Predicting Human Papilloma Virus Vaccination and Pap Smear Screening Intentions Among Young Singaporean Women Using the Theory of Planned Behavior

Chirayil, Evangeline I.; Thompson, Claire; Burney, Susan

doi:10.1177/2158244014554961

Cited by 18 publications

(16 citation statements)

References 37 publications

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“…Out of the 3 components of the TPB, social norms and PBC were signi cant in determining the intention to socially distance, while attitude was not a signi cant predictor of intention. These ndings are in agreement with a previous study that found subjective norms and PBC had a signi cant impact on behavioral intentions [44]; [45]; [46]. In line with the ndings of Alfahan's study [47], the social norm component emerged as the most important predictor.…”

Section: Discussionsupporting

confidence: 92%

Social Distancing Intentions to Reduce the Spread of COVID-19: The Extended Theory of Planned Behavior

Adiyoso

Wilopo

2020

Preprint

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Background The novel SARS-CoV-2 virus pandemic has caused over a hundred thousand deaths and has affected countries and economies worldwide. Due to the absence of a vaccine, the most effective way to reduce transmission of the virus is by applying social distancing practices. Exploring factors that determine whether people adopt social distancing measures is, therefore, critical to reducing the spread of the virus. This study aimed to investigate people’s intentions to socially distance based on the extended Theory of Planned Behavior. An online survey of 823 individuals was conducted and their responses analyzed using partial least square structural equation modeling. Results Study found that the factors influencing the intention to perform social distancing were subjective norms and perceived behavior control. Risk perception affected attitudes, subjective norms, and perceived behavioral control. Media exposure was found to determine attitudes, subjective norms, and risk perceptions. The relationship between attitudes and intentions, and media use and perceived behavior control were not significant. The better and effective risk communication that can change the level of risk perception, raise family and religious leader as well as increase to control behavior are the keys to people’s perform social distancing. Results from a multigroup analysis revealed partial differences across demographic variables. Younger individuals showed a stronger relationship between the influence of risk perception and PBC and media use on risk perception. The predictive strength of subjective norms from risk perception and risk perception from media use was more strongly associated with rural populations. Conclusions The results of study provide an initial understanding of the level of the public’s risk perception to reduce the spread of SARS-CoV-2. Findings also revealed the role of media use in determining risk perception, attitudes and subjective norms. Effective risk communication can change the level of risk perception, attitudes and subjective norms and, in turn, change people’s intention to socially distance. This study may add to the literature, as it explores notions of behavioral changes in the context of an infectious disease pandemic. These results provide a framework for both policymakers and practitioners to formulate interventions for effective social distancing practices in the future.

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Section: Discussionsupporting

confidence: 92%

Social Distancing Intentions to Reduce the Spread of COVID-19: The Extended Theory of Planned Behavior

Adiyoso

Wilopo

2020

Preprint

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“…Nevertheless, the rate is slightly higher than reported among young women in Hong Kong (9.7%), in 2008, when the vaccines were newly introduced to the country [23]. The HPV vaccine uptake rate has remained low in other countries in Asia, such as Singapore where only 13.6% women aged 18 to 26 years reported having been immunized against HPV [24]. In this study, based on the results of the PLS-SEM, indicators of higher socioeconomic status such as residing in the eastern region, being born in a city area, and a higher monthly disposable fund were found to correlate with the HPV vaccine uptake.…”

Section: Discussionmentioning

confidence: 93%

Human Papillomavirus (HPV) Vaccine Uptake and the Willingness to Receive the HPV Vaccination among Female College Students in China: A Multicenter Study

You

Han

et al. 2020

Vaccines

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Background: This study aimed to determine human papillomavirus (HPV) vaccine uptake and willingness to receive HPV vaccination among female college students, in China, and its associated factors. Methods: An online cross-sectional survey of female college students across the eastern, central, and western regions of China was undertaken between April and September 2019. Partial least squares structural equation modeling (PLS-SEM) was used to examine factors associated with the HPV vaccine uptake and willingness to receive the HPV vaccine. Results: Among the total 4220 students who participated in this study, 11.0% reported having been vaccinated against HPV. There are direct effects of indicators of higher socioeconomic status, older age (β = 0.084 and p = 0.006), and geographical region (residing in Eastern China, β = 0.033, and p = 0.024) on HPV vaccine uptake. Higher knowledge (β = 0.062 and p < 0.000) and perceived susceptibility (β = 0.043 and p = 0.002) were also predictors of HPV vaccine uptake. Of those who had not received the HPV vaccine, 53.5% expressed a willingness to do so. Likewise, social economic status indicators were associated with the willingness to receive the HPV vaccine. Total knowledge score (β = 0.138 and p < 0.001), both perceived susceptibility (β = 0.092 and p < 0.001) and perceived benefit (β = 0.088 and p < 0.001), and sexual experience (β = 0.041 and p = 0.007) had a positive and significant direct effect on the willingness to receive the HPV vaccine, while perceived barriers (β = −0.071 and p < 0.001) had a negative effect on the willingness to receive the HPV vaccine. Conclusions: Geographical region and socioeconomic disparities in the HPV vaccination uptake rate and willingness to receive the HPV vaccine provide valuable information for public health planning that aims to improve vaccination rates in underserved areas in China. The influence of knowledge and perceptions of HPV vaccination suggests the importance of communication for HPV immunization.

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“…The vaccination is currently covered under the Medisave programme but relies on voluntary initiation or parental initiation, which may explain the current low uptake rate (13.6%). (18) Official recommendation from relevant medical societies, endorsement of the AS04-HPV-16/18v from MOH Singapore and Health Promotion…”

Section: Discussionmentioning

confidence: 99%

“…(17) So far, the uptake of HPV vaccination has also been low; only 13.6% of women aged 18-26 years have been immunised. (18) The reasons contributing to the low uptake are unclear, but inconvenience, low awareness of HPV and the benefits of HPV vaccination, along with misconceptions about the safety of HPV vaccination have been raised as potential barriers to uptake. (14,19) A recent meta-analysis concluded that AS04-HPV-16/18v was more efficacious compared with 4vHPV in terms of protection against the pre-malignant stages CIN2 (65% vs.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cost-effectiveness of two-dose human papillomavirus vaccination in Singapore

Tay

Lee

Sohn³

et al. 2018

smedj

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Predicting Human Papilloma Virus Vaccination and Pap Smear Screening Intentions Among Young Singaporean Women Using the Theory of Planned Behavior

Cited by 18 publications

References 37 publications

Social Distancing Intentions to Reduce the Spread of COVID-19: The Extended Theory of Planned Behavior

Social Distancing Intentions to Reduce the Spread of COVID-19: The Extended Theory of Planned Behavior

Human Papillomavirus (HPV) Vaccine Uptake and the Willingness to Receive the HPV Vaccination among Female College Students in China: A Multicenter Study

Cost-effectiveness of two-dose human papillomavirus vaccination in Singapore

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