Date of Conferral

2021

Degree

Ph.D.

School

Public Health

Advisor

Chester Jones

Abstract

Studies have been conducted on various factors and their effect on human papillomavirus (HPV) vaccination uptake amongst adolescents. However, these studies typically point to communication factors and provider recommendations as having a significant effect on HPV vaccination uptake, ultimately leading to the need for more information on other factors that may increase HPV vaccination amongst adolescents. The purpose of this quantitative cross-sectional study was to determine if race, provider-location type, and region of the United States have a statistically significant effect on HPV uptake amongst adolescents. The 2018 National Immunization Survey (NIS) was used, and 34,980 participants were included in the sample. The theoretical framework used for this study was Hochman and Rosentsock’s Health Belief Model (HBM). The HBM approach was used to explore the health behavior change process and the attitudes and perceptions amongst parents that are associated with HPV vaccination uptake amongst adolescents. Using the cross-sectional design, surveys from the NIS were analyzed using a binary logistic regression to determine whether race, provider-location type, and region of the United States have a statistically significant effect on HPV vaccination uptake amongst adolescents. The results of these analyses indicated that there was a statistically significant effect amongst race and region. Specifically, the White race residing in the Northeast, Midwest, and Southern regions were shown to have a statistically significant effect and an upward uptake on HPV vaccination amongst adolescents. Public health professionals and providers may benefit from the results of this study by identifying the areas that are shown to have a statistically significant effect on HPV vaccination uptake among adolescents.

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