Predicting Human Papillomavirus Vaccine Uptake in Young Adult Women: Comparing the Health Belief Model and Theory of Planned Behavior

Gerend, Mary A.; Shepherd, Janet E.

doi:10.1007/s12160-012-9366-5

Cited by 347 publications

(384 citation statements)

References 32 publications

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“…This finding is consistent with those of past studies indicating that peer norms are a powerful antecedent to sex-related decisions and behaviors among young women (Dishion & Dodge, 2005;Padilla-Walker & Bean, 2009;Rodgers, Rowe, & Buster, 1998), including HPV vaccination (Gerend & Shepherd, 2012;Head & Cohen, 2012;Teitelman et al, 2011).…”

Section: Discussionsupporting

confidence: 92%

“…The studies that have investigated young adult women's HPV vaccination perceptions, intentions, and behaviors have been primarily focused on university students in urban environments (Allen et al, 2009;Bennett, Buchanan, & Adams, 2012;Bynum, Brandt, Sharpe, Williams, & Kerr, 2011;Crosby, Schoenberg, Hopenhayn, Moore, & Melhan, 2007;Gerend & Shepherd, 2012;Hopfer & Clippard, 2011;Juraskova, O'Brien, Mullan, Bari, Laidsaar-Powell, & McCaffery, 2012;Krawczyk et al, 2012;Licht et al, 2010;Moore, Crosby, Young, & Charnigo, 2010;Roberts, Gerrard, Reimer, & Gibbons, 2010). Unfortunately, behavioral and psychosocial factors that influence uptake of the HPV vaccine have not been investigated among young adult women in low-income, medically underserved communities, such as those in rural Appalachia.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

et al. 2013

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Women in Appalachian Kentucky experience a high burden of cervical cancer and have low rates of human papillomavirus (HPV) vaccination. The purpose of this study was to identify normative influences predicting initial HPV vaccine uptake among a sample of young women in southeastern Kentucky. Women (N = 495), ages 18 through 26 years, were recruited from clinics and community colleges. After completing a questionnaire, women received a free voucher for HPV vaccination. Whether women redeemed the voucher for Dose 1 served as the primary outcome variable. Hierarchical logistic regression was used to estimate the influence of healthcare providers, friends, mothers, and fathers on vaccine uptake. One-quarter of the total sample (25.9 %) received Dose 1. Uptake was higher in the clinic sample (45.1 %) than in the college sample (6.9 %). On multivariate analysis, women indicating that their healthcare provider suggested the vaccine, that their friends would "definitely" want them to be vaccinated, and that their fathers would "definitely" want them to receive the vaccine all were 1.6 times more likely to receive Dose 1. Interaction effects occurred between recruitment site (clinic vs. community college) and all three of the normative influences retaining multivariate significance, indicating that the associations only applied to the clinic sample. HPV vaccine interventions may benefit from highlighting paternal endorsement, healthcare provider recommendation, and peer support.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

et al. 2013

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“…13,16 According to the TPB, attitude and subjective norm, as well as perceived behavioral control, have an impact on the intention to vaccinate. The ability of HBM and TPB to predict HPV vaccination has been compared by Gerend and Shepard who found that the theories overlap to a great extent 22. Declining parents considered the risks outweighed the benefits and had concerns about the vaccine's efficacy and safety.…”

Section: Discussionmentioning

confidence: 99%

“…Another common barrier to accepting the vaccination was insufficient knowledge or information about the virus and the vaccine 13, 19. Other factors that might influence the decision about vaccination are subjective norms and emotions 22. Information from social media and the internet may also influence the decision 23, 24.…”

mentioning

confidence: 99%

To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School‐Based Vaccination Program in Sweden

Grandahl

Tydén

Westerling

et al. 2016

Journal of School Health

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BACKGROUND Parents' beliefs about human papillomavirus (HPV) vaccination influence whether they allow their daughters to be vaccinated. We examined the association between parents' refusal and sociodemographic background, knowledge and beliefs about HPV, and the HPV vaccination in relation to the Health Belief Model. METHODS The sample consisted of 200 (55%) parents of children aged 11‐12 years in the Swedish national vaccination program. Data were collected using a self‐reported questionnaire. Most parents (N = 186) agreed to the vaccination. Pearson's chi‐square, Fisher's exact test, and the Mann‐Whitney U test were used to analyze data. RESULTS Declining parents saw more risks and fewer benefits of HPV vaccination but no differences in beliefs regarding the severity or young girls' susceptibility to HPV were found. There was an association between refusing the HPV vaccine and lower acceptance of previous childhood vaccinations, and their main source of information was the Internet. Parents who declined the vaccine believed it could adversely affect condom use, the age of their daughter's sexual debut, and the number of sexual partners. CONCLUSION Parents should have the possibility to discuss HPV and HPV vaccine with a school nurse or other health care professionals, and should have access to evidence‐based information on the Internet.

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“…5,6,9,11 Although these barriers cannot be evaluated in administrative data, it is interesting to note that insurance coverage expansion in 2010 appears to have had no impact on uptake among these women, although its intended effect is to reduce costrelated barriers to use. As of 2010, the Affordable Care Act mandated coverage of ACIP-approved vaccines at no cost for insured patients, and this includes coverage of the HPV vaccine.…”

Section: Discussionmentioning

confidence: 99%

Low Uptake of Human Papillomavirus Vaccine Among Postpartum Women, 2006–2012

Kilfoyle

Rahangdale

Dusetzina

2016

Journal of Women's Health

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Background: Young adult women find it acceptable to be offered the human papillomavirus (HPV) vaccine postpartum. Little is known about the practice of administering the HPV vaccine during the postpartum period. Materials and Methods: The Truven Health Analytics MarketScan Commercial Claims and Encounters database was used to develop a cohort of privately insured 18 to 26-year-old women with uncomplicated live-born pregnancies. Eligibility required no previous doses of HPV vaccine before delivery and continuous insurance enrollment from June 2006 through 1 year postpartum. Descriptive statistics were performed. Results: A total of 51,913 women meet age and enrollment criteria, with 3912 (7.5%) having received any doses of vaccine before their delivery, leaving 48,001 women in this cohort. In the year postpartum, 861 women (1.8%) received any HPV vaccine. Of the women initiating the vaccine, only 337 (39%) completed the threevaccine series. Women who received the vaccine, compared with women who did not, were younger (21 vs. 23 years old), more often the dependent to the insurance beneficiary (56% vs. 30%), and were more likely to have had an abnormal pap smear in the year prior (19.6% vs. 9.1%) or postdelivery (16.4% vs. 4.9). More women completed the HPV vaccine series when initiated within 2 months postpartum compared with women initiating the vaccine series >2 months postpartum (44% vs. 38%). Conclusions: Postpartum women are eligible for the HPV vaccine, yet very few are receiving it. The postpartum period is a missed opportunity for administration of this cancer-preventing vaccine.

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Predicting Human Papillomavirus Vaccine Uptake in Young Adult Women: Comparing the Health Belief Model and Theory of Planned Behavior

Abstract: Background-Although theories of health behavior have guided thousands of studies, relatively few studies have compared these theories against one another.

Cited by 347 publications

References 32 publications

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

Predictors of Initial Uptake of Human Papillomavirus Vaccine Uptake Among Rural Appalachian Young Women

To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School‐Based Vaccination Program in Sweden

Low Uptake of Human Papillomavirus Vaccine Among Postpartum Women, 2006–2012

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