Okuhara Tsuyoshi, Okada Hiroko, Goto Eiko, Tsunezumi Aiko, Kagawa Yumi, Kiuchi Takahiro
Department of Health Communication, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
Vaccines (Basel). 2022 Apr 29;10(5):701. doi: 10.3390/vaccines10050701.
In recent years, researchers have discussed the introduction of an evolutionary perspective into public health and health behavior research. We aimed to examine the effects of messages that target the fundamental human motive of kin care on HPV vaccination recommendations among mothers with daughters, based on an evolutionary theoretical approach. This study consisted of a three-arm parallel-group single-blinded randomized controlled study. A web-based survey was conducted from 7 to 8 October 2021 in Japan. Mothers with daughters (n = 969) were randomly assigned either to a group that received an intervention message that targeted the fundamental motive of kin care, or that targeted the fundamental motive of disease avoidance, or a control message. Intention to have daughter(s) receive HPV vaccination was assessed both before and right after reading the messages. A one-way ANOVA with Tukey’s or Games−Howell test was conducted. An intervention message targeting the fundamental motive of kin care and disease avoidance significantly increased intention of vaccination versus a control message (p < 0.001, respectively). There was no significant difference between the two intervention groups. The evolutionary theoretical approach that focuses on fundamental human motives may have the potential to extend the communication strategy for HPV vaccination recommendations. Health professionals may be recommended to deliver messages that target the fundamental motive of kin care as well as messages about the susceptibility and severity of cervical cancer and vaccine efficacy (e.g., “Getting cervical cancer can prevent childbirth. To protect your daughter and your future grandchildren, get your daughter vaccinated against HPV”). However, the present study only evaluated HPV vaccination intentions in Japanese mothers with daughters. Future studies should evaluate vaccination behavior in a wider range of subjects to confirm that the evolutionary theoretical approach promotes HPV vaccination.
近年来，研究人员讨论了将进化视角引入公共卫生和健康行为研究。我们旨在基于进化理论方法，研究针对亲属关怀这一基本人类动机的信息对有女儿的母亲的HPV疫苗接种建议的影响。本研究为一项三臂平行组单盲随机对照试验。2021年10月7日至8日在日本进行了一项基于网络的调查。有女儿的母亲（n = 969）被随机分配到一组，该组接收针对亲属关怀基本动机的干预信息，或针对疾病规避基本动机的信息，或对照信息。在阅读信息之前和之后立即评估让女儿接种HPV疫苗的意愿。进行了带有Tukey检验或Games-Howell检验的单因素方差分析。与对照信息相比，针对亲属关怀和疾病规避基本动机的干预信息显著增加了接种意愿（p分别<0.001）。两个干预组之间没有显著差异。关注人类基本动机的进化理论方法可能有潜力扩展HPV疫苗接种建议的沟通策略。可能建议卫生专业人员传递针对亲属关怀基本动机的信息以及关于宫颈癌易感性和严重性以及疫苗效力的信息（例如，“患宫颈癌会妨碍生育。为了保护您的女儿和未来的孙辈，请让您女儿接种HPV疫苗”）。然而，本研究仅评估了日本有女儿的母亲的HPV疫苗接种意愿。未来的研究应在更广泛的受试者中评估疫苗接种行为，以确认进化理论方法能促进HPV疫苗接种。
