Exploring Predictors of HPV Vaccination Decisions: A Stage-Based Study on Chinese Parents of Girls.

IF 1.7 Q2 PEDIATRICS
Adolescent Health Medicine and Therapeutics Pub Date : 2025-04-25 eCollection Date: 2024-01-01 DOI:10.2147/AHMT.S500527
Danyu Li, Jennifer Stinson, Wen Zhang, Fulei Wu, Jingting Wang, Biyu Shen, Fan Wu, Changrong Yuan
{"title":"Exploring Predictors of HPV Vaccination Decisions: A Stage-Based Study on Chinese Parents of Girls.","authors":"Danyu Li, Jennifer Stinson, Wen Zhang, Fulei Wu, Jingting Wang, Biyu Shen, Fan Wu, Changrong Yuan","doi":"10.2147/AHMT.S500527","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To assess the predictors of Chinese parents of girls' decision stage about the Human Papillomavirus (HPV) vaccination.</p><p><strong>Patients and methods: </strong>Two hundred and seventy-three parents of girls aged 9-17 with no HPV vaccination history were recruited to complete an online survey between September-December 2023. We assessed factors thought to influence decisions about HPV vaccination, including sociodemographics, HPV general knowledge, HPV vaccination knowledge, attitudes, and decisional conflict. Parents were asked to choose the decision stages among Stage 1 (have not thought), Stage 2 (considering), and Stage 3 (decided). Predictors of the decision stage were assessed with univariate and multivariate multinomial logistic regression.</p><p><strong>Results: </strong>The parents of the three decision stages accounted for 48.4%, 29.7%, and 22.0%, respectively. Parents of older girls were more likely to be in the \"considering\" stage (OR = 1.29) than the \"haven't thought\" stage. A higher sense of being uninformed was associated with lower odds of being in the \"considering\" stage (OR = 0.97). Additionally, greater feelings of uncertainty were linked to lower odds of being in the \"decided\" stage (OR = 0.95) than the \"haven't thought\" stage.</p><p><strong>Conclusion: </strong>This study highlights the importance of understanding the various stages of decision-making in HPV vaccination among Chinese parents. Parents' subjective feelings of being informed and certainty appear to be significant factors in advancing through the decision-making stages. Future research should develop and explore the impact of specific knowledge and valued based tools and decision aids.</p>","PeriodicalId":46639,"journal":{"name":"Adolescent Health Medicine and Therapeutics","volume":"15 ","pages":"119-131"},"PeriodicalIF":1.7000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046678/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Health Medicine and Therapeutics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/AHMT.S500527","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: To assess the predictors of Chinese parents of girls' decision stage about the Human Papillomavirus (HPV) vaccination.

Patients and methods: Two hundred and seventy-three parents of girls aged 9-17 with no HPV vaccination history were recruited to complete an online survey between September-December 2023. We assessed factors thought to influence decisions about HPV vaccination, including sociodemographics, HPV general knowledge, HPV vaccination knowledge, attitudes, and decisional conflict. Parents were asked to choose the decision stages among Stage 1 (have not thought), Stage 2 (considering), and Stage 3 (decided). Predictors of the decision stage were assessed with univariate and multivariate multinomial logistic regression.

Results: The parents of the three decision stages accounted for 48.4%, 29.7%, and 22.0%, respectively. Parents of older girls were more likely to be in the "considering" stage (OR = 1.29) than the "haven't thought" stage. A higher sense of being uninformed was associated with lower odds of being in the "considering" stage (OR = 0.97). Additionally, greater feelings of uncertainty were linked to lower odds of being in the "decided" stage (OR = 0.95) than the "haven't thought" stage.

Conclusion: This study highlights the importance of understanding the various stages of decision-making in HPV vaccination among Chinese parents. Parents' subjective feelings of being informed and certainty appear to be significant factors in advancing through the decision-making stages. Future research should develop and explore the impact of specific knowledge and valued based tools and decision aids.

探索HPV疫苗接种决策的预测因素:一项基于中国女孩父母的阶段研究。
目的:探讨中国女孩父母对人乳头瘤病毒(HPV)疫苗接种决策阶段的预测因素。患者和方法:在2023年9月至12月期间,招募了273名无HPV疫苗接种史的9-17岁女孩的父母完成在线调查。我们评估了被认为影响HPV疫苗接种决策的因素,包括社会人口统计学、HPV常识、HPV疫苗接种知识、态度和决策冲突。家长们被要求在第1阶段(没有想到)、第2阶段(考虑)、第3阶段(决定)中选择决定阶段。决策阶段的预测因子采用单变量和多变量logistic回归进行评估。结果:三个决策阶段的家长分别占48.4%、29.7%和22.0%。大女孩的父母更有可能处于“考虑”阶段(OR = 1.29),而不是“没有想到”阶段。不知情感越高,处于“考虑”阶段的几率越低(OR = 0.97)。此外,与“没有想过”阶段相比,更大的不确定感与处于“决定”阶段的几率更低(OR = 0.95)有关。结论:本研究强调了了解中国父母HPV疫苗接种决策的各个阶段的重要性。父母被告知的主观感受和确定性似乎是通过决策阶段推进的重要因素。未来的研究应该发展和探索具体知识和基于价值的工具和决策辅助的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信