Motivational and contextual determinants of HPV-vaccination uptake: A longitudinal study among mothers of girls invited for the HPV-vaccination

Autor: Iris Eekhout, Hilde M. van Keulen, Robert A. C. Ruiter, Liesbeth Mollema, M. Pot, T. Paulussen
Přispěvatelé: RS: FPN WSP II, Section Applied Social Psychology
Rok vydání: 2017
Předmět:
Adult
HPV
Longitudinal study
Adolescent
Epidemiology
media_common.quotation_subject
Mothers
Sample (statistics)
Intention
Logistic regression
Nuclear Family
03 medical and health sciences
0302 clinical medicine
Life
CH - Child Health
Surveys and Questionnaires
Humans
Medicine
Longitudinal Studies
Papillomavirus Vaccines
030212 general & internal medicine
Nuclear family
Netherlands
Cancer
media_common
Motivation
business.industry
Papillomavirus Infections
Vaccination
Public Health
Environmental and Occupational Health
virus diseases
Hpv vaccination
Social-psychological determinants
female genital diseases and pregnancy complications
Health
030220 oncology & carcinogenesis
Female
HPV-vaccination uptake
ELSS - Earth
Life and Social Sciences
Habit
Healthy for Life
business
Healthy Living
Demography
Zdroj: Preventive Medicine, 100, 41-49
Preventive Medicine, 100, 41-49. Elsevier Science
ISSN: 0091-7435
DOI: 10.1016/j.ypmed.2017.04.005
Popis: Background. In the Netherlands, HPV-vaccination uptake among 12-year-old girls remains to be lower (61% in 2016) than expected. The present study is about 1) replicating the extent to which social-psychological determinants found in earlier cross-sectional studies explain HPV-vaccination intention, and 2) testing whether HPV vaccination intention, as well as other social-psychological determinants, are good predictors of future HPV-vaccination uptake in a longitudinal design. Methods. A random sample of mothers of girls invited for the vaccination in 2015 was drawn from the Dutch vaccination register (Praeventis) (N = 36,000) and from three online panels (N = 2483). Two months prior to the vaccination of girls, their mothers were requested to complete a web-based questionnaire by letter (Praeventis sample) or by e-mail (panel samples). HPV-vaccination uptake was derived from Praeventis. Backward linear and logistic regression analyses were conducted to examine most dominant predictors of HPV-vaccination intention and uptake, respectively. The total sample used for data analyses consisted of 8062 mothers. Response rates were 18% for the Praeventis sample and 47% for the panel samples. Results. HPV-vaccination intention was best explained by attitude, beliefs, subjective norms, habit, and perceived relative effectiveness of the vaccination; they explained 83% of the variance in HPV-vaccination intention. Intention appeared to be the only stable predictor of HPV-vaccination uptake and explained 43% of the variance in HPV-vaccination uptake. Conclusions. These results confirm what was found by earlier cross-sectional studies, and provide strong leads for selecting relevant targets in the planning of future communication strategies aiming to improve HPV-vaccination uptake.
Databáze: OpenAIRE
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