Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior
Hepatitis B (Hep B) remains a critical public health issue globally, particularly in Tibet, where vaccination rates and influencing factors among college students are yet understudied. This study applies a cross-sectional design to investigate the Hep B vaccination rate among 1,126 college students...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/21645515.2025.2452026 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841526681266814976 |
|---|---|
| author | Qi Chen Jun Ma Ruipeng Wu Yingting Wang Xiaoxin Ma Xiaolei Zheng Hui Jin |
| author_facet | Qi Chen Jun Ma Ruipeng Wu Yingting Wang Xiaoxin Ma Xiaolei Zheng Hui Jin |
| author_sort | Qi Chen |
| collection | DOAJ |
| description | Hepatitis B (Hep B) remains a critical public health issue globally, particularly in Tibet, where vaccination rates and influencing factors among college students are yet understudied. This study applies a cross-sectional design to investigate the Hep B vaccination rate among 1,126 college students in Tibet and utilizes the expanded theory of planned behavior (ETPB) to identify vaccination behavior intention (BI) and vaccination behavior (VB). Stratified cluster sampling across three universities was used to assess behavioral attitudes (BA), subjective norms (SN), perceived behavioral control (PBC), past vaccination history (PVH) and vaccination knowledge (VK), and used structural equation modeling (SEM) for model validation and multi-group comparison. Results indicated that 16.3% of students had received the Hep B vaccine. VK notably improved BA toward vaccination (β = 0.518, p < .001). BA (β = 0.232, p < .001), PBC (β = 0.239, p < .001), SN (β = 0.385, p < .001) positively influenced BI. However, PVH failed to predict BI. BI (β = 0.448, p < .001) and PVH (β = 0.127, p < .001) were significant predictors of VB. Significant ethnic variations were noted. The positive effect of PVH on VB (β = 0.151, p < .001) and the mediating role of PBC in VB (β = 0.076, p < .05) were significant among Tibetan students. The effect of VK on BA was stronger among Tibetans (β = 0.503, p < .05),while the impact of attitude on BI was more pronounced among Han students (β = 0.366, p < .05). The vaccination rate for Hep B among college students in Tibet is relatively low, and the ETPB model effectively explains their vaccination intentions and behaviors. Tailored intervention strategies for Tibetan and Han students are recommended to boost vaccination rates effectively. |
| format | Article |
| id | doaj-art-cdd1a5a215e24617b4b5c1a194c783c0 |
| institution | Kabale University |
| issn | 2164-5515 2164-554X |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj-art-cdd1a5a215e24617b4b5c1a194c783c02025-01-16T13:59:09ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2452026Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behaviorQi Chen0Jun Ma1Ruipeng Wu2Yingting Wang3Xiaoxin Ma4Xiaolei Zheng5Hui Jin6Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, PR ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, PR ChinaKey Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region, School of Medicine, Xizang Minzu University, Xianyang, P.R. ChinaKey Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region, School of Medicine, Xizang Minzu University, Xianyang, P.R. ChinaDepartment of General Practice, Chengguan Liangdao Subdistrict Community Health Service Center, Lhasa, PR ChinaDepartment of General Practice, Chengguan Liangdao Subdistrict Community Health Service Center, Lhasa, PR ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, PR ChinaHepatitis B (Hep B) remains a critical public health issue globally, particularly in Tibet, where vaccination rates and influencing factors among college students are yet understudied. This study applies a cross-sectional design to investigate the Hep B vaccination rate among 1,126 college students in Tibet and utilizes the expanded theory of planned behavior (ETPB) to identify vaccination behavior intention (BI) and vaccination behavior (VB). Stratified cluster sampling across three universities was used to assess behavioral attitudes (BA), subjective norms (SN), perceived behavioral control (PBC), past vaccination history (PVH) and vaccination knowledge (VK), and used structural equation modeling (SEM) for model validation and multi-group comparison. Results indicated that 16.3% of students had received the Hep B vaccine. VK notably improved BA toward vaccination (β = 0.518, p < .001). BA (β = 0.232, p < .001), PBC (β = 0.239, p < .001), SN (β = 0.385, p < .001) positively influenced BI. However, PVH failed to predict BI. BI (β = 0.448, p < .001) and PVH (β = 0.127, p < .001) were significant predictors of VB. Significant ethnic variations were noted. The positive effect of PVH on VB (β = 0.151, p < .001) and the mediating role of PBC in VB (β = 0.076, p < .05) were significant among Tibetan students. The effect of VK on BA was stronger among Tibetans (β = 0.503, p < .05),while the impact of attitude on BI was more pronounced among Han students (β = 0.366, p < .05). The vaccination rate for Hep B among college students in Tibet is relatively low, and the ETPB model effectively explains their vaccination intentions and behaviors. Tailored intervention strategies for Tibetan and Han students are recommended to boost vaccination rates effectively.https://www.tandfonline.com/doi/10.1080/21645515.2025.2452026Expanded theory of planned behavior (ETPB)Tibetan college studentshepatitis B vaccinationstructural equation modeling (SEM)vaccination behavior determinants |
| spellingShingle | Qi Chen Jun Ma Ruipeng Wu Yingting Wang Xiaoxin Ma Xiaolei Zheng Hui Jin Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior Human Vaccines & Immunotherapeutics Expanded theory of planned behavior (ETPB) Tibetan college students hepatitis B vaccination structural equation modeling (SEM) vaccination behavior determinants |
| title | Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior |
| title_full | Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior |
| title_fullStr | Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior |
| title_full_unstemmed | Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior |
| title_short | Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior |
| title_sort | factors influencing hepatitis b vaccination intention and behavior among college students in tibet insights from the expanded theory of planned behavior |
| topic | Expanded theory of planned behavior (ETPB) Tibetan college students hepatitis B vaccination structural equation modeling (SEM) vaccination behavior determinants |
| url | https://www.tandfonline.com/doi/10.1080/21645515.2025.2452026 |
| work_keys_str_mv | AT qichen factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior AT junma factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior AT ruipengwu factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior AT yingtingwang factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior AT xiaoxinma factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior AT xiaoleizheng factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior AT huijin factorsinfluencinghepatitisbvaccinationintentionandbehavioramongcollegestudentsintibetinsightsfromtheexpandedtheoryofplannedbehavior |