Does Self-Efficacy Mediate the Relationships Between Social-Cognitive Factors and Intentions to Receive HPV Vaccination Among Young Women?. (July 2019)

• Record Type: Journal Article
• Authors: Christy, Shannon M.; Winger, Joseph G.; Mosher, Catherine E.
• Is Part Of: Clinical nursing research. Volume 28:Number 6(2019)
• Page Start: 708
• Page End: 725
• Publication Date: 2019-07
• Subjects: HPV vaccination -- health beliefs -- health behaviors -- cancer prevention -- self-efficacy; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Clinical medicine -- Research -- Periodicals; 610.73
• DOI: 10.1177/1054773817741590
• Languages: English
• ISSNs: 1054-7738

Abstract

Drawing upon health behavior change theories, the current study examined whether self-efficacy mediated relationships between social-cognitive factors (i.e., perceived risk, perceived benefits, perceived barriers, perceived severity, and cue to action) and human papillomavirus (HPV) vaccination intentions among college women. Unvaccinated women ( N = 115) aged 18 to 25 years attending a Midwestern university completed an anonymous web-based survey assessing study variables. Correlational analyses and mediation analyses were conducted. Self-efficacy mediated relationships between two social-cognitive factors (i.e., perceived barriers to HPV vaccination—indirect effect = −.16, SE = .06, 95% confidence interval [CI] = [−.31, −.06]—and perceived risk of HPV-related conditions—indirect effect = .16, SE = .09, 95% CI = [.01, .37]) and HPV vaccination intentions but was unrelated to the other three social-cognitive factors. Based on these findings, future research should test whether increasing self-efficacy through education on risk of HPV-related conditions and reducing barriers to HPV vaccination improves vaccine uptake in college women.