Social Cognitive and Clinical Factors Associated with HPV Vaccine Initiation Among Urban, Economically Disadvantaged Women

Anne M. Teitelman, Marilyn Stringer, Giang T. Nguyen, Alexandra L. Hanlon, Tali Averbuch, Amy Stimpfel

Research output: Contribution to journalArticle

Abstract

Objective: To learn more about human papilloma virus (HPV) knowledge and vaccination among teens and young women age 13 to 26 years from an economically disadvantaged, urban community. Our aim was to identify common beliefs about HPV vaccine initiation and describe the relationship between attitudes, norms, perceived control, and intention to receive HPV vaccine, drawing from the theory of planned behavior (TPB). Design: Mixed method, descriptive design. Guided by the TPB, HPV vaccine beliefs were assessed through focus groups. Intention to receive the vaccine, demographic and clinical factors, and theoretical predictor variables (attitudes, norms, and control) were assessed through questionnaires. Setting: After recruitment, focus groups were held at a convenient date and time for our participants in a small university conference room. Participants: Participants were economically disadvantaged young women, age 13 to 26 (N = 34). Methods: Specific behavioral, normative, and control beliefs were elicited in focus groups and analyzed using content analysis. Simple and multivariate general linear modeling with adjustment for prognostic demographic and clinical factors was completed to assess the influence of the theoretical predictor variables on the outcome of HPV vaccine initiation. Results: Influential beliefs toward vaccination were identified. Analysis indicated attitudes, norms, and perceived control toward HPV vaccine initiation were highly significant predictors of intent, as was tobacco use; all p's < .001. Conclusion: Barriers to HPV vaccine initiation were identified, and strong preliminary evidence supports use of the TPB to guide programs to promote urban, economically disadvantaged young women's intent to begin the HPV vaccine.

Original languageEnglish (US)
Pages (from-to)691-701
Number of pages11
JournalJournal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG
Volume40
Issue number6
DOIs
StatePublished - Nov 2011

Fingerprint

Papillomavirus Vaccines
Vulnerable Populations
Focus Groups
Papillomaviridae
Vaccination
Demography
Tobacco Use
Vaccines

Keywords

  • Adolescent
  • Cervical cancer
  • HPV vaccine
  • Prevention
  • Sexual health
  • Theory of planned behavior
  • Women's health

ASJC Scopus subject areas

  • Maternity and Midwifery
  • Pediatrics
  • Critical Care
  • Medicine(all)

Cite this

Social Cognitive and Clinical Factors Associated with HPV Vaccine Initiation Among Urban, Economically Disadvantaged Women. / Teitelman, Anne M.; Stringer, Marilyn; Nguyen, Giang T.; Hanlon, Alexandra L.; Averbuch, Tali; Stimpfel, Amy.

In: Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG, Vol. 40, No. 6, 11.2011, p. 691-701.

Research output: Contribution to journalArticle

Teitelman, Anne M. ; Stringer, Marilyn ; Nguyen, Giang T. ; Hanlon, Alexandra L. ; Averbuch, Tali ; Stimpfel, Amy. / Social Cognitive and Clinical Factors Associated with HPV Vaccine Initiation Among Urban, Economically Disadvantaged Women. In: Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG. 2011 ; Vol. 40, No. 6. pp. 691-701.
@article{658f8377d8d7431b8de81d996ab7a653,
title = "Social Cognitive and Clinical Factors Associated with HPV Vaccine Initiation Among Urban, Economically Disadvantaged Women",
abstract = "Objective: To learn more about human papilloma virus (HPV) knowledge and vaccination among teens and young women age 13 to 26 years from an economically disadvantaged, urban community. Our aim was to identify common beliefs about HPV vaccine initiation and describe the relationship between attitudes, norms, perceived control, and intention to receive HPV vaccine, drawing from the theory of planned behavior (TPB). Design: Mixed method, descriptive design. Guided by the TPB, HPV vaccine beliefs were assessed through focus groups. Intention to receive the vaccine, demographic and clinical factors, and theoretical predictor variables (attitudes, norms, and control) were assessed through questionnaires. Setting: After recruitment, focus groups were held at a convenient date and time for our participants in a small university conference room. Participants: Participants were economically disadvantaged young women, age 13 to 26 (N = 34). Methods: Specific behavioral, normative, and control beliefs were elicited in focus groups and analyzed using content analysis. Simple and multivariate general linear modeling with adjustment for prognostic demographic and clinical factors was completed to assess the influence of the theoretical predictor variables on the outcome of HPV vaccine initiation. Results: Influential beliefs toward vaccination were identified. Analysis indicated attitudes, norms, and perceived control toward HPV vaccine initiation were highly significant predictors of intent, as was tobacco use; all p's < .001. Conclusion: Barriers to HPV vaccine initiation were identified, and strong preliminary evidence supports use of the TPB to guide programs to promote urban, economically disadvantaged young women's intent to begin the HPV vaccine.",
keywords = "Adolescent, Cervical cancer, HPV vaccine, Prevention, Sexual health, Theory of planned behavior, Women's health",
author = "Teitelman, {Anne M.} and Marilyn Stringer and Nguyen, {Giang T.} and Hanlon, {Alexandra L.} and Tali Averbuch and Amy Stimpfel",
year = "2011",
month = "11",
doi = "10.1111/j.1552-6909.2011.01297.x",
language = "English (US)",
volume = "40",
pages = "691--701",
journal = "JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing",
issn = "0884-2175",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Social Cognitive and Clinical Factors Associated with HPV Vaccine Initiation Among Urban, Economically Disadvantaged Women

AU - Teitelman, Anne M.

AU - Stringer, Marilyn

AU - Nguyen, Giang T.

AU - Hanlon, Alexandra L.

AU - Averbuch, Tali

AU - Stimpfel, Amy

PY - 2011/11

Y1 - 2011/11

N2 - Objective: To learn more about human papilloma virus (HPV) knowledge and vaccination among teens and young women age 13 to 26 years from an economically disadvantaged, urban community. Our aim was to identify common beliefs about HPV vaccine initiation and describe the relationship between attitudes, norms, perceived control, and intention to receive HPV vaccine, drawing from the theory of planned behavior (TPB). Design: Mixed method, descriptive design. Guided by the TPB, HPV vaccine beliefs were assessed through focus groups. Intention to receive the vaccine, demographic and clinical factors, and theoretical predictor variables (attitudes, norms, and control) were assessed through questionnaires. Setting: After recruitment, focus groups were held at a convenient date and time for our participants in a small university conference room. Participants: Participants were economically disadvantaged young women, age 13 to 26 (N = 34). Methods: Specific behavioral, normative, and control beliefs were elicited in focus groups and analyzed using content analysis. Simple and multivariate general linear modeling with adjustment for prognostic demographic and clinical factors was completed to assess the influence of the theoretical predictor variables on the outcome of HPV vaccine initiation. Results: Influential beliefs toward vaccination were identified. Analysis indicated attitudes, norms, and perceived control toward HPV vaccine initiation were highly significant predictors of intent, as was tobacco use; all p's < .001. Conclusion: Barriers to HPV vaccine initiation were identified, and strong preliminary evidence supports use of the TPB to guide programs to promote urban, economically disadvantaged young women's intent to begin the HPV vaccine.

AB - Objective: To learn more about human papilloma virus (HPV) knowledge and vaccination among teens and young women age 13 to 26 years from an economically disadvantaged, urban community. Our aim was to identify common beliefs about HPV vaccine initiation and describe the relationship between attitudes, norms, perceived control, and intention to receive HPV vaccine, drawing from the theory of planned behavior (TPB). Design: Mixed method, descriptive design. Guided by the TPB, HPV vaccine beliefs were assessed through focus groups. Intention to receive the vaccine, demographic and clinical factors, and theoretical predictor variables (attitudes, norms, and control) were assessed through questionnaires. Setting: After recruitment, focus groups were held at a convenient date and time for our participants in a small university conference room. Participants: Participants were economically disadvantaged young women, age 13 to 26 (N = 34). Methods: Specific behavioral, normative, and control beliefs were elicited in focus groups and analyzed using content analysis. Simple and multivariate general linear modeling with adjustment for prognostic demographic and clinical factors was completed to assess the influence of the theoretical predictor variables on the outcome of HPV vaccine initiation. Results: Influential beliefs toward vaccination were identified. Analysis indicated attitudes, norms, and perceived control toward HPV vaccine initiation were highly significant predictors of intent, as was tobacco use; all p's < .001. Conclusion: Barriers to HPV vaccine initiation were identified, and strong preliminary evidence supports use of the TPB to guide programs to promote urban, economically disadvantaged young women's intent to begin the HPV vaccine.

KW - Adolescent

KW - Cervical cancer

KW - HPV vaccine

KW - Prevention

KW - Sexual health

KW - Theory of planned behavior

KW - Women's health

UR - http://www.scopus.com/inward/record.url?scp=84861704088&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84861704088&partnerID=8YFLogxK

U2 - 10.1111/j.1552-6909.2011.01297.x

DO - 10.1111/j.1552-6909.2011.01297.x

M3 - Article

VL - 40

SP - 691

EP - 701

JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

SN - 0884-2175

IS - 6

ER -