The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults

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’ intent...

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Bibliographic Details
Published in:Journal of behavioral medicine 2016-06, Vol.39 (3), p.429-440
Main Authors: Christy, Shannon M., Winger, Joseph G., Raffanello, Elizabeth W., Halpern, Leslie F., Danoff-Burg, Sharon, Mosher, Catherine E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anticipation, Psychological
Cancer
Cancer vaccines
Care and treatment
Complications and side effects
Decision making
Development and progression
Emotions
Expectations
Family Medicine
Female
General Practice
Health Behavior
Health belief model
Health beliefs
Health Knowledge, Attitudes, Practice
Health Psychology
Human papillomavirus
Humans
Immunization
Intention
Male
Medicine
Medicine & Public Health
Papillomavirus Vaccines
Patient Acceptance of Health Care - psychology
Patient outcomes
Regret
Risk perception
Severity
Sexually transmitted diseases
Undergraduate students
Vaccination
Vaccination - psychology
Vaccines
Variables
Warts
Young Adult
Young adults
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Summary: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.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-016-9716-z