Okuhara Tsuyoshi, Terada Marina, Kagawa Yumi, Okada Hiroko, Kiuchi Takahiro
Department of Health Communication, School of Public Health, The University of Tokyo, Tokyo 113-8655, Japan.
Vaccines (Basel). 2023 Jan 4;11(1):124. doi: 10.3390/vaccines11010124.
We reviewed studies that examined the anticipated affects associated with human papillomavirus (HPV) vaccination to identify gaps in the literature and the currently available practice implications for encouraging HPV vaccination. We systematically searched MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, PsycINFO, PsycArticles, Academic Search Complete, Scopus, and Web of Science to find English articles that quantitatively and qualitatively examined anticipated affects associated with HPV vaccination. A total of twenty-one studies were identified. Seventeen studies examined the anticipated inaction regret (i.e., not being vaccinated). Most of the included studies reported that anticipated inaction regret had a significantly positive association with HPV vaccination outcomes, such as vaccination behavior, intention, willingness, and acceptability. Furthermore, seven studies reported that anticipated inaction regret had a significantly positive and stronger association with vaccination outcomes than cognitive beliefs, such as vaccine effectiveness and safety, and perceived susceptibility and severity. The present review indicated that the stronger the participants' anticipated inaction regret, the more likely they were to receive the HPV vaccine. Messages targeting the anticipated affect may be as effective as or more effective than messages targeting cognitive beliefs in encouraging HPV vaccination among people. However, most of the studies included in the present review adopted a cross-sectional design with vaccination intention and willingness as outcomes. Therefore, future studies should examine the influence of anticipated affects on the utilization of HPV vaccines using experimental designs to accumulate stronger evidence.
我们回顾了一些研究，这些研究探讨了与人乳头瘤病毒（HPV）疫苗接种相关的预期影响，以找出文献中的空白以及目前在鼓励HPV疫苗接种方面可用的实践意义。我们系统地检索了MEDLINE、护理及相关健康文献累积索引、PsycINFO、PsycArticles、学术搜索完整版、Scopus和科学网，以查找定量和定性研究HPV疫苗接种相关预期影响的英文文章。共识别出21项研究。17项研究探讨了预期的不作为遗憾（即未接种疫苗）。大多数纳入研究报告称，预期的不作为遗憾与HPV疫苗接种结果，如接种行为、意愿、意愿度和可接受性，存在显著正相关。此外，7项研究报告称，与认知信念，如疫苗有效性和安全性以及感知易感性和严重性相比，预期的不作为遗憾与疫苗接种结果的正相关更强。本综述表明，参与者预期的不作为遗憾越强，他们接种HPV疫苗的可能性就越大。在鼓励人们接种HPV疫苗方面，针对预期影响的信息可能与针对认知信念的信息一样有效或更有效。然而，本综述纳入的大多数研究采用横断面设计，以接种意愿和意愿度作为结果。因此，未来的研究应使用实验设计来检验预期影响对HPV疫苗使用的影响，以积累更有力的证据。
