Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior.

Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior.
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DOI:
10.1007/s12160-012-9366-5
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发表时间:
2012-10
期刊:
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子:
--
通讯作者:
Shepherd JE
Shepherd JE
中科院分区:
其他
文献类型:
--
作者:
Gerend MA;Shepherd JE

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虽然健康行为理论指导了成千上万的研究,但相对较少的研究将这些理论相互比较。当前研究的目的是比较两种经典的健康行为理论--健康信念模型(HBM)和计划行为理论(TPB)--对人乳头瘤病毒(HPV)疫苗接种的预测。在观看了增益帧,损失帧或控制视频后,18-26岁的女性(N=739)完成了一项评估HBM和TPB结构的调查。10个月后评估了HPV疫苗的摄取情况。虽然信息框架干预对疫苗接种没有影响,但TPB和HBM都得到了支持。然而,TPB的表现一直优于HBM。摄取的关键预测因素包括主观规范,自我效能和疫苗成本。尽管观察到TPB的优势,研究结果显示这两种理论之间有相当大的重叠,并强调了近端与远端健康行为预测的重要性。
Although theories of health behavior have guided thousands of studies, relatively few studies have compared these theories against one another. The purpose of the current study was to compare two classic theories of health behavior—the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB)—in their prediction of human papillomavirus (HPV) vaccination. After watching a gain-framed, loss-framed, or control video, women (N=739) ages 18–26 completed a survey assessing HBM and TPB constructs. HPV vaccine uptake was assessed ten months later. Although the message framing intervention had no effect on vaccine uptake, support was observed for both the TPB and HBM. Nevertheless, the TPB consistently outperformed the HBM. Key predictors of uptake included subjective norms, self-efficacy, and vaccine cost. Despite the observed advantage of the TPB, findings revealed considerable overlap between the two theories and highlighted the importance of proximal versus distal predictors of health behavior.
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