The importance of social norms for uptake of catch-up human papillomavirus vaccination in young women

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doi:10.1071/SH10155

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The importance of social norms for uptake of catch-up human papillomavirus vaccination in young women

Richard de Visser ^A ^C, Louisa Waites ^B, Chandni Parikh ^B and Aaron Lawrie ^B

^A School of Psychology, University of Sussex, Falmer BN1 9QH, UK.
^B Brighton & Sussex Medical School, Falmer BN1 9PX, UK.
^C Corresponding author. Email: R.De-Visser@sussex.ac.uk

Sexual Health 8(3) 330-337 http://dx.doi.org/10.1071/SH10155
Submitted: 4 December 2010 Accepted: 31 January 2011 Published: 23 May 2011





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Abstract

Background: Human papillomavirus (HPV) is the cause of almost all cases of cervical cancer. The current UK government immunisation program includes free routine HPV vaccination of girls aged 12–13, with a catch-up vaccination program for 13–18-year-old girls. The aim of this study was to identify correlates of intended and actual uptake of catch-up HPV vaccination. Methods: An online questionnaire was completed by 591 young women aged 16–20. Results: Of the 350 women who had been offered catch-up HPV vaccination, 90.6% had accepted. In multivariate analyses, vaccine uptake was significantly correlated with subjective norms more supportive of HPV vaccination, and greater uptake of other childhood vaccinations (χ²₍₃₎ = 39.34, P < 0.01; 91.1% correctly classified; Nagelkerke pseudo-r² = 0.23). Among the 241 women aged 16–20 who had not been offered HPV vaccination, the average intention was 3.70 on a five-point scale. Multivariate analyses revealed four significant independent predictors of stronger intentions to accept vaccination: subjective norms more supportive of HPV vaccination, greater worry about sexually transmissible infections, greater support for young people’s sexual health services and greater support for childhood vaccination (F_(4,236) = 18.67, P < 0.01; adjusted r² = 0.23). Young women rated television advertisements, educational programs and television soaps as the most effective ways to encourage uptake of HPV vaccination. Conclusions: Uptake of HPV vaccination may be increased if interventions use appropriate media to promote social norms supportive of HPV vaccination.

Additional keywords:intention, sexually transmissible infections, teenage girls, UK.

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