Health beliefs and vaccine costs regarding human papillomavirus (HPV) vaccination among a U.S. national sample of adult women

Preventive Medicine
Adrian LiauGregory D Zimet

Abstract

Health beliefs have been found to be significant predictors of vaccine acceptability and uptake, including attitudes about HPV vaccine. In this study, we examined whether the predictive strength of health beliefs varied as a function of vaccine cost among adult women. During April 2009, data were collected from a nationally representative internet sample of 1323 US-resident women aged 27-55 years. Participants completed items related to sociodemographics, health beliefs, and HPV vaccine acceptability. Acceptability was measured at three levels of cost: free, $30/dose, and $120/dose. Multiple linear regression (MLR) revealed that health belief variables accounted for 29.7% of the variability in overall HPV vaccine acceptability. However, there was a linear and significant decrease in R(2) values from 0.31 for a free vaccine, to 0.25 for a $30/dose vaccine, to 0.11 for a $120/dose vaccine. The results confirm previous findings that health beliefs predict HPV vaccine acceptability. However, the predictive strength of the association decreased with increasing cost. These findings suggest that interventions designed to increase vaccination by modifying health beliefs may have limited effect unless cost is minimized as a barrier.

References

Dec 14, 2005·Journal of Developmental and Behavioral Pediatrics : JDBP·Lynne A SturmGregory D Zimet
May 17, 2008·International Journal of STD & AIDS·Gregory D ZimetRomina Kee
Jul 10, 2008·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·John G LenehanWilliam A Fisher
Jul 6, 2010·AIDS·Peter A Newman, Carmen Logie
Aug 20, 2010·Sexual Health·Nathan W StupianskyGregory D Zimet

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Citations

Nov 6, 2013·Antiviral Research·Kevin J Whaley, Larry Zeitlin
Mar 26, 2015·American Journal of Health Promotion : AJHP·Anne C FernandezJames O Prochaska
Nov 29, 2015·Pediatric Clinics of North America·Jannah WigleGregory D Zimet
Feb 19, 2015·Human Vaccines & Immunotherapeutics·Andrea KrawczykZeev Rosberger
Feb 24, 2015·Vaccine·Amanda F DempseySean T O'leary
May 9, 2012·Vaccine·Alice S ForsterJo Waller
Feb 27, 2016·Public Health Nursing·Grace L ReynoldsPamela Xandre
Apr 11, 2017·Health & Social Work·Vetta L Sanders ThompsonSha-Lai Williams

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