The importance of coherently understanding cervical cancer vaccination: factors associated with young Australian women’s uptake of the HPV vaccine

Kerry A. Sherman, Christopher J. Kilby, Danielle Moore, Laura-Kate Shaw

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women’s decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease Risk-Action Link information about the links between HPV, cervical cancer, and vaccination on women’s cervical cancer illness coherence.

Methods: In total, 132 young Australian women (18–26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed.

Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition.

Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting the Disease-Risk-Action Links in the cervical cancer context can promote illness coherence.
LanguageEnglish
Pages358-371
Number of pages14
JournalHealth Psychology and Behavioral Medicine
Volume5
Issue number1
DOIs
Publication statusPublished - 6 Oct 2017

Fingerprint

Papillomavirus Vaccines
vaccination
Uterine Cervical Neoplasms
Vaccination
cancer
illness
Vaccines
Disease
Communication
coherence
communication
Linear Models
Analysis of Variance
online survey
Regression Analysis
Demography
manipulation
regression

Bibliographical note

Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Cervical cancer
  • HPV vaccine
  • common sense model
  • illness coherence
  • informational experiment

Cite this

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title = "The importance of coherently understanding cervical cancer vaccination: factors associated with young Australian women’s uptake of the HPV vaccine",
abstract = "Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women’s decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease Risk-Action Link information about the links between HPV, cervical cancer, and vaccination on women’s cervical cancer illness coherence.Methods: In total, 132 young Australian women (18–26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed.Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition.Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting the Disease-Risk-Action Links in the cervical cancer context can promote illness coherence.",
keywords = "Cervical cancer, HPV vaccine, common sense model, illness coherence, informational experiment",
author = "Sherman, {Kerry A.} and Kilby, {Christopher J.} and Danielle Moore and Laura-Kate Shaw",
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year = "2017",
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language = "English",
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The importance of coherently understanding cervical cancer vaccination : factors associated with young Australian women’s uptake of the HPV vaccine. / Sherman, Kerry A.; Kilby, Christopher J.; Moore, Danielle; Shaw, Laura-Kate.

In: Health Psychology and Behavioral Medicine, Vol. 5, No. 1, 06.10.2017, p. 358-371.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The importance of coherently understanding cervical cancer vaccination

T2 - Health Psychology and Behavioral Medicine

AU - Sherman, Kerry A.

AU - Kilby, Christopher J.

AU - Moore, Danielle

AU - Shaw, Laura-Kate

N1 - Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2017/10/6

Y1 - 2017/10/6

N2 - Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women’s decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease Risk-Action Link information about the links between HPV, cervical cancer, and vaccination on women’s cervical cancer illness coherence.Methods: In total, 132 young Australian women (18–26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed.Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition.Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting the Disease-Risk-Action Links in the cervical cancer context can promote illness coherence.

AB - Background: Cervical cancer vaccination is efficacious and widely available, yet uptake is less than optimal, even in countries such as Australia that provide government-funded vaccination programmes. Effective communication strategies are needed for presenting Human Papillomavirus (HPV) vaccine-related information in a format that enhances understanding about the vaccine, and ultimately, uptake of the vaccine. Using the Common Sense Model framework, we aimed to assess the role of illness coherence in women’s decisions to undergo the vaccine. As a secondary aim, we piloted a communication strategy entailing the provision of Disease Risk-Action Link information about the links between HPV, cervical cancer, and vaccination on women’s cervical cancer illness coherence.Methods: In total, 132 young Australian women (18–26 years old) completed online surveys measuring illness coherence, vaccine status, intentions to undergo vaccination, and medical/demographic variables. Women who had not undergone vaccination were then randomised to receive either a brief or detailed information message about cervical cancer. Messages varied by the extent of detail (brief vs. detailed) providing Disease Risk-Action Link information about the link between the action of the vaccine, the HPV, and cervical cancer. Next, illness coherence was re-assessed.Results: ANOVA results suggested that women who were vaccinated reported higher levels of illness coherence. Linear regression analyses indicated that, in non-vaccinated women, illness coherence was significantly associated with intentions to vaccinate. ANCOVA analysis indicated that non-vaccinated women assigned to the detailed message condition reported greater increases in illness coherence compared to those assigned to the brief message condition.Conclusion: Illness coherence appears to be an important factor in actual vaccination uptake and intentions to vaccinate. The experimental informational message manipulation further demonstrated that the provision of detailed messages highlighting the Disease-Risk-Action Links in the cervical cancer context can promote illness coherence.

KW - Cervical cancer

KW - HPV vaccine

KW - common sense model

KW - illness coherence

KW - informational experiment

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DO - 10.1080/21642850.2017.1381023

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EP - 371

JO - Health Psychology and Behavioral Medicine

JF - Health Psychology and Behavioral Medicine

SN - 2164-2850

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