Cancer prevention and the human papillomavirus vaccine:psychosocial and behavioural factors involved in vaccination decision-making
Notice bibliographique
Résumé
The purpose of the present thesis was to examine psychosocial and behavioural factors associated with the decision-making process involved in uptake of the human papillomavirus (HPV) vaccine. In Canada, the HPV vaccine has been approved for women and men aged 9 to 26. Using the health belief model as a primary theoretical framework, the present dissertation examined knowledge, attitudes, and beliefs of young adults making a vaccination decision for themselves and of parents making a vaccination decision for their daughters.Study 1 consisted of a cross-sectional survey exploring correlates of HPV vaccination among female university students who did not intend to receive, intended to receive, or had received the vaccine. The study results showed that social influences were important and unique factors related to young women's vaccination uptake. Study 2 examined male university students' knowledge and future vaccination intentions. The study differentiated between objective HPV knowledge, objective HPV vaccine knowledge, and perceived knowledge. The study results indicated that perceived knowledge and objective HPV vaccine knowledge were associated with vaccination intentions. Further, perceived knowledge was associated with young men's vaccination intentions even when accounting for objective HPV and HPV vaccine knowledge. Study 3 used a randomized controlled design to compare two types of educational interventions (written and video) designed to increase knowledge and acceptability of the HPV vaccine in both male and female university students. The study results showed that both the written and video interventions were effective in improving knowledge and vaccination intentions. However, no differences were found between the two intervention modalities. Finally, Study 4 identified key differences between parents who accepted and parents who refused the HPV vaccine for their young daughters. The study results indicate that perception of vaccine safety was the strongest factor associated with parental vaccination acceptance. Collectively, these four studies showed that HPV vaccination decision-making is a complex process and that perception of vaccine safety as well as social influences may be critical components of HPV vaccination decisions. Future research should build on these results by developing and testing comprehensive theories of vaccination decision making that include behavioural, social, and cognitive factors.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,016 | 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 tête enseignante, 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 ».