The interdependent roles of the psychosocial predictors of human papillomavirus vaccination among Christian parents of unvaccinated adolescents

Figures & data

Figure 1. A conceptual model on the interdependent relationship between psychosocial predictors and HPV vaccination behavior.

Table 1. Frequency distribution of patients’ characteristics (n = 342)^a

Participants’ characteristics	Mean (SD)/ N (%)
Sociodemographic characteristics
Parent’s age	41.33 (5.47)
Child’s age	14.08 (2.04)
Parent’s Sex
Female	157 (46%)
Male	185 (54%)
Child’s Sex
Female	117 (34%)
Male	225 (66%)
Race^a
White	298 (87%)
Nonwhite	44 (13%)
Marital status^a
Not Married	38 (11%)
Married	304 (89%)
Denomination
Catholic	136 (40%)
Non-Catholic	206 (60%)
Socioeconomic status characteristics
Highest education^a
Less than a college degree	86 (25%)
College or more	256 (75%)
Household income^a
Less than $75,000	105 (31%)
Over $75,000	235 (69%)
Employment status^a
Employed	285 (83%)
Unemployed/retired/disabled/others	57 (17%)
Health-related factors
Personal belief against vaccines in general
Yes/Not sure	121 (35%)
No	221 (64%)
History of HPV-related infections^‡
Yes	25 (7%)
No	317 (93%)
Religiosity domains
Organizational religiosity	3.09 (0.93)
Non-organizational religiosity	3.46 (1.35)
Intrinsic religiosity	4.25 (0.78)
Outcome variables
Intention to vaccinate against HPV	3.02 (1.32)
Psychosocial factors
Perceived vulnerability to HPV	3.71 (1.14)
Perceived severity of HPV	4.32 (0.82)
Perceived self-efficacy to vaccinate a child	3.98 (1.16)
Perceived response efficacy of HPV vaccine	3.6 (1.14)
Attitude	3.47 (1.09)

^aResults from this group should be interpreted with caution due to the small n.

Table 2. Multivariable linear regression models of threat appraisal and coping appraisal on vaccination intentions

Psychosocial predictors	β (95% CI)^a	P-value
Threat appraisal predictors
Perceived vulnerability to HPV	0.1 (0.01–0.21)	0.06
Perceived severity of HPV	−0.01 (−0.13–0.14)	0.98
Coping appraisal predictors
Perceived self-efficacy to vaccinate a child	0.2 (0.11–0.29)	<0.0001
Perceived response efficacy of HPV vaccine	0.65 (0.53–0.77)	<0.0001

^a95% CI = 95% confidence interval.

Table 3. Analysis of attitude as a mediator of threat appraisal, coping appraisal, and vaccination intention

Coping appraisal predictors	Mediation effect (95% CI)^a	%Mediated
Perceived self-efficacy to vaccinate a child	0.12 (0.06–0.19)	59%
Perceived response efficacy of HPV vaccine	0.39 (0.29–0.51)	61%

^a95% bias-corrected confidence interval (95% CI) with 5,000 bootstrap resamples.