Sex Differences Among College Students in Awareness of the Human Papillomavirus Vaccine and Vaccine Options

Abstract

Objectives: To explore awareness of human papillomavirus (HPV) and use of HPV vaccines (Gardasil and Cervarix) by college students. Participants: The sample was composed of 817 undergraduates at 2 northeastern US universities; they participated between February and May 2010. Methods: Students were provided with a link to an anonymous, self-administered, Web-based survey comprised of 76 questions. The survey included questions about health behaviors, awareness, and knowledge of HPV and the 2 HPV vaccines, and vaccine uptake. Results: Results indicate high levels of awareness of HPV as well as marked sex differences related to vaccine awareness and uptake. Both sexes are largely unaware of Cervarix and the differences between Cervarix and Gardasil. Conclusion: The study affirms the importance of a clinician's recommendation for HPV vaccination. Public health messaging should become more inclusive of adolescent and young adult males. College students’ awareness of HPV vaccine options mirrors Gardasil's market dominance in the United States.     

A Review of Human Papillomavirus (HPV) Infection and HPV Vaccine-Related Attitudes and Sexual Behaviors Among College-Aged Women in the United States

Abstract Objective: To identify human papillomavirus (HPV) infection and HPV vaccine-related attitudes among college-aged women and the relationship between HPV vaccine uptake and subsequent sexual behaviors. Methods: PubMed, MEDLINE, CINAHL, and Google Scholar searches were performed from 2006, the date after the first HPV vaccine became available, to present. Results: Of the 13 studies identified, most were cross-sectional. College-aged women saw HPV infection as serious and had positive attitudes toward the HPV vaccine. Barriers (ie, cost, lack of insurance coverage) existed that prevented women from obtaining the vaccine and many women did not see themselves at risk for HPV. The vaccine uptake rate, although increasing, has been slow. Conclusion: College-aged women in the United States may need unbiased information about HPV and HPV vaccine. Studies that focus on risk perception and the relationship between knowledge, attitudes, vaccine uptake, and sexual behaviors are needed to inform interventions and public health programs.     

Disparities in Human Papillomavirus Vaccine Literacy and Vaccine Completion Among Asian American Pacific Islander Undergraduates: Implications for Cancer Health Equity

Abstract

Purpose: Low rates of human papillomavirus (HPV) vaccination among young Asian American and Pacific Islander (AAPI) women need to be addressed, particularly given the high incidence of cervical cancer in this population. The current study aims to investigate predictors of HPV vaccination in young AAPI and non-Latina white (NLW) women. Methods: A secondary data analysis was conducted of a health survey administered to college-aged women (N = 2,270) at a large public university in the Midwest. Andersen's behavioral model of health services utilization guided the study theoretically, and hierarchical logistic regression analysis was conducted to investigate research aim. Results: NLW women had a significantly higher rate of vaccine completion than AAPI women (NLW = 60.7%; AAPI = 38.6%). NLW women also scored higher on all 5 measures of HPV vaccine literacy than AAPI women. Both groups of undergraduate women reported that increasing age, knowledge about HPV, greater use of gynecological services, and knowing someone who had cancer were significant factors related to HPV vaccination completion. In the NLW group, father's income was also found to be a predictor of HPV vaccination completion. Conclusions: Rate and predictors of HPV vaccination completion vary between NLW and AAPI women. Greater promotion of HPV literacy and gynecological service use should be made to young AAPI women to increase their HPV uptake. Further research should examine sociocultural factors that could hinder or promote HPV vaccination in young AAPI women.     

Adolescents' and Parents' Perceptions of Runaway Behavior: Problems and Solutions

This exploratory study examined runaway adolescents' and parents' perceptions about youth and family life and explored reasons youth run away and what could be done that would help them remain home. Comparisons between adolescents' and parents' reports of family functioning demonstrated significant discrepancies. Few parents assumed any responsibility for the runaway behavior or change efforts. More adolescents blamed themselves or cited difficulties in parent–child relationships and offered ideas that entailed altering their attitudes and behaviors or family relationships. The implications of the findings for interventions and future research efforts are explored.     

Parental Support in Adolescents' Career Development: Parents' and Children's Perceptions

Using social cognitive career theory (Lent, Brown, & Hackett, 2000 ), this study examined the role of parents' and children's perceptions of parental support in adolescents' career choices. A total of 94 Italian adolescents (30 boys, 64 girls) and both of their parents (N = 188) participated in the study. The authors tested a fully mediated model between mothers' and fathers' perceptions of support and career choice through the indirect effect of adolescents' perceptions of parental support and career self‐efficacy. Results provided support for the model. Specifically, both mothers' and fathers' perceptions of support predicted their adolescents' career choice through the mediating effect of the youths' perceptions of parental support and career self‐efficacy. These results have important implications for practice and underscore that parents need to be involved very early on in their children's vocational development.     

An Examination of the Perceptions of Organizational Politics Model: Replication and Extension

This study examined the Perceptions of PoliticsModel (Ferris, Russ, & Fandt, 1989) in a three-phaseprocess. In the first phase, the model was examinedusing Anderson and Gerbing's (1988) two-step approach to structural equations modeling. Themodel was tested on data collected from 786 employees ofa state government agency and 469 employees of anelectric utility cooperative. Results from this phase indicated that the model had acceptablefit and was more parsimonious than any of the competingmodels to which it was compared. In the second phase,understanding as a moderator of the relationships between perceptions of organizational politicsand several outcome variables was examined. Resultsindicated that understanding only moderated the outcomerelationship between politics and job satisfaction, not intent to turnover or job anxiety. Finally,in phase three, the additional outcome variables oforganizational satisfaction, supervisor effectiveness,and self-reported individual performance were included in an effort to expand the Ferris et al. (1989)framework. Additionally, the moderating effects ofunderstanding on the relationships between perceptionsof politics and these new outcome variables were explored. Results from the final step indicatedthat adding the new outcome variables increased theparsimonyof the model without decreasing model fit. Withrespect to the moderating effects, only thepolitics-performance relationship was moderated byunderstanding.Allof these results are discussed in light of theirimplications for future research.     

How to Inform: Comparing Written and Video Education Interventions to Increase Human Papillomavirus Knowledge and Vaccination Intentions in Young Adults

Abstract

Objective: To compare the efficacy of 2 human papillomavirus (HPV) educational interventions on increasing HPV knowledge and vaccination intentions in college students. Participants: Male (n = 60) and female (n = 140) undergraduates (M _age = 20.4, SD = 2.3) recruited from a university in Montreal, Quebec, Canada, from October 2009 to March 2010. Methods: Using theory-based interventions, participants were randomly assigned to either a written HPV pamphlet, an HPV video, or a control. HPV knowledge and vaccination intentions were assessed pre and postintervention. Results: Low baseline knowledge and intentions were found across groups. Postintervention, participants in the written and video interventions had significantly higher knowledge and intentions than the control. No differences were found between written and video interventions on knowledge or intentions. Conclusion: This study, a first in comparing HPV educational formats, suggests that both written and video interventions are equally effective in educating about HPV and increasing young adults’ vaccination intentions.     

An Examination of Employed Mothers' Work-Family Narratives and Perceptions of Husbands' Support

Abstract

In this study I examine the role of husbands' supportive communication practices in serving to mediate some of the common problems that are often experienced by employed mothers. The problems that are examined in this study are work-family conflict, stress, inequity in the division of labor, and double bind beliefs. Employed mothers completed open-ended narratives of recent work-family conflicts. Wives' perceptions of their husbands' supportive communication practices were examined in the narratives. Either the presence or absence of husbands' concern was related to women's perception of inequity and work-family conflict, while husbands' participation was related to double bind beliefs. Collectively, the husbands' support practices of minimizing child care concerns, avoidance of housework, expressions of concern about housework, and participation in child care accounted for 15% of the variance in women's marital satisfaction.     

An Examination of the Historical and Current Perceptions of Love in the Psychotherapeutic Dyad

Since the initial dialogues on the treatment relationship began, a hierarchical structure of our profession was set forth. This was largely created by Sigmund Freud, often considered the initiator of psychotherapy and psychoanalysis. Our profession was characterized by a neutral, distant practitioner who performed his work upon an unknowing patient. The reality of the multiple complexities of this relationship has become clearer over time. This paper seeks to examine the steps that have taken us from the initially distant and non-mutual psychotherapeutic relationship to the more egalitarian and co-created format that many clinicians are working in today. Love, in both its absence and presence, is examined as a central concept and tenet of psychotherapy.     

A/H1N1 Vaccine Intentions in College Students: An Application of the Theory of Planned Behavior

Abstract

Objective: To test the applicability of the Theory of Planned Behavior (TPB) in college students who have not previously received the A/H1N1 vaccine. Participants: Undergraduate communication students at a metropolitan southern university. Methods: In January–March 2010, students from voluntarily participating communication classes completed a hardcopy survey assessing TPB and clinically significant constructs. Hierarchical regression equations predicted variance in vaccine intentions of students who had not received a flu shot (N = 198; 70% Caucasian). Results: The TPB model explained 51.7% (p < .001) of variance in vaccine intentions. Controlling for side effects, self-efficacy and perceived comparative susceptibility predicted intentions when entered in the first block, whereas attitudes, subjective norms, and perceived behavioral control significantly contribute when entered in the second block. Conclusions: For students who have not previously received a flu vaccine, vaccine communication should utilize self-efficacy and perceived comparative susceptibility to employ the TPB to promote vaccine intentions.     

Parents' Perceptions of Services for Children and Youth with Emotional and Behavioral Disorders

Increased concern about the pervasive problems children and youth with emotional or behavioral disorders (EBD) experience has led to the planning and development of alternative approaches to serving these individuals and their families. One alternative approach includes the development of a comprehensive, community- based system of care. This study encouraged parent participation in a county-wide needs assessment designed to facilitate the development of a system of care. Parents were surveyed to gather their views regarding their experiences with various service agencies as well as their input into how comprehensive services could best be developed and implemented. The survey focused on (a) family needs, (b) existing barriers to comprehensive individualized care, and (c) specific service priorities for system development. Suggestions for future research and implications for developing such services are discussed.     

Predicting Intentions to Report Administrative and Disciplinary Infractions: Applying the Reasoned Action Model

The present study focuses on the reporting ofadministrative and disciplinary irregularities. Thereasoned action model (Ajzen & Fishbein, 1980) isapplied to predict officers' intentions to report illegal or irregular activities in the IsraeliDefense Forces. The findings show that although themodel's two predictors (attitude toward reporting andsubjective norm) significantly predicted intention to report, the effect of subjective norm wasmuch stronger than the effect of the attitude component.In spite of the military's strong formal system andalthough social forces have great potential to impose the reporting norm on an organization'smembers, actual reporting does not meet expectations.The results are discussed in light of the organizationalculture that develops as the combat unit struggles to survive in an extremely turbulentenvironment.     

Predicting STEM Major and Career Intentions With the Theory of Planned Behavior

This investigation predicted ACT‐tested 11th‐ and 12th‐grade students’ intentions to choose science, technology, engineering, and mathematics (STEM) college majors and STEM careers using a measure of mathematics beliefs and attitudes based on the theory of planned behavior (TPB; Ajzen, 1991). The TPB states that the best predictor of behavior is the intention to perform that behavior, and intention is influenced by attitudes, subjective norms, and perceived behavioral control. Students (N = 1,958) from 11th grade (48%) or 12th grade (52%) completed the measure and also indicated their intended college major and career. Results revealed that TPB predicted STEM major and career choice incrementally over a host of additional variables. More specifically, attitude and intention were the most predictive components. Although results were similar for male and female participants, attitudes and interests were somewhat more predictive for female than for male participants. Intervention possibilities and implications for future research were discussed.     

Gambling and the Reasoned Action Model: Predicting Past Behavior,Intentions, and Future Behavior

Gambling is a serious concern for society because it is highly addictive and is associated with a myriad of negative outcomes. The current study applied the Reasoned Action Model (RAM) to understand and predict gambling intentions and behavior. Although prior studies have taken a reasoned action approach to understand gambling, no prior study has fully applied the RAM or used the RAM to predict future gambling. Across two studies the RAM was used to predict intentions to gamble, past gambling behavior, and future gambling behavior. In study 1 the model significantly predicted intentions and past behavior in both a college student and Amazon Mechanical Turk sample. In study 2 the model predicted future gambling behavior, measured 2 weeks after initial measurement of the RAM constructs. This study stands as the first to show the utility of the RAM in predicting future gambling behavior. Across both studies, attitudes and perceived normative pressure were the strongest predictors of intentions to gamble. These findings provide increased understanding of gambling and inform the development of gambling interventions based on the RAM.     

The Individual and Values in Human Ecology: An Examination of the Adaptive Processes*

Human ecology has been criticized for its neglect of values and the individual. Ecologists have defended themselves by arguing that the process of adaptation is such that values and the individual can be ignored. Hawley (1950:66), for example, contends that adaptation is a communal phenomena and can be analyzed without reference to individual-level variables. Gibbs and Martin (1959) contend that the individual and values are insignificant in human ecology because of the mechanism of “selective survival,” which refers to the fact that only those societies with the proper combination of POET variables are able to survive in a given environment. This paper evaluates some of the models of adaptation used by human ecologists, and contends that the ecological models are rather elementary, and that they ignore some of the differences between biological and social adaptation. For these reasons the models minimize the role of values and the individual. In evaluating the ecological models, I present a model of adaptation to criticize the ecological models and to specify what I believe is the proper role of values and the individual in human ecology. The model describes three stages in the adaptive process (variation, transmission, and selection), and attempts to specify the role of values and the individual at each stage.     

Control Attitudes and Perceptions of Drug use: An Exploratory Study

Control attitudes represent opinions about the formal or informal control of a behavior by society. This study investigates control attitudes toward drug use based on data from semistructured in-depth interviews. The analysis shows that control attitudes toward drug use consist of a normative component (philosophical principles) and a perceptive component (perceptions of harm and perceptions of immorality). In particular, control attitudes are shaped by combinations of (1) libertarian principles and perceptions of harm to others, (2) paternalistic principles and perceptions of self-harm, and (3) moralistic principles and perceptions of immorality. The implications of the results in the study of normative culture are discussed.     

Rumor: An Examination of Some Stereotypes

Third in Symbolic Interaction's symposium tribute to Tamotsu (Tom) Shibutani (1920–2004), this article pays homage to Shibutani's work on rumor. In his book, Improvised News, Shibutani introduced a grounded theory of rumor that was a radical break from the dominant approach of the time. This break was based on the observation that rumor is not a deviant act, but rather the routine social act of defining ambiguous but important situations. Implicit in his work is a critique of rumor stereotypes including the notion that those involved in rumoring are highly suggestible, irrational, and dangerous; that rumors are inaccurate, distorted, and exaggerated; and that rumors threaten the social order. The article concludes by challenging assumptions about the spread of rumor and that rumors are single, stand‐alone statements.     

Listening and Believing: An Examination of Young People’s Perceptions of why they are not Believed by Professionals when they Report Abuse and Neglect

This article explores commonly held perceptions by young people as to why they are sometimes not believed by practitioners when reporting potential or actual instances of abuse or neglect. Using original data gained from telephone, individual and group interviews with over a hundred young people a ‘typology of disbelief’ was constructed and is here presented for consideration. By drawing attention to a range of perceptions frequently articulated by young people, it is hoped to increase understanding of the problems they may face when attempting to disclose abuse and neglect. © 2010 The Author(s). Journal compilation 2010 National Children’s Bureau and Blackwell Publishing Limited.