Agha Sohail, Bernard Drew, Francis Sarah, Fareed Aslam, Nsofor Ifeanyi
Behavior Design Lab, Stanford University, Stanford, CA 94305, USA.
Behavioral Insights Lab, Seattle, WA 98136, USA.
Vaccines (Basel). 2024 Jan 13;12(1):84. doi: 10.3390/vaccines12010084.
Human papillomavirus (HPV) vaccine uptake among adolescent girls is critical to reducing the burden of HPV-related cancers in Nigeria. This study assesses the factors influencing caregivers' acceptance of HPV vaccination for their charges, using the Fogg Behavior Model (FBM) as a theoretical framework. We analyzed cross-sectional data from 1429 caregivers of girls aged 9-17 in six Nigerian states, using a survey instrument based on the FBM. Participants were recruited via Facebook and Instagram advertisements and interviewed through Facebook Messenger in August and September 2023. The study received ethical clearance from Nigeria's National Health Research Ethics Committee. We applied bivariate and multivariate analyses to assess the relationships between the caregiver's perception of how likely their adolescent girl was to get vaccinated in the next 12 months and motivation, ability, social factors (such as discussions with family and friends), injunctive norms, previous COVID-19 vaccination, and respondents' sociodemographic characteristics. Adjusted odds ratios derived from logistic regression analyses revealed that caregivers' motivation and ability, as well as social factors, were significantly associated with their perception that the adolescent girl in their care would get vaccinated within the next 12 months. Our findings suggest that behavioral interventions tailored to enhance motivation, ability, and social support among caregivers could significantly increase HPV vaccine uptake among adolescent girls in Nigeria.
在尼日利亚,提高青春期女孩对人乳头瘤病毒(HPV)疫苗的接种率对于减轻HPV相关癌症的负担至关重要。本研究以福格行为模型(FBM)为理论框架,评估影响看护者接受为其照顾对象接种HPV疫苗的因素。我们使用基于FBM的调查问卷,分析了来自尼日利亚六个州1429名9至17岁女孩看护者的横断面数据。参与者通过脸书和照片墙广告招募,并于2023年8月和9月通过脸书信使进行访谈。该研究获得了尼日利亚国家卫生研究伦理委员会的伦理批准。我们应用双变量和多变量分析来评估看护者对其青春期女孩在未来12个月内接种疫苗可能性的认知与动机、能力、社会因素(如与家人和朋友的讨论)、指令性规范、之前的新冠疫苗接种以及受访者的社会人口学特征之间的关系。逻辑回归分析得出的调整优势比显示,看护者的动机和能力以及社会因素与他们认为自己照顾的青春期女孩将在未来12个月内接种疫苗的认知显著相关。我们的研究结果表明,量身定制的行为干预措施,以增强看护者的动机、能力和社会支持,可以显著提高尼日利亚青春期女孩对HPV疫苗的接种率。
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