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Theresa Scorcia-Wilson, Ph.D., Karen Perrin, Ph.D., Ellen Daley, Ph.D.,

The Relationship Between Knowledge and Beliefs About Human Papillomavirus, Acceptance of the Human Papillomavirus Vaccine, and Intentions to Practice Safer Sex Behaviors Among Female College Students. Theresa Scorcia-Wilson, Ph.D., Karen Perrin, Ph.D., Ellen Daley, Ph.D.,

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Theresa Scorcia-Wilson, Ph.D., Karen Perrin, Ph.D., Ellen Daley, Ph.D.,

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  1. The Relationship Between Knowledge and Beliefs About Human Papillomavirus, Acceptance of the Human Papillomavirus Vaccine, and Intentions to Practice Safer SexBehaviors Among Female College Students Theresa Scorcia-Wilson, Ph.D., Karen Perrin, Ph.D., Ellen Daley, Ph.D., Jeffrey Kromrey, Ph.D., & Robert McDermott, Ph.D.

  2. Human Papillomavirus (HPV) • Common public health issue among college-aged women • Low-risk types linked to genital warts and high-risk types linked to anogenital cancers • HPV vaccine is effective in preventing low and high risk types Sources: Centers for Disease Control and Prevention (CDC), 2001; National Cancer Institute, 2003; Partridge & Koutsky, 2006; Weaver, 2004

  3. Statement of the Problem • HPV vaccine acceptability studies have not examined if a relationship exists among: • HPV knowledge • Health beliefs about HPV • Acceptance of the HPV vaccine • Intentions to practice safer sex behaviors

  4. Purpose of the Study • To determine if women attending college who have high acceptance of the HPV vaccine and are likely to become vaccinated against HPV, also intend to practice other safer sex behaviors

  5. Research Questions • What is the relationship between HPV knowledge and intentions to practice safer sex behaviors among women attending college? • What is the relationship between knowledge of the HPVvaccine and acceptance of the HPV vaccine among women attending college? • What is the relationship between health beliefs about HPV and acceptance of the HPV vaccine among women attending college? • What is the relationship between acceptance of the HPV vaccine and intentions to practice other safer sex behaviors among women attending college?

  6. Theoretical Application Modifying Factors Likelihood of Action Benefits to acquiring the HPV vaccine Barriers to acquiring the HPV vaccine Likelihood of becoming vaccinated Demographics Sociopsychological Variables Structural Variables - Knowledge Individual Perceptions Perceived Susceptibility to HPV Perceived Severity of HPV Perceived Threat of Disease Self-efficacy (perceived behavioral control) Behavioral Beliefs Normative Beliefs Cues to Action Advice from others Illness of family member or friend Control Beliefs Intentions to practice safer sex behaviors Health Belief Model & Theory of Planned Behavior

  7. Methods • Study Sample (N = 2,706) • Convenience sample of female, undergraduate students, ages 18-24 • Central Michigan University (CMU) • University of South Florida (USF) • Western Michigan University (WMU) • Recruitment • University student health centers • E-mail to students • Instrument • Online survey

  8. Predictors of Intentions to Practice Safer Sex Behaviors

  9. Results

  10. Results • Attitudes regarding practicing safer sex behaviors “Refusing to have sex with a partner who will not use a condom” (Most favorable) 51.8% 26.0% 14.9% 5.8% 1.6% ______|______|______|______|______|______ Strongly agree Agree Somewhat agree Disagree Strongly disagree “Telling a partner that I will not be sexually active with them until they have been tested for STIs” (Least favorable) 25.7% 26.3%26.6%19.0% 2.5% ______|______|______|______|______|______ Strongly agree Agree Somewhat agree Disagree Strongly disagree

  11. Results Perceived Susceptibility to HPV Perceived Severity of HPV

  12. Results Vaccine Acceptance and Intentions • General vaccine acceptance, r = .087, p < .001 • Importance of vaccinations,r = .081, p < .001 • Likelihood of becoming vaccinated,r = .098, p < .001 • Influential factors, R = .244, p < .001 • “Whether I practice safe sex” (β = .191) • “If someone in my family has cancer” (β = .062) • “If my friends think I should get it” (β = .056) • “If my health insurance covers it” (β = -.183) • Barriers, R = .128, p < .001 • “Cost of the vaccine” (β = -.101) • “Not knowing where to get the vaccine” (β = -.055)

  13. Discussion • Findings from this study confirm the need for university student health centers to include HPV vaccination as part of a broader sexually transmitted infection (STI) educational campaign • How to practice safer sex behaviors • Communication with partners about how to get tested for STIs • Localized information on where to get the vaccine • Determine eligibility for low-cost or free vaccination

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