HPV Vaccination and the Effect of Information Framing on Intentions and Behaviour: An Application of the Theory of Planned Behaviour and Moral Norm
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Human papillomavirus (HPV) is a common sexually transmitted infection (STI) known to cause cervical cancer and genital warts. However, making the genital warts aspect explicit may reduce HPV vaccination intention and behaviour due to perceived stigma associated with STIs.
This study investigated the effect of differential information framing on intention to receive the HPV vaccine using the Theory of Planned Behaviour (TPB) and moral norm construct.
Female university students were randomised to receive a fact sheet describing the HPV vaccine as: (1) preventing cervical cancer only (n = 81); or (2) preventing both cervical cancer and genital warts (n = 78). A 2-month follow-up investigated relationships between vaccination intention and actual behaviour.
No effect of information framing was detected on intention to receive the HPV vaccine, or vaccine uptake behaviour at 2-month follow-up. The traditional TPB components predicted 54% of the variance in vaccination intention (F 3,155 = 61.580, p < 0.001), and moral norm explained an additional 6.2%. Intention predicted a significant but relatively small proportion of variation (9.6%) in behaviour.
The HPV vaccine does not seem to be associated with perceptions of stigma related to genital warts, and has broad acceptance among a female university population. This study demonstrates that TPB is suited to investigate HPV vaccination, and has helped clarify the role of moral norm within the TPB.
- Weller S, Stranberry L. Estimating the population prevalence of HPV. J Am Med Assoc. 2007;297:876–8. CrossRef
- Waller J, McCaffery K, Nazroo J, Wardle J. Making sense of information about HPV in cervical screening: a qualitative study. Br J Cancer. 2005;92(2):265–70.
- Brabin L, Roberts SA, Farzaneh F, Kitchener HC. Future acceptance of adolescent human papillomavirus vaccination: a survey of parental attitudes. Vaccine. 2006;24(16):3087–94. CrossRef
- Friedman AL, Shepeard H. Exploring the knowledge, attitudes, beliefs, and communication preferences of the general public regarding HPV: findings from CDC Focus Group Research and Implications for Practice. J Lower Genital Tract Dis. 2008;12(2):151. CrossRef
- Waller J, Marlow L, Wardle J. The association between knowledge of HPV and feelings of stigma, shame and anxiety. Sex Transm Infect. 2007;83:155–9. CrossRef
- Weisburg E, Bateson D, McCaffery K, Skinner S. HPV vaccination catch up program: utilisation by young Australian women. Aust Fam Physician. 2009;39:72–6.
- Allen J, Mohllajee A, Shelton R, Othus M, Fontenot H, Hanna R. Stage of adoption of the human papillomavrius vaccine among college women. Prev Med. 2009;48:420–5. CrossRef
- Mays R, Sturm L, Zimet G. Parental perspectives on vaccinating children against sexually transmitted infections. Soc Sci Med. 2004;58:1405–13. CrossRef
- Leader AE, Weiner JL, Kelly BJ, Hornik RC, Cappella JN. Effects of information framing on human papillomavirus vaccination. J Women's Health. 2009;18(2):225–33. CrossRef
- McCaffery K, Waller J, Nazroo J, Wardle J. Social and psychological impact of HPV testing in cervical screening: a qualitative study. Sex Transm Infect. 2006;82:169–74. CrossRef
- Jeynes C, Chung M, Challenor R. ‘Shame on you’—the psychosocial impact of genital warts. Int J STD AIDS. 2009;20:557–60. CrossRef
- Persson G, Dahlof L, Krantz I. Physician and psychological effects of anogenital warts on female patients. Sex Transm Dis. 1993;20:10–3. CrossRef
- Foley E, Patel R. Destigmatising STIs: remaining challenges, new opportunities. Sex Transm Infect. 2001;77:305–8. CrossRef
- Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10- to 15-year-old adolescents. J Lower Genital Tract Dis. 2004;8(3):188–94. CrossRef
- Conner M, Warren R, Close S, Sparks P. Alcohol consumption and the theory of planned behavior: an examination of the cognitive mediation of past behaviour. J Appl Soc Psychol. 1999;29(8):1676–704. CrossRef
- Mullan B, Wong C. Hygienic food handling behaviours: an application of the theory of planned behaviour. Appetite. 2009;52:757–61. CrossRef
- Wong C, Mullan B. Predicting breakfast consumption: an application of the theory of planned behaviour and the investigation of past behaviour and executive function. Br J Heal Psychol. 2009;14:489–504. CrossRef
- Fazekas A. Predictors of condom use among university women: an application and extension of the theory of planned behaviour. Can J Behav Sci. 2001;33(2):103–17. CrossRef
- Murphy WG, Brubaker RG. Effects of a brief theory-based intervention on the practice of testicular self-examination by high school males. J Sch Health. 1990;60(9):459–62. CrossRef
- Rutter DR. Attendance and reattendance for breast cancer screening: a prospective 3-year test of the theory of planned behaviour. Br J Heal Psychol. 2000;5(1):1–13. CrossRef
- Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol. 2001;40(4):471–99. CrossRef
- Abraham C, Sheeran P, Norman P, Conner M, Vries N, Otten W. When good intentions are not enough: modeling postdecisional cognitive correlates of condom use. J Appl Soc Psychol. 1999;29(12):2591–612. CrossRef
- Conner M, Armitage CJ. Extending the theory of planned behavior: a review and avenues for further research. J Appl Soc Psychol. 1998;28(15):1429–64. CrossRef
- Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot. 1996;11(2):87–98. CrossRef
- Godin G, Conner M, Sheeran P. Bridging the intention behaviour ‘gap’: The role of moral norm. Br Psychol Soc. 2005;44:497–512. CrossRef
- Ajzen I. Attitudes, personality and behaviour. Milton Keynes: Open University Press; 1991.
- Godin G, Naccache H, Morel S, Ebacher MF. Determinants of nurses' adherence to universal precautions for venipunctures. AJIC: Am J Infect Control. 2000;28(5):359. CrossRef
- Albarracin D, Johnson BT, Fishbein M, Muellerleile PA. Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull. 2001;127(1):142–61. CrossRef
- Andrykowski M, Beacham A, Schmidt J, Harper K. Application of the theory of planned behavior to understand intentions to engage in physical and psychosocial health behaviors after cancer diagnosis. Psycho-Oncology. 2006;15:759–71. CrossRef
- Conner M, Norman P. Predicting health behaviour. In: Conner M, Norman P, editors. Predicting health behaviour: a social cognition approach. New York: Open University Press; 2005. p. 1–28.
- Cohen J. A power primer. Psychol Bull. 1992;112(1):155–9. CrossRef
- Holgate HS, Longman C. Some peoples' psychological experiences of attending a sexual health clinic and having a sexually transmitted infection. J R Soc Promot Heal. 1998;118(2):94. CrossRef
- Scoular A, Duncan B, Hart G. H “That sort of place… where filthy men go…”: a qualitative study of women's perceptions of genitourinary medicine services. Med Soc Vener Dis; 2001. p. 340–343.
- Hall P, Fong G. Temporal self-regulation theory: a model for individual health behavior. Health Psychol Rev. 2007;1(1):6–52. CrossRef
- Harland P, Staats H, Wilke HAM. Explaining proenvironmental intention and behavior by personal norms and the theory of planned behavior 1. J Appl Soc Psychol. 1999;29(12):2505–28. CrossRef
- Kurland NB. Ethical intentions and the theories of reasoned action and planned behavior. J Appl Soc Psychol. 1995;25(4):297–313. CrossRef
- Randall DM, Gibson AM. Ethical decision making in the medical profession: an application of the theory of planned behavior. J Bus Ethics. 1991;10(2):111–22. CrossRef
- Fricker R, Schonlau M. Advantages and disadvantages of internet research surveys: evidence from the literature. Field Methods. 2002;14:347–67. CrossRef
- Block SL, Nolan T, Sattler C, Barr E, Giacoletti KED, Marchant CD, et al. Comparison of the immunogenicity and reactogenicity of a prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in male and female adolescents and young adult women. Pediatrics. 2006;118:2135–45. CrossRef
- Marshall H, Philip R, Don R, Baghurst PA. Cross-sectional survey to assess community attitudes to introduction of human papillomavirus. Aust NZ J Public Heal. 2007;31:235–42. CrossRef
- HPV Vaccination and the Effect of Information Framing on Intentions and Behaviour: An Application of the Theory of Planned Behaviour and Moral Norm
International Journal of Behavioral Medicine
Volume 19, Issue 4 , pp 518-525
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Human Papillomavirus (HPV)
- HPV vaccine
- Theory of Planned Behaviour (TPB)
- Information framing
- Genital warts
- Author Affiliations
- 1. Centre for Medical Psychology and Evidence-based Decision-making (CeMPED); School of Psychology, The University of Sydney, Sydney, NSW, Australia
- 2. School of Psychology, The University of Sydney, Sydney, NSW, Australia
- 3. Screening and Test Evaluation Program, School of Public Health, The University of Sydney, Sydney, NSW, Australia