Uptake of the human papillomavirus vaccine in Kenya
Testing the health belief model through pathway modeling on cohort data
Bibliographic Data
| ID | 19534757 |
|---|---|
| Authors | Heleen Vermandere (0000-0003-1274-8537, Ghent University Hospital, corresponding author), M A van Stam (0000-0002-8116-8133, University Medical Center Utrecht), Marie-Anne Van Stam, Violet Naanyu (0000-0003-0182-1719, Moi University), Kristien Michielsen (0000-0002-4119-6770, Ghent University Hospital), Olivier Degomme (0000-0002-4360-0220, Ghent University Hospital), Frans J Oort (0000-0003-1823-7105, University of Amsterdam), Frans Oort |
| Year | 2016 |
| Volume | 12 |
| Issue | 1 |
| Pages | 72-72 |
| Publication date | 2016-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Globalization and Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-8603 • E-ISSN: 1744-8603 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s12992-016-0211-7 |
| PMID | 27846857 |
| OpenAlex | W2551164574 |
| Language | EN |
| Citations received | 11 |
| References cited | 40 |
BACKGROUND: Many studies investigate HPV vaccine acceptability, applying health behavior theories to identify determinants; few include real uptake, the final variable of interest. This study investigated the utility of the Health Belief Model (HBM) in predicting HPV vaccine uptake in Kenya, focusing on the importance of promotion, probing willingness to vaccinate as precursor of uptake and exploring the added value of personal characteristics. METHODS: Longitudinal data were collected before and after a pilot HPV vaccination program in Eldoret among mothers of eligible girls (N = 255). Through pathway modeling, associations between vaccine uptake and the HBM constructs, willingness to vaccinate and adequate promotion were examined. Adequate promotion was defined as a personal evaluation of promotional information received. Finally, baseline cervical cancer awareness and socio-demographic variables were added to the model verifying their direct, mediating or moderating effects on the predictive value of the HBM. RESULTS: Perceiving yourself as adequately informed at follow-up was the strongest determinant of vaccine uptake. HBM constructs (susceptibility, self-efficacy and foreseeing father's refusal as barrier) only influenced willingness to vaccinate, which was not correlated with vaccination. Baseline awareness of cervical cancer predicted uptake. CONCLUSIONS: The association between adequate promotion and vaccination reveals the importance of triggers beyond personal control. Adoption of new health behaviors might be more determined by organizational variables, such as promotion, than by prior personal beliefs. Assessing users' and non-users' perspectives during and after implementing a vaccination program can help identifying stronger determinants of vaccination behavior
Cancer · Cervical cancer · Environmental health · Family medicine · Health belief model · Health communication · Health promotion · Political science · Public health · Structural equation modeling · Vaccination · Cervical Cancer and HPV Research · COVID-19 Impact on Reproduction · Medicine · Nursing · Psychology · Social Psychology · Vaccine Coverage and Hesitancy · Immunology · Internal Medicine
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| Unique citing works | 11 |
|---|---|
| Citations per year | 1,83 |
| Citation span | 2020 - 2025 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 10 |