The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults
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Although cognitions have predicted young adults’ human papillomavirus (HPV) vaccine decision-making, emotion-based theories of healthcare decision-making suggest that anticipatory emotions may be more predictive. This study examined whether anticipated regret was associated with young adults’ intentions to receive the HPV vaccine above and beyond the effects of commonly studied cognitions. Unvaccinated undergraduates (N = 233) completed a survey assessing Health Belief Model (HBM) variables (i.e., perceived severity of HPV-related diseases, perceived risk of developing these diseases, and perceived benefits of HPV vaccination), anticipatory emotions (i.e., anticipated regret if one were unvaccinated and later developed genital warts or HPV-related cancer), and HPV vaccine intentions. Anticipated regret was associated with HPV vaccine intentions above and beyond the effects of HBM variables among men. Among women, neither anticipated regret nor HBM variables showed consistent associations with HPV vaccine intentions. Findings suggest that anticipatory emotions should be considered when designing interventions to increase HPV vaccination among college men.
KeywordsHuman papillomavirus vaccination Health behavior Anticipated regret Health Belief Model Sexual health
The work of the first author was funded initially by R25CA117865 (V. Champion, PI) and subsequently by R25CA090314 (P. Jacobsen, PI) from the National Cancer Institute. The work of the second author was funded by a fellowship from the Behavioral Cooperative Oncology Group Center for Symptom Management and the Walther Cancer Foundation. The work of the last author was funded by K07CA168883 (C. Mosher, PI) and K05CA175048 (V. Champion, PI) from the National Cancer Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute.
Compliance with ethical standards
Conflict of interest
Shannon M. Christy, Joseph G. Winger, Elizabeth W. Raffanello, Leslie F. Halpern, Sharon Danoff-Burg, and Catherine E. Mosher declare that they have no conflict of interest.
Human and animal rights and Informed consent
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 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all patients for being included in the study.
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