Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Determinants of HPV vaccination intentions among Dutch girls and their mothers: a cross-sectional study

Authors: Hilde M van Keulen, Wilma Otten, Robert AC Ruiter, Minne Fekkes, Jim van Steenbergen, Elise Dusseldorp, Theo WGM Paulussen

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

The Dutch government recently added universal Human Papilloma Virus (HPV) vaccination for 12-year-old girls to the existing national immunization program. The participation rate for the initial catch-up campaign for girls aged 13 to 16 years in 2009 was lower (47%) than expected (70%). To inform future HPV information campaigns, this paper examines the social and psychological determinants of the HPV vaccination intentions of girls aged 13 to 16 years and their mothers who were targeted by the Dutch catch-up campaign of 2009.

Methods

A random sample of girls and their mothers was chosen from the Dutch vaccination register and received a letter inviting them to participate (n = 5,998 mothers and daughters). In addition, a random sample was recruited via an online panel by a marketing research company (n = 650 mothers; n = 350 daughters). Both groups were asked to complete a web-based questionnaire with questions on social demographic characteristics, social-psychological factors and HPV vaccination intention. Backward linear regression analyses were conducted to examine which social-psychological factors were most dominantly associated with vaccination intention.

Results

Data from 952 mothers (14%) and 642 daughters (10%) were available for the intended analyses. The contribution of social demographic variables to the explained variance of HPV vaccination intention was small but significant for mothers (ΔR2 = .01; p = .007), but not significant for daughters (ΔR2 = .02; p = .17) after controlling for HPV vaccination uptake and the sample. In addition, social-psychological determinants largely contributed to the explained variance of HPV vaccination intention of mothers (ΔR2 = .35; p < .001) and daughters (ΔR2 = .34; p < .001). Attitudes, beliefs, subjective norms and habit strength were significantly associated with participants’ HPV vaccination intentions.

Conclusions

Because of the large contribution of social-psychological variables to the explained variance of HPV vaccination intentions among the mothers and daughters, future communication strategies targeting HPV vaccination uptake should address attitudes, beliefs, subjective norms and habit strength. There is a need for longitudinal research to confirm the causality of the association between these determinants and HPV vaccination behavior indicated by this study.
Appendix
Available only for authorised users
Literature
1.
2.
Gezondheidsraad: Vaccinatie tegen baarmoederhalskanker. 2008, Den Haag: Gezondheidsraad, 154-
3.
Schiffman M, Castle PE: Human papillomavirus: epidemiology and public health. Arch Pathol Lab Med. 2003, 127 (8): 930-934.PubMed
4.
Clifford G, Franceschi S, Diaz M, Munoz N, Villa LL: Chapter 3: HPV type-distribution in women with and without cervical neoplastic diseases. Vaccine. 2006, 24 (Suppl 3): 26-34.CrossRef
5.
Smith JS, Lindsay L, Hoots B, Keys J, Franceschi S, Winer R, Clifford GM: Human papillomavirus type distribution in invasive cervical cancer and high-grade cervical lesions: a meta-analysis update. Int J Cancer. 2007, 121 (3): 621-632. 10.1002/ijc.22527.CrossRefPubMed
6.
Kimman TG, Boot HJ, Berbers GA, Vermeer-de Bondt PE, de Wit GA, de Melker HE: Developing a vaccination evaluation model to support evidence-based decision making on national immunization programs. Vaccine. 2006, 24 (22): 4769-4778. 10.1016/j.vaccine.2006.03.022.CrossRefPubMed
7.
RIVM: Vaccinatiegraad Rijksvaccinatieprogramma Nederland. Verslagjaar 2009. 2009, Bilthoven: RIVM, 210021010/2009
8.
Rondy M, Van LA, de KJ V, Rust L, De MH: Determinants for HPV vaccine uptake in the Netherlands: A multilevel study. Vaccine. 2010, 28 (9): 2070-2075. 10.1016/j.vaccine.2009.12.042.CrossRefPubMed
9.
Ensing E, Steen M, Laferte R, Zonnenberg I, De Hoogh P: Opkomst HPV-vaccinaties per 31 December 2010. Deel II van de rapportage: de cijfers. 2011, Bilthoven: RIVM
10.
11.
12.
Brewer NT, Fazekas KI: Predictors of HPV vaccine acceptability: a theory-informed, systematic review. Prev Med. 2007, 45 (2–3): 107-114.CrossRefPubMed
13.
Katz IT, Ware NC, Gray G, Haberer JE, Mellins CA, Bangsberg DR: Scaling up human papillomavirus vaccination: a conceptual framework of vaccine adherence. Sex Health. 2010, 7 (3): 279-286. 10.1071/SH09130.CrossRefPubMedPubMedCentral
14.
Zimet GD: Improving adolescent health: focus on HPV vaccine acceptance. J Adolesc Health. 2005, 37 (Suppl 6): 17-23.CrossRef
15.
Zimet GD, Liddon N, Rosenthal SL, Lazcano-Ponce E, Allen B: Chapter 24: Psychosocial aspects of vaccine acceptability. Vaccine. 2006, 24 (Suppl 3): 201-209.CrossRef
16.
Askelson NM, Campo S, Lowe JB, Smith S, Dennis LK, Andsager J: Using the theory of planned behavior to predict mothers' intentions to vaccinate their daughters against HPV. J Sch Nurs. 2010, 26 (3): 194-202. 10.1177/1059840510366022.CrossRefPubMed
17.
Barnack JL, Reddy DM, Swain C: Predictors of Parents' Willingness to Vaccinate for Human Papillomavirus and Physicians' Intentions to Recommend the Vaccine. Womens Health Issues. 2010, 20 (1): 28-34. 10.1016/j.whi.2009.08.007.CrossRefPubMed
18.
Fahy A, Desmond DM: Irish mothers' intentions to have daughters receive the HPV vaccine. Ir J Med Sci. 2010, 179 (3): 427-430. 10.1007/s11845-010-0501-7.CrossRefPubMed
19.
Gerend MA, Weibley EBS, Bland HMD: Parental response to Human Papillomavirus Vaccine availability: Uptake and intentions. J Adolesc Health. 2009, 45 (5): 528-531. 10.1016/j.jadohealth.2009.02.006.CrossRefPubMed
20.
Reiter PL, Brewer NT, Gottlieb SL, McRee AL, Smith JS: Parents' health beliefs and HPV vaccination of their adolescent daughters. Soc Sci Med. 2009, 69 (3): 475-480. 10.1016/j.socscimed.2009.05.024.CrossRefPubMed
21.
Brabin L, Roberts SA, Farzaneh F, Kitchener HC: Future acceptance of adolescent human papillomavirus vaccination: a survey of parental attitudes. Vaccine. 2006, 24 (16): 3087-3094. 10.1016/j.vaccine.2006.01.048.CrossRefPubMed
22.
Dahlstrom LA, Tran TN, Lundholm C, Young C, Sundstrom K, Sparten P: Attitudes to HPV vaccination among parents of children aged 12–15 years - A population-based survey in Sweden. Int J Cancer. 2010, 126 (2): 500-507. 10.1002/ijc.24712.CrossRefPubMed
23.
Davis K, Dickman ED, Ferris D, Dias JK: Human papillomavirus vaccine acceptability among parents of 10- to 15-year-old adolescents. J Low Genit Tract Dis. 2004, 8 (3): 188-194. 10.1097/00128360-200407000-00005.CrossRefPubMed
24.
Dempsey AF, Zimet GD, Davis RL, Koutsky L: Factors that are associated with parental acceptance of human papillomavirus vaccines: a randomized intervention study of written information about HPV. Pediatrics. 2006, 117 (5): 1486-1493. 10.1542/peds.2005-1381.CrossRefPubMed
25.
Lazcano-Ponce E, Rivera L, Rillo-Santillan E, Salmeron J, Hernandez-Avila M, Munoz N: Acceptability of a human papillomavirus (HPV) trial vaccine among mothers of adolescents in Cuernavaca, Mexico. Arch Med Res. 2001, 32 (3): 243-247. 10.1016/S0188-4409(01)00277-6.CrossRefPubMed
26.
Lenselink CH, Gerrits MM, Melchers WJ, Massuger LF, Van HD, Bekkers RL: Parental acceptance of Human Papillomavirus vaccines. Eur J Obstet Gynecol Reprod Biol. 2008, 137 (1): 103-107. 10.1016/j.ejogrb.2007.02.012.CrossRefPubMed
27.
Marlow LA, Waller J, Wardle J: Parental attitudes to pre-pubertal HPV vaccination. Vaccine. 2007, 25 (11): 1945-1952. 10.1016/j.vaccine.2007.01.059.CrossRefPubMed
28.
Ajzen I: The theory of planned behavior. Organ Behav Hum Decis Process. 1991, 50: 179-211. 10.1016/0749-5978(91)90020-T.CrossRef
29.
Bandura A: Social foundations of thought and action: A social cognitive theory. 1986, New York: Prentice Hall
30.
Becker MH: The health belief model and personal health behavior. Health Educ Monogr. 1974, 30: 324-508.
31.
Paulussen TGW, Lanting CI, Buijs GB, Hirasing RA: Ouders over het Rijksvaccinatieprogramma: Tevredenheid en vaccinatiebereidheid van ouders van jonge kinderen in Nederland [Parents about the governments immunization program: Satisfaction and vaccine intention of Dutch parents of toddlers]. 2000, Leiden: TNO
32.
Marlow LA, Waller J, Evans RE, Wardle J: Predictors of interest in HPV vaccination: A study of British adolescents. Vaccine. 2009, 27 (18): 2483-2488. 10.1016/j.vaccine.2009.02.057.CrossRefPubMed
33.
Gerend MA, Lee SC, Shepherd JE: Predictors of human papillomavirus vaccination acceptability among underserved women. Sex Transm Dis. 2007, 34 (7): 468-471.PubMed
34.
Jacob M, Bradley J, Barone MA: Human papillomavirus vaccines: what does the future hold for preventing cervical cancer in resource-poor settings through immunization programs?. Sex Transm Dis. 2005, 32 (10): 635-640. 10.1097/01.olq.0000179892.78342.79.CrossRefPubMed
35.
Verplanken B, Orbell S: Reflections on past behavior: A self-report index of habit strength. J Appl Soc Psychol. 2003, 33: 1313-1330. 10.1111/j.1559-1816.2003.tb01951.x.CrossRef
36.
O'Connor AM: Validation of a decisional conflict scale. Med Decis Mak. 1995, 15 (1): 25-30. 10.1177/0272989X9501500105.CrossRef
37.
Riet J, Sijtsema SJ, Dagevos H, De Bruijn GJ: The importance of habits in eating behaviour. An overview and recommendations for future research. Appetite. 2011, 57 (3): 585-596. 10.1016/j.appet.2011.07.010.CrossRef
38.
Schmitt N: Uses and abuses of coefficient alpha. Psychol Assess. 1996, 8 (4): 350-353.CrossRef
39.
R Development Core Team: R: A language and environment for statistical computing. 2009, Vienna: R Foundation for Statistical Computing
40.
Hastie T, Tibshirani R, Friedman J: The elements of statistical learning: Data mining, inference, and prediction. 2001, New York: SpringerCrossRef
41.
42.
43.
44.
Paulussen TG, Hoekstra F, Lanting CI, Buijs GB, Hirasing RA: Determinants of Dutch parents' decisions to vaccinate their child. Vaccine. 2006, 24 (5): 644-651. 10.1016/j.vaccine.2005.08.053.CrossRefPubMed
45.
Herzog TJ, Huh WK, Downs LS, Smith JS, Monk BJ: Initial lessons learned in HPV vaccination. Gynecol Oncol. 2008, 109 (Suppl 2): 4-11.CrossRef
46.
Lenselink CH, Schmeink CE, Melchers WJ, Massuger LF, Hendriks JC, Van HD, Bekkers RL: Young adults and acceptance of the human papillomavirus vaccine. Public Health. 2008, 122 (12): 1295-1301. 10.1016/j.puhe.2008.02.010.CrossRefPubMed
47.
Prislin R, Dyer JA, Blakely CH, Johnson CD: Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control. Am J Public Health. 1998, 88 (12): 1821-1826. 10.2105/AJPH.88.12.1821.CrossRefPubMedPubMedCentral
48.
De Kok IMCM, Habbema JDF, Mourits MJE, Coebergh JWW, Van Leeuwen FE: Insufficient basis for the inclusion of Human papillomavirus vaccination in the National Immunisation Programme in the Netherlands. Ned Tijdschr Geneeskd. 2008, 152 (37): 2001-2004.PubMed
49.
Gerend MA, Magloire ZF: Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults. J Adolesc Health. 2008, 42 (3): 237-242. 10.1016/j.jadohealth.2007.08.022.CrossRefPubMed
50.
Ziarnowski KL, Brewer NT, Weber B: Present choices, future outcomes: anticipated regret and HPV vaccination. Prev Med. 2009, 48 (5): 411-414. 10.1016/j.ypmed.2008.10.006.CrossRefPubMed
51.
Loosveldt G, Sonck N: An evaluation of the weighting procedures for an online access panel survey. Surv Res Meth. 2008, 2 (2): 93-105.
52.
53.
Hontelez JAC, Hahné SJM, Oomen P, de Melker H: Parental attitude towards childhood HBV vaccination in The Netherlands. Vaccine. 2010, 28 (4): 1015-1020. 10.1016/j.vaccine.2009.10.128.CrossRefPubMed
54.
Manfreda KL, Bosnjak M, Berzelak J, Haas I, Vehovar V: Web surveys versus other survey modes: A meta-analysis comparing response rates. Int J Market Res. 2008, 50 (1): 79-104.
55.
Shih TH, Xitao F: Comparing response rates from web and mail surveys: A meta-analysis. Field Methods. 2008, 20 (3): 249-271. 10.1177/1525822X08317085.CrossRef
56.
Edwards PJ, Roberts I, Clarke MJ, Diguiseppi C, Wentz R, Kwan I, Cooper R, Felix LM, Pratap S: Methods to increase response to postal and electronic questionnaires. Cochrane Database Syst Rev. 2009, 3: MR000008-PubMed
57.
McCluskey S, Topping AE: Increasing response rates to lifestyle surveys: a pragmatic evidence review. Perspect Public Health. 2011, 131 (2): 89-94. 10.1177/1757913910389423.CrossRefPubMed
58.
59.
Noar SM, Benac CN, Harris MS: Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007, 133 (4): 673-693.CrossRefPubMed
Metadata
Title
Determinants of HPV vaccination intentions among Dutch girls and their mothers: a cross-sectional study
Authors
Hilde M van Keulen
Wilma Otten
Robert AC Ruiter
Minne Fekkes
Jim van Steenbergen
Elise Dusseldorp
Theo WGM Paulussen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-111

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue

Research article

Timely initiation of complementary feeding and associated factors among children aged 6 to 12 months in Northern Ethiopia: an institution-based cross-sectional study

Erratum

Erratum to: Trends in sugar supply and consumption in Australia: is there an Australian Paradox?

Research article

Preventing the preventable through effective surveillance: the case of diphtheria in a rural district of Maharashtra, India

Research article

Assessment of the core and support functions of the Integrated Disease Surveillance system in Maharashtra, India

Research article

What do adolescents want in order to become more active?

Research article

Equivalency of risk for a modified health endpoint: a case from recreational water epidemiology studies