Abstract:
OBJECTIVES:This study explores the predisposing, enabling, and need-based factors associated with parents' or guardians' decision to have their child initiate, continue, and complete the human papillomavirus (HPV) vaccine. METHODS:Parents and guardians of children between the ages of 9 and 17years who completed the 2010 Behavioral Risk Factor Surveillance System survey collected by the Center for Disease Control (CDC, 2010) were analyzed. Utilizing Andersen's health care beliefs model, we explored the sequential nature of the decision to vaccinate (i.e., the decision to receive the first, second, and third dose), thereby allowing the independent variables to vary across each transition. RESULTS:Among all children, 3.7% received exactly 1 shot, 16.3% received at least one shot, and 8.9% received all three shots. Among those who received at least one shot, 22.4% received exactly one shot, 23.7% received exactly 2 shots, and 54.9% completed all 3 shots. A differential impact was observed across transitions. Predisposing factors, such as being Hispanic (OR=1.9) and child age (OR=1.4), significantly predicted the decision to receive the first dose but enabling factors, such as having a regular physician (OR=4.5) and income (OR=.74) were more important for predicting completion. CONCLUSIONS:The decision to initiate and complete HPV vaccination depends on a specific mix of enabling, predisposing, and need-based factors. Our analysis underscores the importance of modeling the vaccination decision in a manner that is consistent with how primary caregivers navigate real-life health care decisions for their children.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Barboza GE,Dominguez Sdoi
10.1016/j.ypmed.2016.01.010subject
Has Abstractpub_date
2016-04-01 00:00:00pages
84-89eissn
0091-7435issn
1096-0260pii
S0091-7435(16)00024-4journal_volume
85pub_type
杂志文章abstract::Research demonstrates that prediabetes awareness has important implications for participation in diabetes risk-reducing behaviors. We examined the impact of levels of access to health services on prediabetes awareness. In 2016, we conducted an analysis among U.S. adults with prediabetes using cross-sectional data from...
journal_title:Preventive medicine
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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journal_title:Preventive medicine
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journal_title:Preventive medicine
pub_type: 杂志文章
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journal_title:Preventive medicine
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journal_title:Preventive medicine
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journal_title:Preventive medicine
pub_type: 杂志文章
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journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2015.02.002
更新日期:2015-05-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(85)90026-x
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doi:10.1016/j.ypmed.2007.08.009
更新日期:2008-01-01 00:00:00
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doi:10.1016/j.ypmed.2004.09.040
更新日期:2005-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1006/pmed.2000.0735
更新日期:2000-11-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0737
更新日期:2000-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.03.021
更新日期:2004-08-01 00:00:00
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journal_title:Preventive medicine
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doi:10.1006/pmed.1993.1002
更新日期:1993-01-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章
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journal_title:Preventive medicine
pub_type: 杂志文章,评审
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更新日期:1998-03-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,评审
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更新日期:2016-07-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2014.02.010
更新日期:2014-05-01 00:00:00
abstract::Ernst Wynder did not believe that environmental tobacco smoke (ETS), also known as secondhand smoke, was a cause of lung cancer because his own data did not support this. His view on the issue may have begun to change with our initial studies, carried out at the American Health Foundation, showing that metabolites of ...
journal_title:Preventive medicine
pub_type: 传,历史文章,杂志文章
doi:10.1016/j.ypmed.2006.07.020
更新日期:2006-10-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.02.023
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Recognition that early sun exposure is an important risk factor for cutaneous melanoma in white populations has led to efforts to reduce children's sun exposure. 'Kidskin' was a non-randomized, school-based sun protection intervention trial in Perth, Western Australia (1995-1999). Its aim was to determine th...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2005.11.002
更新日期:2006-01-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.11.025
更新日期:2018-06-01 00:00:00