Identifying knowledge-attitude-practice gaps to enhance HPV vaccine diffusion

Elisia L. Cohen, Katharine J. Head

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

To examine differences in knowledge, attitudes, and related practices among adopters and nonadopters of the human papillomavirus (HPV) vaccine, the researchers conducted 83 in-depth interviews with 18- to 26-year-old women. The study identified knowledge-attitude-practice gaps in the context of the HPV vaccine to explain why diffusion of a preventive innovation (such as the HPV vaccine) requires targeted risk communication strategies in order to increase demand. Salient findings included similarities between vaccinated and unvaccinated women's lack of knowledge and uncertainties about HPV and cervical cancer. Vaccinated women who had no knowledge of HPV or no-risk/low-risk perceptions of HPV reported receiving vaccination, indicating HPV risk protection behavior could precede knowledge acquisition for vaccinated women. These vaccinated women identified an interpersonal network supportive of vaccination and reported supportive social influences. Among unvaccinated women, unsupportive vaccination attitudes included low perceived personal risk of HPV. In contrast, unvaccinated women often cited erroneous beliefs that HPV could be avoided by abstinence, monogamy, and knowledge of their partners' sexual history as reasons that the vaccine was not personally relevant. Unvaccinated women cited interpersonal influences that activated short- and long-term vaccination safety and efficacy concerns. Different levels of fear regarding the HPV vaccine may underlie (a) attitudinal differences between vaccinated and unvaccinated women in perceived vaccination value and (b) attitude-practice gaps.

Original languageEnglish (US)
Pages (from-to)1221-1234
Number of pages14
JournalJournal of Health Communication
Volume18
Issue number10
DOIs
StatePublished - Oct 1 2013

Fingerprint

Health Knowledge, Attitudes, Practice
Papillomavirus Vaccines
Vaccines
vaccination
Vaccination
Risk perception
Knowledge acquisition
Innovation
Professional Practice Gaps
risk communication
Sexual Partners
knowledge acquisition
Risk-Taking
Communication
Uterine Cervical Neoplasms
Uncertainty
Fear
cancer
Research Personnel
uncertainty

Cite this

Identifying knowledge-attitude-practice gaps to enhance HPV vaccine diffusion. / Cohen, Elisia L.; Head, Katharine J.

In: Journal of Health Communication, Vol. 18, No. 10, 01.10.2013, p. 1221-1234.

Research output: Contribution to journalArticle

@article{6c37705c42d347289afc85cb962922a2,
title = "Identifying knowledge-attitude-practice gaps to enhance HPV vaccine diffusion",
abstract = "To examine differences in knowledge, attitudes, and related practices among adopters and nonadopters of the human papillomavirus (HPV) vaccine, the researchers conducted 83 in-depth interviews with 18- to 26-year-old women. The study identified knowledge-attitude-practice gaps in the context of the HPV vaccine to explain why diffusion of a preventive innovation (such as the HPV vaccine) requires targeted risk communication strategies in order to increase demand. Salient findings included similarities between vaccinated and unvaccinated women's lack of knowledge and uncertainties about HPV and cervical cancer. Vaccinated women who had no knowledge of HPV or no-risk/low-risk perceptions of HPV reported receiving vaccination, indicating HPV risk protection behavior could precede knowledge acquisition for vaccinated women. These vaccinated women identified an interpersonal network supportive of vaccination and reported supportive social influences. Among unvaccinated women, unsupportive vaccination attitudes included low perceived personal risk of HPV. In contrast, unvaccinated women often cited erroneous beliefs that HPV could be avoided by abstinence, monogamy, and knowledge of their partners' sexual history as reasons that the vaccine was not personally relevant. Unvaccinated women cited interpersonal influences that activated short- and long-term vaccination safety and efficacy concerns. Different levels of fear regarding the HPV vaccine may underlie (a) attitudinal differences between vaccinated and unvaccinated women in perceived vaccination value and (b) attitude-practice gaps.",
author = "Cohen, {Elisia L.} and Head, {Katharine J.}",
year = "2013",
month = "10",
day = "1",
doi = "10.1080/10810730.2013.778357",
language = "English (US)",
volume = "18",
pages = "1221--1234",
journal = "Journal of Health Communication",
issn = "1081-0730",
publisher = "Taylor and Francis Ltd.",
number = "10",

}

TY - JOUR

T1 - Identifying knowledge-attitude-practice gaps to enhance HPV vaccine diffusion

AU - Cohen, Elisia L.

AU - Head, Katharine J.

PY - 2013/10/1

Y1 - 2013/10/1

N2 - To examine differences in knowledge, attitudes, and related practices among adopters and nonadopters of the human papillomavirus (HPV) vaccine, the researchers conducted 83 in-depth interviews with 18- to 26-year-old women. The study identified knowledge-attitude-practice gaps in the context of the HPV vaccine to explain why diffusion of a preventive innovation (such as the HPV vaccine) requires targeted risk communication strategies in order to increase demand. Salient findings included similarities between vaccinated and unvaccinated women's lack of knowledge and uncertainties about HPV and cervical cancer. Vaccinated women who had no knowledge of HPV or no-risk/low-risk perceptions of HPV reported receiving vaccination, indicating HPV risk protection behavior could precede knowledge acquisition for vaccinated women. These vaccinated women identified an interpersonal network supportive of vaccination and reported supportive social influences. Among unvaccinated women, unsupportive vaccination attitudes included low perceived personal risk of HPV. In contrast, unvaccinated women often cited erroneous beliefs that HPV could be avoided by abstinence, monogamy, and knowledge of their partners' sexual history as reasons that the vaccine was not personally relevant. Unvaccinated women cited interpersonal influences that activated short- and long-term vaccination safety and efficacy concerns. Different levels of fear regarding the HPV vaccine may underlie (a) attitudinal differences between vaccinated and unvaccinated women in perceived vaccination value and (b) attitude-practice gaps.

AB - To examine differences in knowledge, attitudes, and related practices among adopters and nonadopters of the human papillomavirus (HPV) vaccine, the researchers conducted 83 in-depth interviews with 18- to 26-year-old women. The study identified knowledge-attitude-practice gaps in the context of the HPV vaccine to explain why diffusion of a preventive innovation (such as the HPV vaccine) requires targeted risk communication strategies in order to increase demand. Salient findings included similarities between vaccinated and unvaccinated women's lack of knowledge and uncertainties about HPV and cervical cancer. Vaccinated women who had no knowledge of HPV or no-risk/low-risk perceptions of HPV reported receiving vaccination, indicating HPV risk protection behavior could precede knowledge acquisition for vaccinated women. These vaccinated women identified an interpersonal network supportive of vaccination and reported supportive social influences. Among unvaccinated women, unsupportive vaccination attitudes included low perceived personal risk of HPV. In contrast, unvaccinated women often cited erroneous beliefs that HPV could be avoided by abstinence, monogamy, and knowledge of their partners' sexual history as reasons that the vaccine was not personally relevant. Unvaccinated women cited interpersonal influences that activated short- and long-term vaccination safety and efficacy concerns. Different levels of fear regarding the HPV vaccine may underlie (a) attitudinal differences between vaccinated and unvaccinated women in perceived vaccination value and (b) attitude-practice gaps.

UR - http://www.scopus.com/inward/record.url?scp=84884587281&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884587281&partnerID=8YFLogxK

U2 - 10.1080/10810730.2013.778357

DO - 10.1080/10810730.2013.778357

M3 - Article

C2 - 23767775

AN - SCOPUS:84884587281

VL - 18

SP - 1221

EP - 1234

JO - Journal of Health Communication

JF - Journal of Health Communication

SN - 1081-0730

IS - 10

ER -