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Does Self-Efficacy Mediate the Relationships Between Social-Cognitive Factors and Intentions to Receive HPV Vaccination Among Young Women?

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  • Shannon M. Christy
  • Joseph G. Winger
  • Catherine E. Mosher

Abstract

Drawing upon health behavior change theories, the current study examined whether self-efficacy mediated relationships between social-cognitive factors (i.e., perceived risk, perceived benefits, perceived barriers, perceived severity, and cue to action) and human papillomavirus (HPV) vaccination intentions among college women. Unvaccinated women ( N = 115) aged 18 to 25 years attending a Midwestern university completed an anonymous web-based survey assessing study variables. Correlational analyses and mediation analyses were conducted. Self-efficacy mediated relationships between two social-cognitive factors (i.e., perceived barriers to HPV vaccination—indirect effect = −.16, SE = .06, 95% confidence interval [CI] = [−.31, −.06]—and perceived risk of HPV-related conditions—indirect effect = .16, SE = .09, 95% CI = [.01, .37]) and HPV vaccination intentions but was unrelated to the other three social-cognitive factors. Based on these findings, future research should test whether increasing self-efficacy through education on risk of HPV-related conditions and reducing barriers to HPV vaccination improves vaccine uptake in college women.

Suggested Citation

  • Shannon M. Christy & Joseph G. Winger & Catherine E. Mosher, 2019. "Does Self-Efficacy Mediate the Relationships Between Social-Cognitive Factors and Intentions to Receive HPV Vaccination Among Young Women?," Clinical Nursing Research, , vol. 28(6), pages 708-725, July.
    • Handle: RePEc:sae:clnure:v:28:y:2019:i:6:p:708-725
    DOI: 10.1177/1054773817741590
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    References listed on IDEAS

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    1. Daniel-Ulloa, J. & Gilbert, P.A. & Parker, E.A., 2016. "Human papillomavirus vaccination in the United States: Uneven uptake by gender, race/ethnicity, and sexual orientation," American Journal of Public Health, American Public Health Association, vol. 106(4), pages 746-747.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Schmidt, S. & Parsons, H.M., 2014. "Vaccination interest and trends in human papillomavirus vaccine uptake in young adult women aged 18 to 26 years in the united states: An analysis using the 2008-2012 national health interview survey," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 946-953.
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