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 Vol. 39; no. 3; pp. 429 - 440
Main Authors:	Christy, Shannon M., Winger, Joseph G., Raffanello, Elizabeth W., Halpern, Leslie F., Danoff-Burg, Sharon, Mosher, Catherine E.
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-06-2016 Springer Springer Nature B.V
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 United States United States > US Indianapolis Indiana Health Belief Model Human papillomavirus vaccination Sexual health Anticipated regret Health behavior
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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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0160-7715 1573-3521
DOI:	10.1007/s10865-016-9716-z