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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 4/2012

01-12-2012

HPV Vaccination and the Effect of Information Framing on Intentions and Behaviour: An Application of the Theory of Planned Behaviour and Moral Norm

Authors: Ilona Juraskova, Michaeley O’Brien, Barbara Mullan, Royena Bari, Rebekah Laidsaar-Powell, Kirsten McCaffery

Published in: International Journal of Behavioral Medicine | Issue 4/2012

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Abstract

Background

Human papillomavirus (HPV) is a common sexually transmitted infection (STI) known to cause cervical cancer and genital warts. However, making the genital warts aspect explicit may reduce HPV vaccination intention and behaviour due to perceived stigma associated with STIs.

Purpose

This study investigated the effect of differential information framing on intention to receive the HPV vaccine using the Theory of Planned Behaviour (TPB) and moral norm construct.

Method

Female university students were randomised to receive a fact sheet describing the HPV vaccine as: (1) preventing cervical cancer only (n = 81); or (2) preventing both cervical cancer and genital warts (n = 78). A 2-month follow-up investigated relationships between vaccination intention and actual behaviour.

Results

No effect of information framing was detected on intention to receive the HPV vaccine, or vaccine uptake behaviour at 2-month follow-up. The traditional TPB components predicted 54% of the variance in vaccination intention (F 3,155 = 61.580, p < 0.001), and moral norm explained an additional 6.2%. Intention predicted a significant but relatively small proportion of variation (9.6%) in behaviour.

Conclusion

The HPV vaccine does not seem to be associated with perceptions of stigma related to genital warts, and has broad acceptance among a female university population. This study demonstrates that TPB is suited to investigate HPV vaccination, and has helped clarify the role of moral norm within the TPB.
Literature
1.
Weller S, Stranberry L. Estimating the population prevalence of HPV. J Am Med Assoc. 2007;297:876–8.CrossRef
2.
Waller J, McCaffery K, Nazroo J, Wardle J. Making sense of information about HPV in cervical screening: a qualitative study. Br J Cancer. 2005;92(2):265–70.PubMed
3.
Brabin L, Roberts SA, Farzaneh F, Kitchener HC. Future acceptance of adolescent human papillomavirus vaccination: a survey of parental attitudes. Vaccine. 2006;24(16):3087–94.PubMedCrossRef
4.
Friedman AL, Shepeard H. Exploring the knowledge, attitudes, beliefs, and communication preferences of the general public regarding HPV: findings from CDC Focus Group Research and Implications for Practice. J Lower Genital Tract Dis. 2008;12(2):151.CrossRef
5.
Waller J, Marlow L, Wardle J. The association between knowledge of HPV and feelings of stigma, shame and anxiety. Sex Transm Infect. 2007;83:155–9.PubMedCrossRef
6.
Weisburg E, Bateson D, McCaffery K, Skinner S. HPV vaccination catch up program: utilisation by young Australian women. Aust Fam Physician. 2009;39:72–6.
7.
Allen J, Mohllajee A, Shelton R, Othus M, Fontenot H, Hanna R. Stage of adoption of the human papillomavrius vaccine among college women. Prev Med. 2009;48:420–5.PubMedCrossRef
8.
Mays R, Sturm L, Zimet G. Parental perspectives on vaccinating children against sexually transmitted infections. Soc Sci Med. 2004;58:1405–13.PubMedCrossRef
9.
Leader AE, Weiner JL, Kelly BJ, Hornik RC, Cappella JN. Effects of information framing on human papillomavirus vaccination. J Women's Health. 2009;18(2):225–33.CrossRef
10.
McCaffery K, Waller J, Nazroo J, Wardle J. Social and psychological impact of HPV testing in cervical screening: a qualitative study. Sex Transm Infect. 2006;82:169–74.PubMedCrossRef
11.
Jeynes C, Chung M, Challenor R. ‘Shame on you’—the psychosocial impact of genital warts. Int J STD AIDS. 2009;20:557–60.PubMedCrossRef
12.
Persson G, Dahlof L, Krantz I. Physician and psychological effects of anogenital warts on female patients. Sex Transm Dis. 1993;20:10–3.PubMedCrossRef
13.
Foley E, Patel R. Destigmatising STIs: remaining challenges, new opportunities. Sex Transm Infect. 2001;77:305–8.CrossRef
14.
Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10- to 15-year-old adolescents. J Lower Genital Tract Dis. 2004;8(3):188–94.CrossRef
15.
Conner M, Warren R, Close S, Sparks P. Alcohol consumption and the theory of planned behavior: an examination of the cognitive mediation of past behaviour. J Appl Soc Psychol. 1999;29(8):1676–704.CrossRef
16.
Mullan B, Wong C. Hygienic food handling behaviours: an application of the theory of planned behaviour. Appetite. 2009;52:757–61.PubMedCrossRef
17.
Wong C, Mullan B. Predicting breakfast consumption: an application of the theory of planned behaviour and the investigation of past behaviour and executive function. Br J Heal Psychol. 2009;14:489–504.CrossRef
18.
Fazekas A. Predictors of condom use among university women: an application and extension of the theory of planned behaviour. Can J Behav Sci. 2001;33(2):103–17.CrossRef
19.
Murphy WG, Brubaker RG. Effects of a brief theory-based intervention on the practice of testicular self-examination by high school males. J Sch Health. 1990;60(9):459–62.PubMedCrossRef
20.
Rutter DR. Attendance and reattendance for breast cancer screening: a prospective 3-year test of the theory of planned behaviour. Br J Heal Psychol. 2000;5(1):1–13.CrossRef
21.
Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol. 2001;40(4):471–99.PubMedCrossRef
22.
Abraham C, Sheeran P, Norman P, Conner M, Vries N, Otten W. When good intentions are not enough: modeling postdecisional cognitive correlates of condom use. J Appl Soc Psychol. 1999;29(12):2591–612.CrossRef
23.
Conner M, Armitage CJ. Extending the theory of planned behavior: a review and avenues for further research. J Appl Soc Psychol. 1998;28(15):1429–64.CrossRef
24.
Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot. 1996;11(2):87–98.PubMedCrossRef
25.
Godin G, Conner M, Sheeran P. Bridging the intention behaviour ‘gap’: The role of moral norm. Br Psychol Soc. 2005;44:497–512.CrossRef
26.
Ajzen I. Attitudes, personality and behaviour. Milton Keynes: Open University Press; 1991.
27.
Godin G, Naccache H, Morel S, Ebacher MF. Determinants of nurses' adherence to universal precautions for venipunctures. AJIC: Am J Infect Control. 2000;28(5):359.CrossRef
28.
Albarracin D, Johnson BT, Fishbein M, Muellerleile PA. Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull. 2001;127(1):142–61.PubMedCrossRef
29.
Andrykowski M, Beacham A, Schmidt J, Harper K. Application of the theory of planned behavior to understand intentions to engage in physical and psychosocial health behaviors after cancer diagnosis. Psycho-Oncology. 2006;15:759–71.PubMedCrossRef
30.
Conner M, Norman P. Predicting health behaviour. In: Conner M, Norman P, editors. Predicting health behaviour: a social cognition approach. New York: Open University Press; 2005. p. 1–28.
31.
32.
Holgate HS, Longman C. Some peoples' psychological experiences of attending a sexual health clinic and having a sexually transmitted infection. J R Soc Promot Heal. 1998;118(2):94.CrossRef
33.
Scoular A, Duncan B, Hart G. H “That sort of place… where filthy men go…”: a qualitative study of women's perceptions of genitourinary medicine services. Med Soc Vener Dis; 2001. p. 340–343.
34.
Hall P, Fong G. Temporal self-regulation theory: a model for individual health behavior. Health Psychol Rev. 2007;1(1):6–52.CrossRef
35.
Harland P, Staats H, Wilke HAM. Explaining proenvironmental intention and behavior by personal norms and the theory of planned behavior 1. J Appl Soc Psychol. 1999;29(12):2505–28.CrossRef
36.
Kurland NB. Ethical intentions and the theories of reasoned action and planned behavior. J Appl Soc Psychol. 1995;25(4):297–313.CrossRef
37.
Randall DM, Gibson AM. Ethical decision making in the medical profession: an application of the theory of planned behavior. J Bus Ethics. 1991;10(2):111–22.CrossRef
38.
Fricker R, Schonlau M. Advantages and disadvantages of internet research surveys: evidence from the literature. Field Methods. 2002;14:347–67.CrossRef
39.
Block SL, Nolan T, Sattler C, Barr E, Giacoletti KED, Marchant CD, et al. Comparison of the immunogenicity and reactogenicity of a prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in male and female adolescents and young adult women. Pediatrics. 2006;118:2135–45.PubMedCrossRef
40.
Marshall H, Philip R, Don R, Baghurst PA. Cross-sectional survey to assess community attitudes to introduction of human papillomavirus. Aust NZ J Public Heal. 2007;31:235–42.CrossRef
Metadata
Title
HPV Vaccination and the Effect of Information Framing on Intentions and Behaviour: An Application of the Theory of Planned Behaviour and Moral Norm
Authors
Ilona Juraskova
Michaeley O’Brien
Barbara Mullan
Royena Bari
Rebekah Laidsaar-Powell
Kirsten McCaffery
Publication date
01-12-2012
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 4/2012
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-011-9182-5

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