Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross-Sectional Survey.
Angela Chia-Chen Chen, ChengChing Hiya Liu, Kimberly Arcoleo and 2 others
PMID 39647922WHAT IT FOUND
Unvaccinated adolescents who felt at higher risk and saw supports like trusted advice, affordability and access reported stronger intention to get HPV vaccination.
Knowledge alone was not linked to intention. Many were interested in games or social media.
Key findings
01About 65% of the 119 unvaccinated adolescents reported intention to be vaccinated against HPV.
02Higher perceived risk and more perceived facilitators were linked to stronger intention, while knowledge, barriers and cultural beliefs were not.
03A larger proportion of boys reported vaccination intention than girls (81.8% vs 54.7%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured intention, not whether adolescents later received the HPV vaccine. It was a cross-sectional survey, so it cannot show that risk or facilitators caused intention. The sample was a convenience sample of 119 adolescents, mostly from economically disadvantaged neighbourhoods, so it may not apply to other groups. The HPV knowledge scale had low reliability in this sample (KR-20 = 0.67). The cultural belief items were adapted from cancer screening and may not fit HPV vaccination. No correction was used for multiple comparisons because of the small sample size. The estimate for Hispanic/Latino adolescents was very large and imprecise (adjusted odds ratio 24.10, 95% CI 3.85 to 150.82).
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that this study proves a digital intervention or more facts will increase HPV vaccination. It was a survey of intention at one time point, did not test an intervention, and knowledge was not linked to intention.