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Journal of Religion and Health

, Volume 58, Issue 6, pp 2196–2207 | Cite as

Examining the Influence of Religious and Spiritual Beliefs on HPV Vaccine Uptake Among College Women

  • Alicia L. BestEmail author
  • Erika L. Thompson
  • Abdullahi Musa Adamu
  • Rachel Logan
  • Jennifer Delva
  • Manuela Thomas
  • Eden Cunningham
  • Cheryl Vamos
  • Ellen Daley
Original Paper

Abstract

The human papillomavirus (HPV) vaccine is an effective mechanism to prevent HPV-associated cancers; however, uptake is low among women aged 18–26. Religiosity/spirituality is associated with sexual health decision-making. This study examined the role of religious/spiritual beliefs on HPV vaccination among college women (N = 307) using logistic regression and mediation analyses. Findings indicate that sexual activity is the main factor associated with HPV vaccination; and sexual activity fully mediates the relationship between religious/spiritual beliefs and HPV vaccination. Health promotion efforts should highlight the importance of HPV vaccination regardless of current sexual activity and may benefit from partnerships with religious/spiritual organizations.

Keywords

Human papillomavirus (HPV) HPV vaccination Religion Spirituality Sexual health College students 

Notes

Funding

This study was funded by an Interdisciplinary Research Grant from the USF College of Public Health awarded to Dr. Cheryl Vamos (co-author on the manuscript).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Barnack, J. L., Reddy, D. M., & Swain, C. (2010). Predictors of parents’ willingness to vaccinate for human papillomavirus and physicians’ intentions to recommend the vaccine. Women’s Health Issues,20(1), 28–34.CrossRefGoogle Scholar
  2. Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.CrossRefGoogle Scholar
  3. Bernat, D. H., Gerend, M. A., Chevallier, K., Zimmerman, M. A., & Bauermeister, J. A. (2013). Characteristics associated with initiation of the human papillomavirus vaccine among a national sample of male and female young adults. Journal of Adolescent Health,53(5), 630–636.CrossRefGoogle Scholar
  4. Best, A. L., Spencer, S. M., Friedman, D., Hall, I. J., & Billings, D. (2016). The influence of spiritual framing on African American women’s mammography intentions: A randomized trial. Journal of Health Communication.  https://doi.org/10.1080/10810730.2015.1114055.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Best, A. L., Spencer, S. M., Hall, I. J., Friedman, D. B., & Billings, D. (2015). Developing spiritually framed breast cancer screening messages in consultation with African American women. Health Communication,30(3), 290–300.CrossRefGoogle Scholar
  6. Bodson, J., Wilson, A., Warner, E. L., & Kepka, D. (2017). Religion and HPV vaccine-related awareness, knowledge, and receipt among insured women aged 18–26 in Utah. PLoS ONE,12(8), e0183725.CrossRefGoogle Scholar
  7. Brimeyer, T. M., & Smith, W. L. (2012). Religion, race, social class, and gender differences in dating and hooking up among college students. Sociological Spectrum,32(5), 462–473.CrossRefGoogle Scholar
  8. Burchell, A. N., Winer, R. L., de Sanjosé, S., & Franco, E. L. (2006). Epidemiology and transmission dynamics of genital HPV infection. Vaccine,24, S52–S61.CrossRefGoogle Scholar
  9. Burris, J. L., Smith, G. T., & Carlson, C. R. (2009). Relations among religiousness, spirituality, and sexual practices. Journal of Sex Research,46(4), 282–289.CrossRefGoogle Scholar
  10. Centers for Disease Control and Prevention. (2017). STD facts—Human papillomavirus (HPV). Retrieved from https://www.cdc.gov/std/hpv/stdfact-hpv.htm.
  11. Constantine, N. A., & Jerman, P. (2007). Acceptance of human papillomavirus vaccination among Californian parents of daughters: A representative statewide analysis. Journal of Adolescent Health,40(2), 108–115.CrossRefGoogle Scholar
  12. Egbert, N., Mickley, J., & Coeling, H. (2004). A review and application of social scientific measures of religiosity and spirituality: Assessing a missing component in health communication research. Health Communication,16(1), 7–27.CrossRefGoogle Scholar
  13. Ferrer, H. B., Trotter, C., Hickman, M., & Audrey, S. (2014). Barriers and facilitators to HPV vaccination of young women in high-income countries: A qualitative systematic review and evidence synthesis. BMC Public Health,14(1), 700.CrossRefGoogle Scholar
  14. George Dalmida, S., Aduloju-Ajijola, N., Clayton-Jones, D., Thomas, T. L., Erazo Toscano, R. J., Lewis, R., et al. (2018). Sexual risk behaviors of African American adolescent females: The role of cognitive and religious factors. Journal of Transcultural Nursing,29(1), 74–83.CrossRefGoogle Scholar
  15. Harris, S. K., Aalsma, M. C., Weitzman, E. R., Garcia-Huidobro, D., Wong, C., Hadland, S. E., et al. (2017). Research on clinical preventive services for adolescents and young adults: Where are we and where do we need to go? Journal of Adolescent Health,60(3), 249–260.CrossRefGoogle Scholar
  16. Lefkowitz, E. S., Gillen, M. M., Shearer, C. L., & Boone, T. L. (2004). Religiosity, sexual behaviors, and sexual attitudes during emerging adulthood. Journal of Sex Research,41(2), 150–159.CrossRefGoogle Scholar
  17. Luquis, R. R., Brelsford, G. M., & Rojas-Guyler, L. (2012). Religiosity, spirituality, sexual attitudes, and sexual behaviors among college students. Journal of Religion and Health,51(3), 601–614.CrossRefGoogle Scholar
  18. Markowitz, L. E., Liu, G., Hariri, S., Steinau, M., Dunne, E. F., & Unger, E. R. (2016). Prevalence of HPV after introduction of the vaccination program in the United States. Pediatrics,137, e20151968.CrossRefGoogle Scholar
  19. Martinez, G., Chandra, A., Febo-Vazquez, I., & Mosher, W. (2013). Use of family planning and related medical services among women aged 1544 in the United States: National Survey of Family Growth, 20062010 (no. 2013). US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.Google Scholar
  20. Miller, M. A. (1995). Culture, spirituality, and women’s health. Journal of Obstetric, Gynecologic, and Neonatal Nursing,24, 257–264.CrossRefGoogle Scholar
  21. Moyer, V. A. (2012). Screening for cervical cancer: US preventive services task force recommendation statement. Annals of Internal Medicine,156(12), 880–891.CrossRefGoogle Scholar
  22. Nicholson, W. (2016). Reproductive life planning to reduce unintended pregnancy. Obstetrics and Gynecology,127(2), E66–E69.CrossRefGoogle Scholar
  23. Pew Research Center. (2015a). America’s changing religious landscape. Retrieved from http://www.pewforum.org/2015/05/12/americas-changing-religious-landscape/.
  24. Pew Research Center. (2015b). US public becoming less religious. Retrieved from http://www.pewforum.org/2015/11/03/u-s-public-becoming-less-religious/.
  25. Rambout, L., Tashkandi, M., Hopkins, L., & Tricco, A. C. (2014). Self-reported barriers and facilitators to preventive human papillomavirus vaccination among adolescent girls and young women: A systematic review. Preventive Medicine,58, 22–32.CrossRefGoogle Scholar
  26. Shelton, R. C., Snavely, A. C., De Jesus, M., Othus, M. D., & Allen, J. D. (2013). HPV vaccine decision-making and acceptance: Does religion play a role? Journal of Religion and Health,52(4), 1120–1130.CrossRefGoogle Scholar
  27. Thompson, E. L., Best, A. L., Vamos, C. A., & Daley, E. M. (2017). “My mom said it wasn’t important”: A case for catch-up human papillomavirus vaccination among young adult women in the United States. Preventive Medicine,105, 1–4.CrossRefGoogle Scholar
  28. Walker, T. Y., Elam-Evans, L. D., Singleton, J. A., Yankey, D., Markowitz, L. E., Fredua, B., et al. (2017). National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years—United States, 2016. MMWR: Morbidity and Mortality Weekly Report,66(33), 874.PubMedPubMedCentralGoogle Scholar
  29. Wigfall, L., Rawls, A., Sebastian, N., Messersmith, A., Pirisi-Creek, L., Spiryda, L., et al. (2012). HPV high risk and protective behaviors: The effects of religious affiliation. Journal of Religion and Health,51(4), 1325–1336.CrossRefGoogle Scholar
  30. Williams, W. W. (2017). Surveillance of vaccination coverage among adult populations—United States, 2015. MMWR. Surveillance Summaries, 66.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.College of Public HealthUniversity of South FloridaTampaUSA
  2. 2.Department of Health Behavior and Health Systems, School of Public HealthUniversity of North Texas Health Science CenterFort WorthUSA

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