Using an integrated conceptual framework to investigate parents' HPV vaccine decision for their daughters and sons

PREVENTIVE MEDICINE

卷:116

Article

Shapiro, Gilla K.^1,2  Tatar, Ovidiu²  Amser, Rhonda¹  Prue, Gillian³  Zimet, Gregory D.⁴  Knauper, Barbel¹  Rosberger, Zeev^2,5,6,7 

[1] McGill Univ, Dept Psychol, 1205 Dr Penfield Ave, Montreal, PQ H3A 1B1, Canada

[2] Jewish Gen Hosp, Lady Davis Inst Med Res, 4333 Cote St Catherine Rd, Montreal, PQ H3T 1E4, Canada

[3] Queens Univ Belfast, Med Biol Ctr, Sch Nursing & Midwifery, 97 Lisburn Rd, Belfast BT9 7BL, Antrim, North Ireland

[4] Indiana Univ Sch Med, Dept Pediat, Sect Adolescent Med, Indianapolis, IN 46202 USA

[5] Jewish Gen Hosp, Louise Granofsky Psychosocial Oncol Program, 4333 Cote St Catherine Rd, Montreal, PQ H3T 1E4, Canada

[6] McGill Univ, Dept Psychiat, 1205 Dr Penfield Ave, Montreal, PQ H3A 1B1, Canada

[7] McGill Univ, Dept Oncol, 1205 Dr Penfield Ave, Montreal, PQ H3A 1B1, Canada

关键词: Human papillomavirus vaccination;    Vaccine uptake;    Vaccine intentions;    Vaccine hesitancy;    Determinants of health;    Gender;    Health behaviour change;    Health Belief Model;    Precaution Adoption Process Model;   

DOI  :  10.1016/j.ypmed.2018.09.017

来源: Elsevier

【 摘 要 】

Despite being an effective cancer prevention strategy, human papillomavirus (HPV) vaccination in Canada remain suboptimal. This study is the first to concurrently evaluate HPV vaccine knowledge, attitudes, and the decision-making stage of Canadian parents for their school-aged daughters and sons. Data were collected through an online survey from a nationally representative sample of Canadian parents of 9-16 year old children from August to September 2016. Measures included socio-demographics, validated scales to assess HPV vaccine knowledge and attitudes (using the Health Belief Model), and parents' HPV vaccination adoption stage using the Precaution Adoption Process Model (PAPM; six stages: unaware, unengaged, undecided, decided not, decided to, or vaccinated). 3779 parents' survey responses were analyzed (1826 parents of sons and 1953 parents of daughters). There was a significant association between child's gender and PAPM stage of decision-making, with parents of boys more likely to report being in earlier PAPM stages. In multinomial logistic regression analyses parents of daughters (compared to sons), parents of older children, and parents with a health care provider recommendation had decreased odds of being in any earlier PAPM stage as compared to the last PAPM stage (i.e. vaccinated). Parents who were in the 'decided not to vaccinate' stage had significantly greater odds of reporting perceived vaccine harms, lack of confidence, risks, and vaccine conspiracy beliefs. Future research could use these findings to investigate theoretically informed interventions to specifically target subsets of the population with particular attention towards addressing knowledge gaps, perceived barriers, and concerns of parents.

【 授权许可】

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