Stage of adoption of the human papillomavirus vaccine among college women

Jennifer D. Allen, Anshu P. Mohllajee, Rachel C. Shelton, Megan K.D. Othus, Holly B. Fontenot, Richard Hanna

Research output: Contribution to journalArticlepeer-review

129 Scopus citations


Background: Certain types of human papillomavirus (HPV) can cause cervical and other cancers. A vaccine that protects against HPV types responsible for 70% of cervical cancers is available to females ages 9-26. Objective: To examine correlates of stage of vaccine adoption among women ages 18-22. Methods: In 2007, female students (n = 4774) at a New England University in the U.S. were invited to complete an on-line survey that assessed knowledge of HPV, perceived susceptibility, severity, vaccine benefits/barriers, social and subjective norms, and stage of vaccine adoption. Results: 1897 women (40%) responded; complete data were available for 1401. About half (53%) were planning to be vaccinated, 12% had received the vaccine, 15% were undecided, and 7% had decided against vaccination. HPV knowledge was low (mean 58%). In multivariate analyses, social norms was the strongest correlate of stage; each standard deviation increase in social norms score was associated with more than four times the odds of intending to be vaccinated within the next 30 days, compared with those who had decided against vaccination (OR = 4.15; 95% CI 2.17-6.36). Conclusions: Acceptance of the vaccine was high, although misconceptions about viral transmission, availability of treatment, and the role of Pap tests were common. Perceived norms were strongly associated with intentions. Interventions on college campuses should stress vaccination as a normative behavior, provide information about viral transmission, and stress the role of continued Pap screening.

Original languageEnglish
Pages (from-to)420-425
Number of pages6
JournalPreventive Medicine
Issue number5
StatePublished - May 2009
Externally publishedYes


  • Attitudes
  • Cervical neoplasia
  • Human papillomavirus vaccine
  • Intention
  • Knowledge
  • Social norms


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