Teitelman Anne M, Stringer Marilyn, Nguyen Giang T, Hanlon Alexandra L, Averbuch Tali, Stimpfel Amy Witkoski
Center for Health Equities Research School of Nursing University of Pennsylvania, Philadelphia, PA 19194-4217, USA.
J Obstet Gynecol Neonatal Nurs. 2011 Nov-Dec;40(6):691-701. doi: 10.1111/j.1552-6909.2011.01297.x. Epub 2011 Nov 3.
To learn more about human papilloma virus (HPV) knowledge and vaccination among teens and young women age 13 to 26 years from an economically disadvantaged, urban community. Our aim was to identify common beliefs about HPV vaccine initiation and describe the relationship between attitudes, norms, perceived control, and intention to receive HPV vaccine, drawing from the theory of planned behavior (TPB).
Mixed method, descriptive design. Guided by the TPB, HPV vaccine beliefs were assessed through focus groups. Intention to receive the vaccine, demographic and clinical factors, and theoretical predictor variables (attitudes, norms, and control) were assessed through questionnaires.
After recruitment, focus groups were held at a convenient date and time for our participants in a small university conference room.
Participants were economically disadvantaged young women, age 13 to 26 (N = 34).
Specific behavioral, normative, and control beliefs were elicited in focus groups and analyzed using content analysis. Simple and multivariate general linear modeling with adjustment for prognostic demographic and clinical factors was completed to assess the influence of the theoretical predictor variables on the outcome of HPV vaccine initiation.
Influential beliefs toward vaccination were identified. Analysis indicated attitudes, norms, and perceived control toward HPV vaccine initiation were highly significant predictors of intent, as was tobacco use; all p's < .001.
Barriers to HPV vaccine initiation were identified, and strong preliminary evidence supports use of the TPB to guide programs to promote urban, economically disadvantaged young women's intent to begin the HPV vaccine.
了解经济条件不利的城市社区中13至26岁青少年及年轻女性对人乳头瘤病毒（HPV）的知识及疫苗接种情况。我们的目标是从计划行为理论（TPB）出发，确定关于开始接种HPV疫苗的常见观念，并描述态度、规范、感知控制与接种HPV疫苗意愿之间的关系。
混合方法描述性设计。在TPB的指导下，通过焦点小组评估HPV疫苗观念。通过问卷调查评估接种疫苗的意愿、人口统计学和临床因素以及理论预测变量（态度、规范和控制）。
招募后，在一个小型大学会议室为参与者安排一个方便的日期和时间举行焦点小组会议。
参与者为经济条件不利的年轻女性，年龄在13至26岁之间（N = 34）。
在焦点小组中引出具体的行为、规范和控制观念，并使用内容分析进行分析。完成了对预后人口统计学和临床因素进行调整的简单和多变量一般线性模型，以评估理论预测变量对开始接种HPV疫苗结果的影响。
确定了对疫苗接种有影响的观念。分析表明，对开始接种HPV疫苗的态度、规范和感知控制是意愿的高度显著预测因素，吸烟情况也是如此；所有p值均<0.001。
确定了开始接种HPV疫苗的障碍，有力的初步证据支持使用TPB来指导相关项目，以促进城市经济条件不利的年轻女性开始接种HPV疫苗的意愿。
