Human papillomavirus and health decision-making: Perceptions and accountability in college

2019 ◽  
Vol 79 (1) ◽  
pp. 46-57
Author(s):  
Verna DeLauer ◽  
Andrea McGill-O’Rourke ◽  
Carissa Gordon ◽  
Natalie Hamilton ◽  
Ryan Desruisseaux ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Young Adults ◽  
Human Papillomavirus ◽  
Hpv Vaccine ◽  
Preventive Health Care ◽  
Care Providers ◽  
Health Decision Making ◽  
Self Reliance ◽  
Health Decision

Objective: To identify knowledge and beliefs about the human papillomavirus (HPV) among students in a residential academic institution, including perceptions of safety of the HPV vaccine, perceptions of cancer correlation with HPV, and independence/interdependence in health decision-making. Design: A qualitative study was used. Setting: Participants were recruited from a small private US university. Methods: In-depth, semi-structured interviews. Results: Study findings highlight the need for improved communication about sex and general preventive health care between young adults, their parents and health providers, including the campus health services centre. Findings point to the importance of appropriate health care messaging at the time of the HPV vaccine (if given in adolescence) throughout college. While mothers played a crucial part in helping young adults make sense of health and health care decisions, self-reliance and self-protection were strong drivers of decision-making. Conclusion: As college students progress from dependent child to independent adult, they shift from reliance on others, especially mothers, for health guidance to an emerging self-reliance and self-protective stance. Central to this experience is navigating health decisions by using information from one’s childhood and integrating new knowledge as one emerges into adulthood. College health care providers and related disciplinary faculty have the opportunity to support students during this transition.

scholarly journals Reproductive Health Decision-Making in Perinatally HIV-Infected Adolescents and Young Adults

2012 ◽  
Vol 17 (5) ◽  
pp. 797-808 ◽  
Author(s):  
Cynthia Fair ◽  
Lori Wiener ◽  
Sima Zadeh ◽  
Jamie Albright ◽  
Claude Ann Mellins ◽  
...  
Keyword(s):  
Decision Making ◽  
Young Adults ◽  
Reproductive Health ◽  
Adolescents And Young Adults ◽  
Health Decision Making ◽  
Health Decision

scholarly journals An Integrative Review of the Influences on Decision-Making of Young People About Human Papillomavirus Vaccine

2018 ◽  
Vol 35 (1) ◽  
pp. 39-50
Author(s):  
Helen Sisson ◽  
Yvonne Wilkinson
Keyword(s):  
Decision Making ◽  
Human Papillomavirus ◽  
Parental Involvement ◽  
Health Care Providers ◽  
Hpv Vaccine ◽  
Hpv Infection ◽  
School Nurses ◽  
Human Papillomavirus Vaccine ◽  
Care Providers ◽  
To Receive

The human papillomavirus (HPV) vaccine is a key intervention in the prevention of HPV infection and associated cancers. This review emphasizes the importance of understanding what influences decision-making about this vaccine. Guided by the work of Whittemore and Knafl, and Pluye and Hong, we identified 25 studies, from which four prominent themes emerged: fear and risk, pain, parental involvement, and involvement of others. Fear of cervical cancer was a strong motivation to receive the vaccine, and the extent of parental involvement also had an impact on decision-making. Recommendations to receive the vaccine by health-care providers were also an important influence. School nurses are fundamental to the promotion and delivery of the HPV vaccine and should stress the significant role that it plays in the prevention of cancer. Additionally, school nurses should ensure that discussions about HPV infection and vaccine include parents where appropriate and should distinctly recommend vaccination to those eligible.

Bounded autonomy in deciding to seek medical help: Carer role, the sick role and the case of dementia

2012 ◽  
Vol 18 (2) ◽  
pp. 272-281 ◽  
Author(s):  
TAC Chrisp ◽  
S Tabberer ◽  
BD Thomas
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Sick Role ◽  
Social Psychological ◽  
Health Decision Making ◽  
Psychological Theories ◽  
Health Decision ◽  
The Individual

Social psychological theories of illness and health decision making place the individual with the symptoms at the centre. In the case of dementia it is often a relative who is first to contact health care professionals. The article illustrates how the autonomy of both the individual with symptoms and their carers is bounded by the actions of others. An over arching theme of ‘bounded autonomy in decision making’, and four subthemes emerged. Bounded autonomy is where a person’s actions are constrained or contested by another person. There are implications for interventions to bring forward the point at which diagnosis occurs.

Factors Motivating HPV Vaccine Uptake Among Vaccinated and Nonvaccinated Hispanic Young Adult Women

2016 ◽  
Vol 14 (4) ◽  
pp. 184-191 ◽  
Author(s):  
Dionne P. Stephens ◽  
Hod Tamir ◽  
Tami L. Thomas
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Young Adult ◽  
Health Care Providers ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Vaccine Uptake ◽  
Adult Women ◽  
Care Providers ◽  
Unique Decision

Introduction: To identify factors influencing human papillomavirus (HPV) vaccination up taking decision making among vaccinated and nonvaccinated Hispanic college women. Participants: Hispanic young women between the ages of 18 and 24 years ( N = 49). In total, 26 had not received the HPV vaccine, and 23 had started/completed the vaccine series. Method: Participants registered for the study via a psychology research pool at a large public university in the southeast United States after institutional review board approval. After completing a demographic information and HPV knowledge Web-based survey, participants were individually interviewed. Results: Differences in HPV vaccine knowledge emerged between vaccinated and nonvaccinated women. Fear of side effects, perceptions of risk, and sources of encouragement influenced willingness to be vaccinated against HPV. Health care providers played a central role in addressing concerns and promoting vaccination. Conclusions: Health care providers must address and integrate unique decision-making processes influencing Hispanic young adult women’s perceptions of HPV vaccination.

Vaccinating young adults against human papillomavirus: the importance of understanding health decision-making and behaviour

Sexual Health ◽  
2007 ◽  
Vol 4 (2) ◽  
pp. 129 ◽  
Author(s):  
S. Rachel Skinner ◽  
Melissa Kang ◽  
Susan L. Rosenthal
Keyword(s):  
Human Papillomavirus ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Initial Study ◽  
Quadrivalent Vaccine ◽  
Age Group ◽  
Vaccine Acceptability ◽  
Health Decision Making ◽  
Health Decision ◽  
Hpv Vaccine Acceptability

Vaccination of young teenage females against human papillomavirus (HPV) with a newly licenced quadrivalent vaccine designed to prevent cervical cancer and genital warts has recently been recommended by the Australian government and will be implemented through schools from April 2007. In addition, a fully funded ‘catch-up’ vaccination program for young women up to age 26 years has been approved for a 2-year period, from July 2007. As general practitioners (GPs) will be the main immunisation providers for this age group, in order to achieve high vaccination coverage and maximal impact on disease, it will be critical for GPs to be opportunistic in recommending this vaccine. An initial study of young Australians’ attitudes towards HPV vaccination and hypothetical acceptance of the vaccine was published in this journal. We draw on this study and data published elsewhere to discuss issues of HPV vaccine acceptability, and the likely challenges of a mass vaccination initiative in this age group in Australia. We suggest specific strategies to support GPs, and highlight areas for further research in HPV vaccine acceptability.

Sign in / Sign up

Export Citation Format

Share Document