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理解人乳头瘤病毒疫苗接种意愿:理论的合理行动和计划行为理论在疫苗目标年龄女性和男性中的比较效用。

Understanding human papillomavirus vaccination intentions: comparative utility of the theory of reasoned action and the theory of planned behavior in vaccine target age women and men.

机构信息

Department of Psychology, University of Western Ontario, London, ON, Canada; Department of Obstetrics and Gynaecology, University of Western Ontario, London, ON, Canada.

出版信息

J Sex Med. 2013 Oct;10(10):2455-64. doi: 10.1111/jsm.12211. Epub 2013 Jun 7.

Abstract

INTRODUCTION

Human papillomavirus (HPV) is an exceedingly prevalent sexually transmitted infection with serious medical, sexual, and relationship consequences. HPV vaccine protection is available but vaccine uptake is very inconsistent.

AIMS

This research applies two major theories of health behavior uptake, the Theory of Reasoned Action and the Theory of Planned Behavior, in an effort to understand intentions to receive HPV vaccine among vaccine target age women and men. The Theory of Reasoned Action asserts that attitudes toward HPV vaccination and perceptions of social support for HPV vaccination are the determinants of intentions to be vaccinated, whereas the Theory of Planned Behavior holds that attitudes toward vaccination, perceptions of social support for vaccination, and perceived ability to get vaccinated are the determinants of intentions to be vaccinated.

METHODS

Canadian university men (N=118) and women (N=146) in the HPV vaccine target age range took part in this correlational study online.

MAIN OUTCOME MEASURES

Participants completed standard measures of attitudes toward HPV vaccination, perceptions of social support for vaccination, perceived ability to get vaccinated, beliefs about vaccination, and intentions to be vaccinated in the coming semester.

RESULTS

Findings confirmed the propositions of the Theory of Reasoned Action and indicated that attitudes toward undergoing HPV vaccination and perceptions of social support for undergoing HPV vaccination contributed uniquely to the prediction of women's (R2=0.53) and men's (R2=0.44) intentions to be vaccinated in the coming semester.

CONCLUSION

Clinical and public health education should focus on strengthening attitudes and perceptions of social support for HPV vaccination, and on the basic beliefs that appear to underlie attitudes and perceptions of social support for HPV vaccination, in efforts to promote HPV vaccine uptake.

摘要

简介

人乳头瘤病毒(HPV)是一种极其常见的性传播感染,具有严重的医学、性和关系后果。HPV 疫苗有保护作用,但疫苗接种率非常不一致。

目的

本研究应用健康行为接受的两个主要理论,即理性行为理论和计划行为理论,努力理解 HPV 疫苗接种目标年龄的女性和男性接种 HPV 疫苗的意愿。理性行为理论认为,对 HPV 疫苗接种的态度和对 HPV 疫苗接种的社会支持的看法是接种意愿的决定因素,而计划行为理论认为,对疫苗接种的态度、对疫苗接种的社会支持的看法和接种能力的看法是接种意愿的决定因素。

方法

加拿大 HPV 疫苗接种目标年龄范围内的男性(N=118)和女性(N=146)在网上参与了这项相关性研究。

主要观察指标

参与者在线完成了对 HPV 疫苗接种的态度、对疫苗接种的社会支持的看法、接种能力、对疫苗接种的信念以及未来学期接种疫苗的意愿的标准测量。

结果

研究结果证实了理性行为理论的观点,表明对接受 HPV 疫苗接种的态度和对接受 HPV 疫苗接种的社会支持的看法对女性(R2=0.53)和男性(R2=0.44)未来学期接种疫苗的意愿有独特的预测作用。

结论

临床和公共卫生教育应侧重于加强对 HPV 疫苗接种的态度和对 HPV 疫苗接种的社会支持的看法,以及对似乎是 HPV 疫苗接种的态度和对社会支持的看法的基本信念,以促进 HPV 疫苗的接种。

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