Batista Ferrer Harriet, Audrey Suzanne, Trotter Caroline, Hickman Matthew
School of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, United Kingdom.
Department of Veterinary Medicine, University of Cambridge, Cambridge, CB3 0ES, United Kingdom.
Prev Med. 2015 Dec;81:122-31. doi: 10.1016/j.ypmed.2015.08.004. Epub 2015 Aug 24.
Interventions to increase uptake of Human Papillomavirus (HPV) vaccination by young women may be more effective if they are underpinned by an appropriate theoretical model or framework. The aims of this review were: to describe the theoretical models or frameworks used to explain behaviours in relation to HPV vaccination of young women, and: to consider the appropriateness of the theoretical models or frameworks used for informing the development of interventions to increase uptake.
Primary studies were identified through a comprehensive search of databases from inception to December 2013.
Thirty-four relevant studies were identified, of which 31 incorporated psychological health behaviour models or frameworks and three used socio-cultural models or theories. The primary studies used a variety of approaches to measure a diverse range of outcomes in relation to behaviours of professionals, parents, and young women. The majority appeared to use theory appropriately throughout. About half of the quantitative studies presented data in relation to goodness of fit tests and the proportion of the variability in the data.
Due to diverse approaches and inconsistent findings across studies, the current contribution of theory to understanding and promoting HPV vaccination uptake is difficult to assess. Ecological frameworks encourage the integration of individual and social approaches by encouraging exploration of the intrapersonal, interpersonal, organisational, community and policy levels when examining public health issues. Given the small number of studies using such approach, combined with the importance of these factors in predicting behaviour, more research in this area is warranted.
如果以适当的理论模型或框架为基础，旨在提高年轻女性人乳头瘤病毒（HPV）疫苗接种率的干预措施可能会更有效。本综述的目的是：描述用于解释年轻女性HPV疫苗接种相关行为的理论模型或框架；并考量用于为提高接种率的干预措施制定提供信息的理论模型或框架的适用性。
通过全面检索从数据库建立之初至2013年12月的文献来确定原始研究。
共确定了34项相关研究，其中31项纳入了心理健康行为模型或框架，3项使用了社会文化模型或理论。原始研究采用了多种方法来衡量与专业人员、家长和年轻女性行为相关的一系列不同结果。大多数研究似乎在整个过程中都恰当地运用了理论。约一半的定量研究呈现了与拟合优度检验及数据变异性比例相关的数据。
由于研究方法多样且结果不一致，目前理论对理解和促进HPV疫苗接种率的贡献难以评估。生态框架鼓励在审视公共卫生问题时，通过探索个人、人际、组织、社区和政策层面，将个体方法与社会方法相结合。鉴于采用此类方法的研究数量较少，再加上这些因素在预测行为方面的重要性，有必要在该领域开展更多研究。
