Parents' human papillomavirus vaccine decision-making: theory, measurement and models
Notice bibliographique
Résumé
The human papillomavirus (HPV) infects approximately 550,000 Canadians annually. Cancers of the cervix, mouth, genitals, anus, head and neck are caused by various strains of the HPV. The HPV also causes genital warts. The disease and economic burden of HPV infections is high. Three HPV vaccines are available: Cervarix®, Gardasil®, and Gardasil ® 9. Consistent with global practices in developed countries, these vaccines are currently publicly funded for girls and provided in school-based programs in all provinces and territories in Canada. As of September 2016, six provinces provide publicly funded school-based programs for boys. Despite well-documented vaccine efficacy and effectiveness with minimal adverse effects, uptake of the HPV vaccines remains suboptimal in most countries, including Canada. Although HPV immunization rates have increased over the last decade, they remain significantly below the rates of other vaccine-preventable diseases. One of the main challenges for boys' uptake has been to help parents understand that the HPV vaccine is now available, recommended and effective for boys in reducing health risks for themselves and transmission to their partners. With low HPV uptake rates in Canada, success of increased vaccination rates is contingent on parents' awareness, understanding and ultimately their decision-making process. Of the HPV vaccination research that has targeted parents of boys, most studies examined demographic and descriptive factors associated with vaccination intentions. While this research is informative, it treats decision-making as binary, when there are likely multiple stages of vaccination decision-making. Conceptualizing vaccine decision-making as distinct stages would allow us to examine those individuals who are vaccine hesitant, as well as parents who are not yet aware or engaged in HPV vaccine decision-making. Moreover, much of the existing research on the correlates and factors associated with vaccination intentions are unreliable, which is likely due to differences in the conceptualization of the factors and inconsistent and unstable measures. This in turn provides limited insight about leverage points of how to move individuals along the HPV vaccine decision-making trajectory and ultimately increase HPV vaccine uptake.This dissertation addresses some of these research gaps by using theory-based research, as well as the development of two psychometrically validated scales, an extended HPV and HPV vaccine knowledge scale and the HPV Attitudes and Beliefs Scale (HABS) to identify the factors that are associated with HPV vaccination decision-making among a nationally representative sample of Canadian parents of 9-16-year-old boys using a longitudinal design. The unique contributions of the four manuscripts in this thesis are that by conceptualizing HPV vaccine decision-making as a series of distinct stages, by using theory, psychometrically-tested and validated measures, as well as multinomial logistic regression models, we can have a greater understanding about what influences parents' HPV vaccine decision-making for their sons. This more nuanced understanding will help to better target our efforts to increase HPV vaccine uptake for boys. Future research directions and recommendations for better informed and targeted interventions are made.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,013 | 0,049 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,003 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».