Exploring Cultural and Religious Effects on HPV Vaccination Decision Making Using a Web-Based Decision Aid: A Quasi-experimental Study

Yulia Gendler and Ayala Blau
Additional contact information
Yulia Gendler: Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel
Ayala Blau: Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel

Medical Decision Making, 2024, vol. 44, issue 4, 426-436

Abstract: Background Human papillomavirus (HPV) poses a significant public health concern, as it is linked to various serious health conditions such as cancer and genital warts. Despite the vaccine’s safety, efficacy, and availability through national school programs, HPV vaccination rates remain low in Israel, particularly within the ultra-Orthodox community due to religious and cultural barriers. Decision aids have shown promise in facilitating shared decision making and promoting informed choices in health care. This study aimed to assess the impact of a novel Web-based decision aid on HPV vaccination intentions, knowledge, decision self-efficacy, and decisional conflict among Israeli parents and young adults, with a specific focus on exploring differences between religious groups. Methods Two Web-based decision aids were developed for parents of children aged 10 to 17 y ( n  = 120) and young adults aged 18 to 26 y ( n  = 160). A quasi-experimental study was conducted among Hebrew-speaking parents and young adults eligible for HPV vaccination. Participants completed pre- and postintervention questionnaires assessing vaccination intentions, knowledge about HPV, decision self-efficacy, and decisional conflict. Results The decision aid significantly improved intentions toward HPV vaccination among most religious groups, except the Jewish ultra-Orthodox community. Ultra-Orthodox participants exhibited reluctance to vaccinate themselves or their children (odds ratio [OR] = 0.23, P  

Keywords: human papillomavirus (hpv); hpv vaccination; decision aid; ultra-orthodox community; shared decision making; decision self-efficacy; decisional conflict; vaccination intentions (search for similar items in EconPapers)
Date: 2024
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://journals.sagepub.com/doi/10.1177/0272989X241240466 (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:44:y:2024:i:4:p:426-436

DOI: 10.1177/0272989X241240466

Access Statistics for this article

More articles in Medical Decision Making
Bibliographic data for series maintained by SAGE Publications ().