Guidry Jeanine P D, Naavaal Shillpa, Laestadius Linnea I, Miller Carrie A, Zurlo Gina, Burton Candace W, Carlyle Kellie E, Russo Julie, Perrin Paul B
Department of Communication and Cognition, Tilburg University, Tilburg, The Netherlands.
Department of Dental Public Health and Policy, Virginia Commonwealth University School of Dentistry, Richmond, VA, USA.
Hum Vaccin Immunother. 2024 Dec 31;20(1):2425142. doi: 10.1080/21645515.2024.2425142. Epub 2024 Dec 9.
The HPV vaccine has the potential to prevent nearly 92% of HPV-related cancer cases, yet its uptake remains suboptimal. While well-documented barriers to HPV vaccine uptake include inadequate knowledge and lack of provider recommendation, religious preferences have emerged as another crucial factor influencing vaccination decisions. This study examined the interrelatedness of religion, beliefs, and HPV vaccination uptake among children among Catholic, Evangelical, and Mainline Protestant parents. A nationally representative survey was conducted among 1,068 U.S. parents from one of three major Christian denominations: Catholic, Evangelical, or Mainline Protestant. We examined the extent to which demographic factors, constructs from the Health Belief Model (perceived severity, susceptibility, benefits, barriers, self-efficacy, and cues to action), and faith-based support variables contributed to HPV vaccination decisions among parents from the specified religious denominations. Among the surveyed parents, 72.3% indicated that their child had received the HPV vaccine, revealing a substantial but incomplete uptake rate. Notably, no statistically significant differences were observed in vaccination rates across the three denominational groups. Perceived HPV vaccine benefits ( < .001), perceived barriers ( < .001) and perceived self-efficacy ( = .013) were strongly associated. Parents reporting that their child's healthcare provider asked them about the vaccine ( < .001) and those more receptive to faith-based support for HPV vaccination ( = .049) were more likely to report child HPV vaccine uptake. To enhance HPV vaccine uptake among the examined religious denominations, strengthening provider-parent communication regarding the HPV vaccine and fostering partnerships between healthcare providers and supportive religious congregations can serve as powerful levers for promoting vaccination acceptance and compliance.
人乳头瘤病毒(HPV)疫苗有潜力预防近92%的HPV相关癌症病例,但其接种率仍不理想。虽然HPV疫苗接种存在充分记录的障碍,包括知识不足和缺乏医护人员推荐,但宗教偏好已成为影响疫苗接种决策的另一个关键因素。本研究调查了天主教、福音派和主流新教父母中儿童的宗教、信仰与人乳头瘤病毒疫苗接种之间的相关性。对1068名来自天主教、福音派或主流新教这三大主要基督教教派之一的美国父母进行了一项具有全国代表性的调查。我们研究了人口统计学因素、健康信念模型中的构念(感知严重性、易感性、益处、障碍、自我效能感和行动线索)以及基于信仰的支持变量在特定宗教教派父母的HPV疫苗接种决策中所起作用的程度。在接受调查的父母中,72.3%表示他们的孩子接种了HPV疫苗,这表明接种率虽高但并不完全。值得注意的是,三个教派群体的疫苗接种率没有观察到统计学上的显著差异。感知到的HPV疫苗益处(<0.001)、感知到的障碍(<0.001)和感知到的自我效能感(=0.013)密切相关。报告孩子的医疗保健提供者询问过他们关于疫苗情况的父母(<0.001)以及那些更容易接受基于信仰的HPV疫苗接种支持的父母(=0.049)更有可能报告孩子接种了HPV疫苗。为了提高所调查宗教教派中的HPV疫苗接种率,加强医护人员与父母之间关于HPV疫苗的沟通以及促进医疗保健提供者与支持性宗教团体之间的伙伴关系,可以成为促进疫苗接种接受度和依从性的有力手段。