Associations between risk-perception, self-efficacy and vaccine response-efficacy and parent/guardian decision-making regarding adolescent HPV vaccination

Alicia Myhre, Tiaj Xiong , Rachel I. Vogel, Deanna Teoh
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引用次数: 13

Abstract

Objectives

To evaluate associations of risk perception, self-efficacy and response-efficacy with HPV vaccination decisions among parents/guardians of adolescents.

Methods

A cross-sectional survey of parents/guardians of adolescents was conducted at the Minnesota State Fair. Risk perception was measured by participant rankings of HPV infection and vaccine risks against diseases/side-effects for which numerical risks were provided. Response efficacy was measured as perceived ability of the vaccine to prevent HPV infection, and self-efficacy was measured as the perceived ability to prevent infection without vaccination (scale 0–100). Chi-squared and Fisher's exact tests compared risk perception, self-efficacy and response-efficacy of vaccinators to non-vaccinators.

Results

Of 405 eligible participants, 355 completed vaccination questions; 304 (86%) were vaccinators and 51 (14%) were non-vaccinators. Non-vaccinators had lower risk-perception of HPV-related cancers (p < 0.05) and higher risk-perception of vaccine-related side-effects (p < 0.05). Self-efficacy was higher (64 ± 24 vs. 30 ± 29; p < 0.0001) and perceived HPV vaccine response efficacy was lower (52 ± 31 vs. 83 ± 19; p < 0.0001) among non-vaccinators compared to vaccinators.

Conclusions

Lower HPV-related cancer risk perception and higher self-efficacy were associated with the decision not to vaccinate. HPV vaccination decisions were similar to meningococcal vaccination decisions, suggesting reluctance to vaccinate in general rather than resistance to the HPV vaccine specifically drove the results.

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风险感知、自我效能和疫苗反应效能与父母/监护人关于青少年HPV疫苗接种决策之间的关系
目的评价青少年父母/监护人HPV疫苗接种决策与风险感知、自我效能和反应效能的关系。方法对参加明尼苏达州博览会的青少年家长/监护人进行横断面调查。风险感知是通过参与者对HPV感染和疫苗对疾病/副作用的风险的排名来衡量的,这些风险提供了数字风险。反应效能以疫苗预防HPV感染的感知能力来衡量,自我效能以不接种疫苗预防感染的感知能力来衡量(量表0-100)。卡方检验和Fisher精确检验比较了接种者和非接种者的风险感知、自我效能和反应效能。在405名符合条件的参与者中,355人完成了疫苗接种问题;304名接种者(86%)和51名非接种者(14%)。未接种疫苗者对hpv相关癌症的风险认知较低(p <0.05)和对疫苗相关副作用的更高风险认知(p <0.05)。自我效能感较高(64±24∶30±29);p & lt;0.0001),感知HPV疫苗应答有效性较低(52±31∶83±19;p & lt;0.0001),与接种者相比。结论hpv相关癌症风险认知较慢和自我效能感较高与不接种疫苗的决定相关。HPV疫苗接种决定与脑膜炎球菌疫苗接种决定相似,表明一般不愿接种疫苗,而不是对HPV疫苗的抵抗力特别推动了结果。
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来源期刊
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审稿时长
14 weeks
期刊介绍: The official Journal of the International Papillomavirus Society Papillomavirus Research (PVR), the Journal of HPV and other Small DNA Tumor Viruses publishes innovative papers related to all aspects of papillomaviruses and other small DNA tumor viruses. The official journal of the International Papillomavirus Society, PVR is an open access publication that aims to bring together virologists, immunologists, epidemiologists and clinicians working in the booming field of HPV and animal papillomaviruses, polyomaviruses and other small DNA tumor viruses and their associated diseases, in order to foster and facilitate interdisciplinary communication. The journal welcomes original research articles, reviews, short communications, opinion articles and regional update reports on papillomaviruses and other tumor viruses in the following sections: a. Biology of papillomaviruses and related viruses from life cycle to cancer b. Epidemiology etiology and natural history studies c. Natural and induced immunity including vaccine research d. Intervention studies and strategies including i. Clinical studies and trials ii. HPV treatments iii. HPV vaccination programs iv. Diagnostics and screening e. Infection and disease prevention, modeling studies f. Guidelines and public health recommendations g. HPV Studies in special populations Regional and local studies on these viruses.
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