Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey

ABSTRACT Aim To examine relationships between hypothesized potential predictors of vaccination and adolescent's Human papillomavirus (HPV) vaccination intention and whether these predictors differed by sex. We also investigated adolescents' experiences and preferences regarding learning ab...

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Main Authors: Angela Chia‐Chen Chen, ChengChing Hiya Liu, Kimberly Arcoleo, Jiying Ling, Lorraine B. Robbins
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Nursing Open
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Online Access:https://doi.org/10.1002/nop2.70110
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author Angela Chia‐Chen Chen
ChengChing Hiya Liu
Kimberly Arcoleo
Jiying Ling
Lorraine B. Robbins
author_facet Angela Chia‐Chen Chen
ChengChing Hiya Liu
Kimberly Arcoleo
Jiying Ling
Lorraine B. Robbins
author_sort Angela Chia‐Chen Chen
collection DOAJ
description ABSTRACT Aim To examine relationships between hypothesized potential predictors of vaccination and adolescent's Human papillomavirus (HPV) vaccination intention and whether these predictors differed by sex. We also investigated adolescents' experiences and preferences regarding learning about HPV through social media and other technology, to inform future tailored interventions. Design Cross‐sectional research design. Methods 119 adolescents ages 11–17 years who had not received any HPV vaccine were enrolled. Purposive sampling was used to recruit participants from community and clinical settings, with the majority of households located in economically disadvantaged neighbourhoods in a southwest state. Participants completed an anonymous survey. Descriptive statistics, independent t‐tests, chi‐square test and hierarchical logistic regression were conducted to describe the sample, examine relationships between potential predictors and HPV vaccination intention and investigate sex differences. Results The mean sample age was 13.76 years (SD = 2.03); 63% female; 42% Hispanic/Latino; 55.5% received free or reduced‐price lunch. Compared to White adolescents, Hispanic/Latino adolescents reported higher HPV vaccination intention (AOR = 24.10, CI 95% [3.85–150.82]; p < 0.001). Adolescents who had higher perceived risk of contracting HPV (AOR = 1.89, CI 95% [1.23–2.91]; p = 0.004) and perceived more facilitators (AOR = 1.61, CI 95% [1.22–2.12]; p < 0.001) reported higher HPV vaccination intention. Compared to boys, girls (AOR = 0.28, CI 95% [0.08–0.97]; p = 0.045) had lower HPV vaccination intention. Adolescents also showed strong interest in learning HPV‐related issues through digital education. Conclusion Adolescent HPV vaccination rates in the United States are significantly below the targeted 80% completion goal. Nurses play a critical role in protecting adolescents from HPV infection and related cancers. Digital interventions addressing HPV vaccine‐related risks and facilitators and engaging key personnel (adolescent, parent, healthcare provider, teacher) in different settings have the potential to increase adolescent's vaccination intention. No Patient or Public Contribution to This Study Patients or the general public were not involved in the design, analysis or interpretation of the data in this study.
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spelling doaj-art-3884abeca576490b86d5c3030de0af8d2025-01-27T13:49:08ZengWileyNursing Open2054-10582024-12-011112n/an/a10.1002/nop2.70110Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional SurveyAngela Chia‐Chen Chen0ChengChing Hiya Liu1Kimberly Arcoleo2Jiying Ling3Lorraine B. Robbins4Michigan State University College of Nursing East Lansing Michigan USAMichigan State University College of Nursing East Lansing Michigan USAMichigan State University College of Nursing East Lansing Michigan USAMichigan State University College of Nursing East Lansing Michigan USAMichigan State University College of Nursing East Lansing Michigan USAABSTRACT Aim To examine relationships between hypothesized potential predictors of vaccination and adolescent's Human papillomavirus (HPV) vaccination intention and whether these predictors differed by sex. We also investigated adolescents' experiences and preferences regarding learning about HPV through social media and other technology, to inform future tailored interventions. Design Cross‐sectional research design. Methods 119 adolescents ages 11–17 years who had not received any HPV vaccine were enrolled. Purposive sampling was used to recruit participants from community and clinical settings, with the majority of households located in economically disadvantaged neighbourhoods in a southwest state. Participants completed an anonymous survey. Descriptive statistics, independent t‐tests, chi‐square test and hierarchical logistic regression were conducted to describe the sample, examine relationships between potential predictors and HPV vaccination intention and investigate sex differences. Results The mean sample age was 13.76 years (SD = 2.03); 63% female; 42% Hispanic/Latino; 55.5% received free or reduced‐price lunch. Compared to White adolescents, Hispanic/Latino adolescents reported higher HPV vaccination intention (AOR = 24.10, CI 95% [3.85–150.82]; p < 0.001). Adolescents who had higher perceived risk of contracting HPV (AOR = 1.89, CI 95% [1.23–2.91]; p = 0.004) and perceived more facilitators (AOR = 1.61, CI 95% [1.22–2.12]; p < 0.001) reported higher HPV vaccination intention. Compared to boys, girls (AOR = 0.28, CI 95% [0.08–0.97]; p = 0.045) had lower HPV vaccination intention. Adolescents also showed strong interest in learning HPV‐related issues through digital education. Conclusion Adolescent HPV vaccination rates in the United States are significantly below the targeted 80% completion goal. Nurses play a critical role in protecting adolescents from HPV infection and related cancers. Digital interventions addressing HPV vaccine‐related risks and facilitators and engaging key personnel (adolescent, parent, healthcare provider, teacher) in different settings have the potential to increase adolescent's vaccination intention. No Patient or Public Contribution to This Study Patients or the general public were not involved in the design, analysis or interpretation of the data in this study.https://doi.org/10.1002/nop2.70110adolescenthuman papillowmavirusintentionvaccinationyouth
spellingShingle Angela Chia‐Chen Chen
ChengChing Hiya Liu
Kimberly Arcoleo
Jiying Ling
Lorraine B. Robbins
Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey
Nursing Open
adolescent
human papillowmavirus
intention
vaccination
youth
title Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey
title_full Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey
title_fullStr Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey
title_full_unstemmed Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey
title_short Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross‐Sectional Survey
title_sort factors associated with adolescents human papillomavirus vaccination intention a cross sectional survey
topic adolescent
human papillowmavirus
intention
vaccination
youth
url https://doi.org/10.1002/nop2.70110
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AT jiyingling factorsassociatedwithadolescentshumanpapillomavirusvaccinationintentionacrosssectionalsurvey
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