Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior

Mary A. Gerend*, Janet E. Shepherd

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

139 Scopus citations

Abstract

Background Although theories of health behavior have guided thousands of studies, relatively few studies have compared these theories against one another. Purpose The purpose of the current studywas to compare two classic theories of health behavior-the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB)-in their prediction of human papillomavirus (HPV) vaccination. Methods After watching a gain-framed, loss-framed, or control video, women (N0739) ages 18-26 completed a survey assessing HBM and TPB constructs. HPV vaccine uptake was assessed 10 months later. Results Although the message framing intervention had no effect on vaccine uptake, support was observed for both the TPB and HBM. Nevertheless, the TPB consistently outperformed the HBM. Key predictors of uptake included subjective norms, self-efficacy, and vaccine cost. Conclusions Despite the observed advantage of the TPB, findings revealed considerable overlap between the two theories and highlighted the importance of proximal versus distal predictors of health behavior.

Original languageEnglish (US)
Pages (from-to)171-180
Number of pages10
JournalAnnals of Behavioral Medicine
Volume44
Issue number2
DOIs
StatePublished - Oct 2012

Keywords

  • Cervical cancer prevention
  • Health behavior theory
  • Theory testing
  • Vaccination

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior'. Together they form a unique fingerprint.

Cite this