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A Preliminary Study of Mothers' Social Support, Spirituality, Knowledge, and Acceptability of the HPV Vaccine for Daughters

Price, Kimberly

Abstract Details

2013, PhD, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
The Human Papillomavirus (HPV) vaccine has the potential to significantly reduce the disease burden of cervical cancer, which disproportionately affects vulnerable and underserved populations. Although social support and spirituality have been examined with how cancer patients cope with disease, little is known about how they influence preventive behaviors, such as HPV vaccine acceptability. The purpose of this study was to fill gaps in the research about the relationships between social support, spirituality (both behaviors and beliefs), and cervical cancer prevention through HPV vaccine acceptability. Based on a review of the literature and theoretical models (Health Belief Model and Theory of Reasoned Action), a three-page, 64-item survey instrument was developed to measure a mother's spiritual and social connections, and how they relate to her knowledge, attitudes, behaviors/experiences, and behavioral intentions toward the HPV vaccine for her daughter. Mothers with 9 to 18 year old daughters were recruited from the Greater Cincinnati area at community health clinics and neighborhood events. One hundred six women completed the written survey and responses were analyzed. Overall, the mothers who participated in this study were knowledgeable regarding HPV and the HPV vaccine, had favorable attitudes toward the HPV vaccine and vaccines in general and were inclined to talk with daughters about the HPV vaccine. Most aspects of spirituality and social support were not found to be associated with mothers' knowledge, attitudes, and behaviors/behavioral intentions, however, results in this preliminary study showed that mothers with stronger spiritual beliefs were more likely to have talked to their daughters about the HPV vaccine. Results in this study also showed that mothers with more knowledge of HPV and the HPV vaccine had more favorable attitudes toward the HPV vaccine. Mothers with more knowledge of HPV had a greater intention to talk to daughter about the HPV vaccine and to have daughter vaccinated, and mothers with more knowledge about the HPV vaccine were more likely to have already talked to their daughters about the HPV vaccine, had a greater intention to talk to daughter about the vaccine, and had a greater intention to have daughter vaccinated. Mothers had greater intentions to talk to daughters about the HPV vaccine if they had a more favorable attitude toward the HPV vaccine, and mothers with lower annual household incomes showed a more favorable attitude toward the HPV vaccine, specifically in agreeing that the HPV vaccine should be a routine childhood immunization. Race, age of daughter, and doctor's recommendation were also associated with mothers' behaviors or behavioral intentions. The findings in this preliminary study supported the concept of the knowledge-attitudes-behavior continuum, and indicated that further study on the impact of spiritual beliefs (apart from practices/religiosity), social support networks' and physicians' influence, and race/ethnicity on HPV vaccine acceptability is warranted. Understanding the variables that may influence HPV vaccine acceptability is crucial to eliminating health disparities in women's reproductive health.
Keith King, Ph.D. (Committee Chair)
Liliana Guyler, Ph.D. (Committee Member)
Laura Nabors, Ph.D. (Committee Member)
Rebecca Vidourek, Ph.D. (Committee Member)
169 p.

Recommended Citations

Citations

  • Price, K. (2013). A Preliminary Study of Mothers' Social Support, Spirituality, Knowledge, and Acceptability of the HPV Vaccine for Daughters [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367942840

    APA Style (7th edition)

  • Price, Kimberly. A Preliminary Study of Mothers' Social Support, Spirituality, Knowledge, and Acceptability of the HPV Vaccine for Daughters. 2013. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367942840.

    MLA Style (8th edition)

  • Price, Kimberly. "A Preliminary Study of Mothers' Social Support, Spirituality, Knowledge, and Acceptability of the HPV Vaccine for Daughters." Doctoral dissertation, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367942840

    Chicago Manual of Style (17th edition)