Predictors of HPV vaccine acceptability: A theory-informed, systematic review
TL;DR: HPV vaccine programs in the United States should emphasize high vaccine effectiveness, the high likelihood of HPV infection, and physicians' recommendations, and address barriers to vaccination.
About: This article is published in Preventive Medicine.The article was published on 2007-08-01. It has received 847 citations till now. The article focuses on the topics: HPV vaccines & Vaccination.
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TL;DR: This review provides an overview of the phenomenon of vaccine Hesitancy and suggests the possible causes of the apparent increase in vaccine hesitancy in the developed world.
Abstract: Despite being recognized as one of the most successful public health measures, vaccination is perceived as unsafe and unnecessary by a growing number of individuals. Lack of confidence in vaccines is now considered a threat to the success of vaccination programs. Vaccine hesitancy is believed to be responsible for decreasing vaccine coverage and an increasing risk of vaccine-preventable disease outbreaks and epidemics. This review provides an overview of the phenomenon of vaccine hesitancy. First, we will characterize vaccine hesitancy and suggest the possible causes of the apparent increase in vaccine hesitancy in the developed world. Then we will look at determinants of individual decision-making about vaccination.
1,356 citations
TL;DR: Recommendations are tailored to specific parental positions on vaccination and provide a structured approach to assist professionals that advocate respectful interactions that aim to guide parents towards quality decisions.
Abstract: A critical factor shaping parental attitudes to vaccination is the parent’s interactions with health professionals. An effective interaction can address the concerns of vaccine supportive parents and motivate a hesitant parent towards vaccine acceptance. Poor communication can contribute to rejection of vaccinations or dissatisfaction with care. We sought to provide a framework for health professionals when communicating with parents about vaccination. Literature review to identify a spectrum of parent attitudes or ‘positions’ on childhood vaccination with estimates of the proportion of each group based on population studies. Development of a framework related to each parental position with determination of key indicators, goals and strategies based on communication science, motivational interviewing and valid consent principles. Five distinct parental groups were identified: the ‘unquestioning acceptor’ (30–40%), the ‘cautious acceptor’ (25–35%); the ‘hesitant’ (20–30%); the ‘late or selective vaccinator’ (2–27%); and the ‘refuser’ of all vaccines (<2%). The goals of the encounter with each group will vary, depending on the parents’ readiness to vaccinate. In all encounters, health professionals should build rapport, accept questions and concerns, and facilitate valid consent. For the hesitant, late or selective vaccinators, or refusers, strategies should include use of a guiding style and eliciting the parent’s own motivations to vaccinate while, avoiding excessive persuasion and adversarial debates. It may be necessary to book another appointment or offer attendance at a specialised adverse events clinic. Good information resources should also be used. Health professionals have a central role in maintaining public trust in vaccination, including addressing parents’ concerns. These recommendations are tailored to specific parental positions on vaccination and provide a structured approach to assist professionals. They advocate respectful interactions that aim to guide parents towards quality decisions.
489 citations
TL;DR: (see Appendix 2, available at [www.cmaj.ca/lookup/suppl/doi:10.1503/cmaja.090313/-/DC1] for summary of recommendations and clinical considerations)
Abstract: (see Appendix 2, available at [www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.090313/-/DC1][1] for summary of recommendations and clinical considerations)
There are more than 200 million international migrants worldwide,[1][2] and this movement of people has implications for individual and
434 citations
TL;DR: Among insured women, aged 19-26 years, those who discussed the HPV vaccine with their physician and received a recommendation were overwhelmingly more likely to be vaccinated.
428 citations
TL;DR: Higher vaccine uptake was associated with having health insurance, of older age, receipt of childhood vaccines, a higher vaccine related knowledge, more healthcare utilization, having a healthcare provider as a source of information and positive vaccine attitudes.
396 citations
References
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Book•
01 Jun 1976
3,346 citations
"Predictors of HPV vaccine acceptabi..." refers background in this paper
...The constructs in the health belief model (Becker, 1974) – perceived risk, perceived effectiveness of the vaccine, perceived barriers to vaccination, and cues to action – are among the most important predictors of influenza vaccination (Brewer et al., 2007a; Chapman and Coups, 1999)....
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...The constructs in the health belief model (Becker, 1974) – perceived risk, perceived effectiveness of the vaccine, perceived barriers to vaccination, and cues to action – are among the most important predictors of influenza vaccination (Brewer et al....
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TL;DR: Most research directed at understanding ”activity undertaken by those who consider themselves ill, for the purpose of getting well” has yielded an unsystematic multiplicity of findings which are often either not predictive of such patient compliance,’’ or are mutually contradictory.
Abstract: Most research directed a t understanding ”activity undertaken by those who consider themselves ill, for the purpose of getting well” has yielded an unsystematic multiplicity of findings which are often either not predictive of such patient compliance,’” or are mutually contradictory.7.8 These difficulties arise, in part, from past dependence on a “medical” model of patient behavior, which stresses such easily identified and quantified dimensions as characteristics of the patient (e.g., demographic and social),6~B~lO the regimen (e.g., type, complexity, discomfort, duration),ll-l3 and the illness (e.g., medically-defined seriousness, duration, disability).7,14J5
1,669 citations
"Predictors of HPV vaccine acceptabi..." refers background in this paper
...The constructs in the health belief model (Becker, 1974) – perceived risk, perceived effectiveness of the vaccine, perceived barriers to vaccination, and cues to action – are among the most important predictors of influenza vaccination (Brewer et al., 2007a; Chapman and Coups, 1999)....
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TL;DR: The consistent relationships between risk perceptions and behavior, larger than suggested by prior meta-analyses, suggest that risk perceptions are rightly placed as core concepts in theories of health behavior.
Abstract: Background: Risk perceptions are central to many health behavior theories. However, the relationship between risk perceptions and behavior, muddied by instances of inappropriate assessment and analysis, often looks weak. Method: A meta-analysis of eligible studies assessing the bivariate association between adult vaccination and perceived likelihood, susceptibility, or severity was conducted. Results: Thirty-four studies met inclusion criteria (N 15,988). Risk likelihood (pooled r .26), susceptibility (pooled r .24), and severity (pooled r .16) significantly predicted vaccination behavior. The risk perception behavior relationship was larger for studies that were prospective, had higher quality risk measures, or had unskewed risk or behavior measures. Conclusions: The consistent relationships between risk perceptions and behavior, larger than suggested by prior meta-analyses, suggest that risk perceptions are rightly placed as core concepts in theories of health behavior.
1,589 citations
"Predictors of HPV vaccine acceptabi..." refers background in this paper
...The constructs in the health belief model (Becker, 1974) – perceived risk, perceived effectiveness of the vaccine, perceived barriers to vaccination, and cues to action – are among the most important predictors of influenza vaccination (Brewer et al., 2007a; Chapman and Coups, 1999)....
[...]
...Perceived barriers to HPV vaccination may present challenges, such as the belief among a small minority of parents that an HPV vaccine may implicitly condone, and thus increase, adolescent sexual behavior (Brewer et al., 2007b)....
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...Many studies appeared not to have adequately assessed perceived risk, limiting the value of these studies' findings (Brewer et al., 2004, 2007a)....
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TL;DR: An alternative approach is to conceptualize the precaution adoption process as a series of distinct stages, where the decision to act in a self-protective manner will not occur until people have reached the final stages of all 3 relevant beliefs--susceptibility severity and precaution effectiveness.
Abstract: This article presents a critique of current models of preventive behavior. It discusses a variety of factors that are usually overlooked-including the appearance of costs and benefits over time, the role of cues to action, the problem of competing life demands, and the ways that actual decision behavior differs from the rational ideal implicit in expectancy-value and utility theories. Such considerations suggest that the adoption of new precautions should be viewed as a dynamic process with many determinants. The framework of a model that is able to accommodate these additional factors is described. This alternative model portrays the precaution adoption process as an orderly sequence of qualitatively different cognitive stages. Data illustrating a few of the suggestions made in the article are presented, and implications for prevention programs are discussed.
1,203 citations
01 Jan 2005
TL;DR: In this article, the authors present a framework for planning based on Social Assessment Participatory Planning and Situational Analysis (SAPPA) and Epidemiological Diagnosis, Health, Behavioral and Environmental.
Abstract: 1. A Framework for Planning 2. Social Assessment Participatory Planning and Situational Analysis 3. Epidemiological Diagnosis, Health, Behavioral and Environmental 4. Educational and Ecological Diagnosis 5. Program, Administrative and Policy Design: Turning the Corner from Formative to Process Evaluation, From Precede To Proceed 6. Applications in the Communities 7. Applications in Occupational Settings 8. Applications in Educational Settings 9. Applications in Health-Care Settings
1,095 citations