of two cancers, and improve the level of health care knowledge and awareness.\u003c/p\u003e\n\u003cp\u003eChina is currently in the initial stage of HPV vaccine promotion and research and development, female sex workers in entertainment venues, as a high-risk group of HPV infection, is a key group for HPV vaccination, and improving the awareness of HPV and HPV vaccination rate of women in this group is crucial to reducing the incidence of cervical cancer and protecting women\u0026apos;s health in China. The results of this study showed that the willingness of female sex workers in an urban entertainment venue in Guangxi, China, to vaccinate against HPV was 77.31%, which was higher than the average in China (62.2%) \u003cstrong\u003e[37]\u003c/strong\u003e, but lower than that of Peru (97.5%) \u003cstrong\u003e[38]\u003c/strong\u003e and Phnom Penh, Cambodia (100%) \u003cstrong\u003e[39]\u003c/strong\u003e. The approval of HPV vaccine on the market in China is short, the dissemination rate and popularity of HPV-related knowledge and HPV vaccination information are not high, and the public\u0026apos;s understanding of it is even less optimistic \u003cstrong\u003e[40]\u003c/strong\u003e. In recent years, an urban area of Guangxi, China, has strengthened the detection and supervision of sexually transmitted diseases among female sex workers in entertainment venues, including a significant increase in the dissemination of HPV and HPV vaccine-related information, resulting in a relatively high willingness of female sex workers in entertainment venues to be vaccinated against HPV in this area.\u003c/p\u003e\n\u003cp\u003eIt has been shown that the factors influencing HPV vaccination contain personal factors as well as social, family and interpersonal relationships \u003cstrong\u003e[21]\u003c/strong\u003e. Based on the IMB model theory, this survey analyzed the factors influencing female sex workers\u0026apos; willingness to receive HPV vaccination in an urban entertainment venue in Guangxi, China, in terms of three factors: information factors, motivational factors, and behavioral skill factors.\u003c/p\u003e\n\u003ch3\u003e3.1 Information Factor\u003c/h3\u003e\n\u003cp\u003eThe survey found that female sex workers in entertainment venues with the higher level of awareness of cervical cancer, HPV and HPV vaccine-related information were more willing to receive HPV vaccine. Those who agreed that the vaccine could effectively prevent diseases were 2.144 times more willing to receive the HPV vaccine than those who did not, probably because they were more willing to receive the HPV vaccine to reduce HPV infection and develop HPV because they had a lower chance of developing the disease or reduced symptoms during their previous preventive vaccination, which was beneficial to their health and daily life, and they recognized the effectiveness of primary prevention measures such as vaccination. So they were more willing to reduce the probability of HPV infection and cervical cancer through HPV vaccination. Female sex workers in entertainment venues who have heard of the HPV vaccine were more willing to receive the HPV vaccine, 2.105 times more than those who have not heard of it, and after hearing about HPV vaccine could they know its preventive effects on HPV infection and cervical cancer and could they selectively receive the HPV vaccine in consideration of their own situation. It is recommended that communities, women\u0026apos;s federations and disease prevention and control institutions should continue to strengthen the popularization of knowledge and information about the HPV vaccine when promoting science popularization, so that more age-appropriate and key groups have access to the HPV vaccine. At the same time, innovative publicity channels, such as information exchange through social media platforms or the development of peer education liaison, strengthen the level of awareness of cervical cancer, HPV and HPV vaccine-related information for professional women, and increase the willingness and vaccination rate of HPV vaccination.\u003c/p\u003e\n\u003cdiv id=\"Sec6\" class=\"Section2\"\u003e\n \u003ch2\u003e3.2 Motivational factors\u003c/h2\u003e\n \u003cp\u003eThe stronger the motivation for HPV and HPV vaccination among the study participants, the higher the willingness to receive HPV vaccine. Among them, the perceived benefit is one of the main reasons affecting the willingness of female sex workers in entertainment venues to receive HPV vaccination, which is different from the findings of other populations in China such as female university students \u003cstrong\u003e[21, 41]\u003c/strong\u003e. The reason may be that female sex workers in entertainment venues can perceive the serious impact of HPV infection and cervical cancer on themselves and their occupation due to their occupational particularities, and to some extent understand their occupational susceptibility to HPV infection, and can overcome the obstacles to HPV vaccination such as vaccine safety, effectiveness, side effects, etc., and have a certain economic foundation and self-determination ability compared to students, but they have doubts about the beneficial degree of HPV vaccination to themselves. The results showed that those who could perceive the benefits of HPV vaccination were more willing to receive HPV vaccination than those who could not perceive the benefits of HPV vaccination, which was 1.134 times more than those who could not perceive the benefits of HPV vaccination, which was consistent with the fact that those who favored the vaccine could effectively prevent diseases were more willing to receive it, suggesting that vaccine production and development institutions should pay attention to effectiveness of the vaccine itself in the process of vaccine testing and marketing, guarantee the role of the vaccine in preventing diseases, and make the respondents feel beneficial in the behavior of vaccination. At the same time, in the publicity and education of female sex workers in entertainment venues, more attention should be paid to objectively explaining the beneficial effects of HPV vaccination to reduce the incidence of HPV infection and cervical cancer, strengthen the concept that primary prevention measures such as vaccination are beneficial to individuals in controlling the occurrence and development of disease, so that the public can establish the awareness that prevention is better than treatment and gradually eliminate the occurrence of high-risk sexual behavior.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec7\" class=\"Section2\"\u003e\n \u003ch2\u003e3.3 Behavioral skill factors\u003c/h2\u003e\n \u003cp\u003eThe IMB model believes that even if individuals have a high willingness and cognition to change behavior, they need to master certain behavioral skills before they can achieve individual behavior change \u003cstrong\u003e[21]\u003c/strong\u003e. This survey found that female sex workers in entertainment venues with higher behavioral skill scores were more willing to receive HPV vaccine because they had good self-decision-making and self-efficacy so that they were able to communicate with relatives, friends or medical staff about HPV vaccine and use it to obtain HPV vaccination institutions and processes, and those who mastered more behavioral skills for HPV vaccination, that is, self-decision-making and self-efficacy, were 1.130 times and 1.135 times more willing to receive HPV vaccine was higher than those who were unable to do so, respectively. It is suggested that the future direction of popularization should appropriately add contents on the behavioral skills of HPV vaccination, such as vaccination locations, appointment methods, and vaccination processes, so as to enhance the willingness of female sex workers in entertainment venues to receive HPV vaccination.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec8\" class=\"Section2\"\u003e\n \u003ch2\u003e3.4 Multifactorial analysis of HPV vaccination willingness\u003c/h2\u003e\n \u003cp\u003eThe results of the analysis showed that the willingness of female sex workers in entertainment venues to receive HPV vaccination was related to the rank of the venue, smoking and drinking habits, whether they agreed that the vaccine could effectively prevent diseases, whether they had heard of HPV vaccine, perceived the benefits of HPV vaccination, and mastering more behavioral skills of HPV vaccination, that is, self-decision-making and self-efficacy. Among them, the lower the grade of the venue, the less willing to be vaccinated against HPV among female sex workers in entertainment venues. Every time the grade of the place drops, the willingness to be vaccinated is 0.693 times that of the previous grade, which may due to the fact that female sex workers in upscale entertainment venues need to undergo some conventional standard selection and pre-service training before taking up their jobs, and their understanding of HPV and other sex-related transmission diseases and prevention methods has increased, making them have a certain awareness of sexual safety and can make more profit in the sex trade; while female sex workers in low-grade entertainment venues lack training and management, compared with the high-grade ones who are scattered and hidden, lack of self-health protection awareness, especially in sex-related education and training, the acceptance rate is not high, prompting local regulatory authorities to deal with the registration of female sex workers in entertainment venues, especially those in the low-end and middle-end. Conducting regular health education and training so that they can protect their own health while reducing the spread of sex-related diseases at the root.\u003c/p\u003e\n \u003cp\u003eCombined with the actual situation of the outreach interventions of female sex workers in entertainment venues by the Center for Disease Control and Prevention in an urban of Guangxi, China, it shows that there are still certain difficulties in face-to-face and in-depth communication with female sex service workers for example, some publicity and education are only allowed in the lobby, and in some venues only the foreman receives them. Due to the risk of being cracked down on by public security and other organizations, female sex workers in entertainment venues, especially those with low-grade places, are very wary of communication with investigators and are evasive of survey questions, which undoubtedly makes the work of popularizing HPV and HPV vaccine education and promoting vaccination more difficult. Secondly, due to the specificity of the survey site and insufficient investment for intervention funds, it is difficult to motivate grassroots staff and some departments are understaffed, making it difficult to carry out relevant work and making outreach intervention work inevitably a formality. It is suggested that the intervention model of institutions such as disease control and community health service centers need to be changed in the future, national government departments should increase funding, and at the same time, introduce relevant policies and regulations to standardize the management of entertainment venues with commercial sex transactions, provide practical assistance for female sex workers in entertainment venues for disease detection and mental health regulation, strengthen the intervention of sexually transmitted diseases, and increase the HPV vaccination rate.\u003c/p\u003e\n \u003cp\u003eIn summary, female sex workers in an urban entertainment venue in Guangxi, China, had higher willingness to receive HPV vaccination, and their willingness to receive vaccination was associated with venue class and smoking and drinking habits in the basic situation of the respondents. In terms of information, motivation,and behavioral skills based on the IMB model, whether one agrees that the vaccine can effectively prevent diseases, whether one has heard of HPV vaccine, perceived the benefits of HPV vaccination, and master more behavioral skills of HPV vaccination, that is, self-decision-making and self-efficacy, are the influencing factors affecting the respondents\u0026apos; willingness to receive HPV vaccination. Local governments and preventive health care institutions should strengthen the management of female sex workers in entertainment venues, avoid the occurrence of high-risk sexual behaviors and effectively protect the physical and mental health of women in this profession. At the same time, they should widely carry out publicity and education on HPV and other sexually transmitted diseases, and innovate the methods and forms of science popularization, focusing on introducing the benefits of primary prevention measures such as HPV vaccine for individuals and behavioral skills of HPV vaccination, so as to improve the willingness and vaccination rate of HPV vaccination, promote the process of national immunization planning, and advance the construction of a healthy China.\u003c/p\u003e\n\u003c/div\u003e\n"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study passed the review of the Ethics Committee of Youjiang Medical College for Nationalities and was carried out following the World Medical Association Declaration of Helsinki. Oral agreement was obtained from each recruited woman before starting the completion of the questionnaire. All the completed questionnaires were kept confidential. A detailed explanation of the study and its purpose was given to all women with the emphasis on the confidentiality of obtained information and that participation is completely voluntary.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analysed during the current study available from the corresponding author on reasonable request.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors declare no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eHZY and QGZ originated and designed the study. HZY contributed to the analysis of the data and coordinated the writing of the article. HZY, WJH and HR were responsible for the questionnaire survey in Guangxi, China. JJM and QGZ provided technical guidance, contributed to the interpretation of findings and revision of the manuscript. All authors have read and approved the final manuscript. Each author has participated sufficiently in the work to take public responsibility for the content.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNo funding was received for this study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors would like to thank women who took part in the study.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eBai Y, Wang SQ, Rao Y, et al. Survey on medical students\u0026apos; awareness and willingness to vaccinate against HPV virus and vaccine[J]. 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DOI:10.16835/j.cnki.1000-9817.2020.11.037.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-womens-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bmwh","sideBox":"Learn more about [BMC Women's Health](http://bmcwomenshealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bmwh/default.aspx","title":"BMC Women's Health","twitterHandle":"","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Human papilloma virus vaccine, Inoculation willingness, IMB model, entertainment venue, Female sex worker, Logistic regression","lastPublishedDoi":"10.21203/rs.3.rs-3333612/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3333612/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eTo investigate the willingness of female sex workers in urban entertainment venues in Guangxi, China to vaccinate against HPV and its influencing factors.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eFrom August 15 to October 15, 2022, the intentional sampling method was used to select female sex workers in commercial sex trading entertainment venues in an urban area of Guangxi as the respondents of the study for the questionnaire survey. The questionnaire based on the information-motivation-behavior skills (IMB) model collected the basic information, HPV and HPV vaccine-related information and cognition, vaccination motivation, behavioral skills, and willingness to vaccination of the respondents. A multi-factor logistic regression model was used to analyze the influencing factors of the HPV vaccination willingness of the respondents.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eAmong the 921 respondents, 712 (77.31%) were willing to receive HPV vaccination. The higher the level of awareness of HPV and HPV vaccine-related information, the stronger the motivation for HPV and HPV vaccination, and the higher the behavioral skills score, the higher the willingness of female sex workers in entertainment venues to receive HPV vaccination (P\u0026thinsp;\u0026lt;\u0026thinsp;0.001). Female sex workers in entertainment venues with lower grades \u003cem\u003e[OR(95% CI)\u0026thinsp;=\u0026thinsp;0.693 (0.539, 0.891), P\u0026thinsp;=\u0026thinsp;0.004]\u003c/em\u003e were more reluctant to receive HPV vaccination; those who favored the vaccines as effective in preventing disease \u003cem\u003e[OR(95% CI)\u0026thinsp;=\u0026thinsp;2.144 (1.449, 3.174), P\u0026thinsp;\u0026lt;\u0026thinsp;0.001]\u003c/em\u003e, had heard of HPV vaccine \u003cem\u003e[OR( 95% CI)\u0026thinsp;=\u0026thinsp;2.105 (1.451, 3.054), p\u0026thinsp;\u0026lt;\u0026thinsp;0.001]\u003c/em\u003e, being able to perceive the benefits of HPV vaccination \u003cem\u003e[OR(95% CI)\u0026thinsp;=\u0026thinsp;1.134 (1.045, 1.230), p\u0026thinsp;=\u0026thinsp;0.002]\u003c/em\u003e and acquiring more behavioral skills i.e. self-decision for HPV vaccination \u003cem\u003e[OR(95% CI)\u0026thinsp;=\u0026thinsp;1.130 (1.008, 1.267), P\u0026thinsp;=\u0026thinsp;0.036]\u003c/em\u003e and self-efficacy \u003cem\u003e[OR (95% CI)\u0026thinsp;=\u0026thinsp;1.135 (1.081, 1.191), P\u0026thinsp;\u0026lt;\u0026thinsp;0.001]\u003c/em\u003e preferred to receive HPV vaccination.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eFemale sex workers in urban entertainment venues in Guangxi, China, have relatively high willingness to vaccinate against HPV, and should focus on introducing the benefits of primary prevention measures such as HPV vaccine to individuals and behavioral skills of HPV vaccination, so as to improve the willingness and vaccination rate of HPV vaccine.\u003c/p\u003e","manuscriptTitle":"Analysis of Influencing Factors of HPV Vaccination Willingness of Female Sex Workers in Urban Entertainment Venues Based on IMB Model in Guangxi, China","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2023-10-09 11:10:48","doi":"10.21203/rs.3.rs-3333612/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-01-22T05:47:35+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-01-15T06:32:33+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"a7627fac-3750-4164-811e-5e0de66d3276","date":"2024-01-12T01:48:24+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"e3bc0be5-91f4-49c6-a925-4d592637d9e3","date":"2024-01-11T13:36:54+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-01-11T12:28:40+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-01-11T11:56:08+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2023-10-04T08:34:19+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2023-10-04T06:27:04+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Women's Health","date":"2023-09-07T08:54:06+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-womens-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bmwh","sideBox":"Learn more about [BMC Women's Health](http://bmcwomenshealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bmwh/default.aspx","title":"BMC Women's Health","twitterHandle":"","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"abf2be21-2940-4e7d-8e4e-cc4dcc0bdcc0","owner":[],"postedDate":"October 9th, 2023","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-02-26T15:13:48+00:00","versionOfRecord":{"articleIdentity":"rs-3333612","link":"https://doi.org/10.1186/s12905-024-02962-y","journal":{"identity":"bmc-womens-health","isVorOnly":false,"title":"BMC Women's Health"},"publishedOn":"2024-02-24 15:01:59","publishedOnDateReadable":"February 24th, 2024"},"versionCreatedAt":"2023-10-09 11:10:48","video":"","vorDoi":"10.1186/s12905-024-02962-y","vorDoiUrl":"https://doi.org/10.1186/s12905-024-02962-y","workflowStages":[]},"version":"v1","identity":"rs-3333612","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3333612","identity":"rs-3333612","version":["v1"]},"buildId":"i_I_jhV-QviBjPLXJga9V","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}