Christy Shannon M, Winger Joseph G, Mosher Catherine E
1 H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
2 University of South Florida, Tampa, FL, USA.
Clin Nurs Res. 2019 Jul;28(6):708-725. doi: 10.1177/1054773817741590. Epub 2017 Nov 14.
Drawing upon health behavior change theories, the current study examined whether self-efficacy mediated relationships between social-cognitive factors (i.e., perceived risk, perceived benefits, perceived barriers, perceived severity, and cue to action) and human papillomavirus (HPV) vaccination intentions among college women. Unvaccinated women ( = 115) aged 18 to 25 years attending a Midwestern university completed an anonymous web-based survey assessing study variables. Correlational analyses and mediation analyses were conducted. Self-efficacy mediated relationships between two social-cognitive factors (i.e., perceived barriers to HPV vaccination-indirect effect = -.16, = .06, 95% confidence interval [CI] = [-.31, -.06]-and perceived risk of HPV-related conditions-indirect effect = .16, = .09, 95% CI = [.01, .37]) and HPV vaccination intentions but was unrelated to the other three social-cognitive factors. Based on these findings, future research should test whether increasing self-efficacy through education on risk of HPV-related conditions and reducing barriers to HPV vaccination improves vaccine uptake in college women.
基于健康行为改变理论，本研究探讨了自我效能感是否在社会认知因素（即感知风险、感知益处、感知障碍、感知严重性和行动线索）与大学女生人乳头瘤病毒（HPV）疫苗接种意愿之间的关系中起中介作用。就读于美国中西部一所大学的115名年龄在18至25岁之间的未接种疫苗的女性完成了一项基于网络的匿名调查，以评估研究变量。进行了相关性分析和中介分析。自我效能感在两个社会认知因素（即HPV疫苗接种的感知障碍——间接效应=-.16，p=.06，95%置信区间[CI]=[-.31，-.06]——以及HPV相关疾病的感知风险——间接效应=.16，p=.09，95%CI=[.01，.37]）与HPV疫苗接种意愿之间起中介作用，但与其他三个社会认知因素无关。基于这些发现，未来的研究应测试通过开展HPV相关疾病风险教育提高自我效能感以及减少HPV疫苗接种障碍是否能提高大学女生的疫苗接种率。
