Dissertation/Thesis Abstract

Parental acceptance of human papillomavirus vaccine in 9-18 year-old girls
by Reynolds, Diane, Ed.D., Teachers College, Columbia University, 2010, 202; 3425023
Abstract (Summary)

Purpose. Gardasil is the first vaccine developed to prevent cervical cancer and other diseases caused by certain types of human papillomavirus (HPV), but little is known about parental acceptance of the HPV vaccine. Guided by the health belief model (HBM) and the theory of reasoned action (TRA), the purpose of this study was to examine the relationship of factors contributing to parental acceptance of HPV vaccination for their 9-18 year old daughters. In addition, the construct validity of the measurement instruments used in the study was assessed.

Methods. A descriptive correlational was conducted using an online survey platform. Construct validity of the measurement tools was determined though the use of principal components factor analysis. Backward stepwise regression models assessed the association between predictor variables and intent to vaccinate. Respondents included a group who had already vaccinated their daughters against HPV (n = 105). This group was compared to those who intended to vaccinate (n = 76) and those who had no intent (n = 142).

Results. Worry about getting infected with a sexually transmitted disease and a belief that their daughter would one day be at risk for contracting HPV or cervical cancer were predictors of intent to vaccinate. Parents were more likely to vaccinate if they believed that people who are important to them would support their decision. Additionally, having a positive attitude about vaccine benefits as well as receiving information about HPV from a health care provider were predictors of intent. Parents who had already vaccinated had the support of their social network, had more favorable attitudes towards vaccines, and were more likely to vaccinate an older rather than younger child. A significant positive relationship between knowledge and prior experience with HPV related diseases was found, but were not significant predictors of vaccine intent or status.

Conclusions. Parental attitudes towards HPV vaccination are multifactorial. The HBM and TRA are appropriate models to assess parental attitudes towards HPV vaccination. Prior experience can be a source of knowledge but knowledge alone is not an adequate stimulus for action.

Indexing (document details)
Advisor: O'Connell, Kathleen
School: Teachers College, Columbia University
School Location: United States -- New York
Source: DAI-B 71/10, Dissertation Abstracts International
Subjects: Behavioral psychology, Nursing, Public health
Keywords: Adolescent health, Cervical cancer, HPV vaccine, Parental acceptance
Publication Number: 3425023
ISBN: 978-1-124-25397-8
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