Oudin Doglioni Damien, Gauchet Aurélie, Gagneux-Brunon Amandine, Bruel Sébastien, Banaszuk Anne-Sophie, Thilly Nathalie, Sicsic Jonathan, Raude Jocelyn, Mueller Judith E
Emerging Disease Epidemiology Unit, Institut Pasteur, Universite Paris Cite.
Laboratoire Interuniversitaire de Psychologie/Personnalite, Cognition, Changement Social (LIP/PC2S), Universite Grenoble Alpes, Universite Savoie Mont-Blanc.
Health Psychol. 2024 Dec;43(12):893-903. doi: 10.1037/hea0001387. Epub 2024 Aug 22.
In France, uptake of the recommended human papillomavirus (HPV) vaccination remains low. The vaccine cannot be administered without parental consent, but studies have shown that adolescents can make informed decisions about their health. We aimed at understanding the weight of adolescents' vaccination intention in parents' vaccination decision, using data from parent-adolescent dyads collected at baseline of a randomized trial of vaccine promotion interventions.
About 649 parent-adolescent dyads from 61 middle schools in France independently completed an online questionnaire on their knowledge and attitudes toward HPV vaccination, structured around the seven psychological domains of vaccine readiness (VR). We used multivariate and path analyses to understand the family decision-making process.
HPV vaccination was reported by 50.1% of adolescents and 45.5% of parents. Individual antecedents of VR were poorly correlated within dyads ( = .14-.36). Vaccine intentionality among parents of girls depended both on their own VR (β = .53, < .001) and on their daughters' vaccine intention (β = .25, < .001). But among parents of boys, vaccine intention depended only on their own VR (β = .72, < .001). Adolescents' VR depended more strongly on the social environment's attitude among boys than among girls (β = .54 vs. .34, < .01).
The defined model showed shared decision processes between parents and adolescent girls, but not boys, which can be understood in the context of a recent expansion of HPV vaccination to boys. Beyond this, it suggests that promotion targeting adolescents and their social environment can have a positive influence on parental intentions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
在法国，推荐的人乳头瘤病毒（HPV）疫苗接种率仍然很低。未经父母同意不能接种该疫苗，但研究表明青少年能够对自身健康做出明智的决定。我们旨在利用在疫苗推广干预随机试验基线时收集的亲子二元组数据，了解青少年的疫苗接种意愿在父母接种决定中的权重。
来自法国61所中学的约649个亲子二元组独立完成了一份关于他们对HPV疫苗接种的知识和态度的在线问卷，该问卷围绕疫苗接种准备度（VR）的七个心理领域构建。我们使用多变量和路径分析来了解家庭决策过程。
50.1%的青少年和45.5%的父母报告接种了HPV疫苗。VR的个体前因在二元组内相关性较差（ =.14 -.36）。女孩父母的疫苗接种意向既取决于他们自己的VR（β =.53， <.001），也取决于女儿的疫苗接种意愿（β =.25， <.001）。但在男孩父母中，疫苗接种意向仅取决于他们自己的VR（β =.72， <.001）。青少年的VR在男孩中比在女孩中更强烈地依赖于社会环境的态度（β =.54对.34， <.01）。
定义的模型显示了父母与青春期女孩之间的共同决策过程，但男孩并非如此，这可以在最近HPV疫苗接种扩展到男孩的背景下得到理解。除此之外，这表明针对青少年及其社会环境的推广可以对父母的意向产生积极影响。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
