262220 Utilizing a Reasoned Action Approach to examine HPV vaccination

Monday, October 29, 2012

Alireza Geshnizjani, PhD, MPH, MS , Community Health Education and Recreation, University of Maine, Farmington, ME
Kristen Jozkowski, PhD , Community Health Promotion, University of Arkansas, Fayetteville, AR
Susan E. Middlestadt, PhD , Department of Applied Health Science, Indiana University, Bloomington, IN
Background: The Human Papillomavirus (HPV) vaccine prevents transmission of certain cancer and wart causing strains of HPV. Although at high risk for contracting HPV, less than half of college women have been vaccinated. The purpose of this study was to identify underlying factors influencing the intention of college women to get the HPV vaccine via developing an instrument to examine women's intention to get the vaccine using the Reasoned Action Approach (RAA). Methods: Data was collected from two different samples of college women at a large mid-west university via two phases. In Phase 1, a salient-belief elicitation survey based on the RAA was utilized to collect quantitative and qualitative data. Phase 1 data was then utilized to create a quantitative closed-ended instrument which was administered to large sample of female college students in Phase 2. The data was analyzed by conducting content analysis and standard multiple regression. Results: Results indicated that the perceived consequences of getting the vaccine, such as protection against HPV and cervical cancer, were primary determinants influencing vaccination behaviors. Participants perceived healthcare providers and mothers as salient referents influencing their vaccination decisions. Attitude towards the act and perceived norm were the major predictors of intention to get a vaccine. Implications: Utilizing theory-based approaches to design interventions may be beneficial to increase vaccination rates among college women. Such interventions could focus on the attitudes and perceived norms of college students' regarding getting the HPV vaccine and include components which focus on the role of mothers and physicians.

Learning Areas:
Administer health education strategies, interventions and programs
Other professions or practice related to public health
Program planning
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Examine the relevance of Reason Action Approach in understanding the behavior of getting the HPV vaccine among college women 2. Identify the role of perceived consequences, perceived social referents (subjective and descriptive norm), and perceived circumstances in getting the HPV vaccine 3. Describe implications for approaches to increase the rate of HPV vaccination 4. Examine the role of interpersonal determinants on HPV vaccination

Keywords: Cervical Cancer, Health Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an assistant professor of health behavior with a PhD and MPH degrees.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.