title: The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults.
abstract: 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.
authors.affiliation: Health Outcomes and Behavior Program, Division of Population Science, Moffitt Cancer Center and Research Institute, 12902 Magnolia Dr., MRC-CANCONT, Tampa, FL, 33612, USA. shannon.christy@moffitt.org.|Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA. shannon.christy@moffitt.org.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Christy
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Winger
authors.affiliation: Department of Psychology, University at Albany-SUNY, Albany, NY, USA.
authors.forename: Elizabeth W
authors.initials: EW
authors.lastname: Raffanello
authors.affiliation: Department of Psychology, University at Albany-SUNY, Albany, NY, USA.
authors.forename: Leslie F
authors.initials: LF
authors.lastname: Halpern
authors.affiliation: New Knowledge Organization, Oceanside, CA, USA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Danoff-Burg
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Mosher
mesh_terms: D000293:Adolescent; D000328:Adult; D059031:Anticipation, Psychological; D004644:Emotions; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008297:Male; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care / Q000523:psychology; D014611:Vaccination / Q000523:psychology*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Anticipated regret; Health Belief Model; Health behavior; Human papillomavirus vaccination; Sexual health