Does Self-Efficacy Mediate the Relationships Between Social-Cognitive Factors and Intentions to Receive HPV Vaccination Among Young Women?

Journal Article (Journal Article)

Drawing upon health behavior change theories, the current study examined whether self-efficacy mediated relationships between social-cognitive factors (i.e., perceived risk, perceived benefits, perceived barriers, perceived severity, and cue to action) and human papillomavirus (HPV) vaccination intentions among college women. Unvaccinated women (N = 115) aged 18 to 25 years attending a Midwestern university completed an anonymous web-based survey assessing study variables. Correlational analyses and mediation analyses were conducted. Self-efficacy mediated relationships between two social-cognitive factors (i.e., perceived barriers to HPV vaccination-indirect effect = -.16, SE = .06, 95% confidence interval [CI] = [-.31, -.06]-and perceived risk of HPV-related conditions-indirect effect = .16, SE = .09, 95% CI = [.01, .37]) and HPV vaccination intentions but was unrelated to the other three social-cognitive factors. Based on these findings, future research should test whether increasing self-efficacy through education on risk of HPV-related conditions and reducing barriers to HPV vaccination improves vaccine uptake in college women.

Full Text

Duke Authors

Cited Authors

  • Christy, SM; Winger, JG; Mosher, CE

Published Date

  • July 2019

Published In

Volume / Issue

  • 28 / 6

Start / End Page

  • 708 - 725

PubMed ID

  • 29134823

Pubmed Central ID

  • PMC6103913

Electronic International Standard Serial Number (EISSN)

  • 1552-3799

Digital Object Identifier (DOI)

  • 10.1177/1054773817741590


  • eng

Conference Location

  • United States