Using actor-partner interdependence modeling to understand HPV vaccine acceptance.

Using actor-partner interdependence modeling to understand HPV vaccine acceptance.
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DOI:
10.1371/journal.pone.0181662
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发表时间:
2017
期刊:
影响因子:
3.7
通讯作者:
Carey MP
Carey MP
中科院分区:
综合性期刊3区
文献类型:
--
作者:
VanderDrift LE;Vanable PA;Bonafide KE;Brown JL;Bostwick RA;Carey MP

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大量的科学文献致力于了解哪些因素影响父母及其青少年儿童获得HPV疫苗。这些文献在对个人进行抽样的方法上相对统一(即,父母或青少年),并检查该个体摄取的预测因子。为了提高对HPV疫苗接种率的理解,我们对低收入的非裔美国人的父母-孩子二人组进行了抽样调查,其中女性(n = 93)或男性(n = 116)青少年未接种疫苗。父母和孩子都完成了自我报告措施,这些措施利用了接受疫苗的意图和假设的意图预测因素(即,自我效能,对疫苗的信念,对HPV的信念,对HPV的知识)。使用二元分析方法(即,行为者-伴侣相互依赖模型或APIM),我们发现父母和他们的青少年对HPV疫苗接种有不同的信念结构(即,它们在经验上是可区分的)。与以前的研究一致,大多数预测个人自己的意图接种疫苗是个人水平的变量,但独特的是,一些预测赞同的一个成员的二分体影响的意图举行的其他成员。具体来说,父母对HPV严重程度的报告及其自我效能都与青少年获得疫苗的意图有关。此外,青少年的信念,疫苗将导致更大的滥交或被污名化与父母持有增加的意图接种疫苗。使用APIM可以提高对HPV疫苗接种的了解,并可用于指导干预工作。
A wealth of scientific literature has been devoted to understanding what factors influence parents and their adolescent children to obtain the HPV vaccine. This literature is relatively uniform in its methodological approach of sampling individuals (i.e., either parents or adolescents) and examining the predictors of uptake for that individual. To improve understanding of HPV vaccination uptake, we sampled low-income, African American parent-child dyads with either a female (n = 93) or a male (n = 116) adolescent who had not been vaccinated. Both parents and children completed self-report measures that tapped intent to receive the vaccine and hypothesized predictors of intent (i.e., self-efficacy, beliefs about the vaccine, beliefs about HPV, knowledge of HPV). Using a dyadic analytic approach (i.e., the Actor-Partner Interdependence Model or APIM), we found that parents and their adolescents have different structures of beliefs regarding HPV vaccination (i.e., they are empirically distinguishable). Consistent with prior research, the majority of predictors of an individual’s own intention to vaccinate were individual-level variables; uniquely though, some predictors endorsed by one member of the dyad influenced the intentions held by the other member. Specifically, parents’ reports of HPV severity and their self-efficacy were both associated with adolescents’ intent to obtain the vaccine. Further, adolescents’ beliefs that the vaccine will lead to greater promiscuity or be stigmatizing were associated with parents holding an increased intent to vaccinate. Use APIM improves understanding of HPV vaccination uptake and can be used to guide intervention efforts.
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