Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 6/2022

06-09-2022

Social–contextual factors interact with masculinity to influence college men’s HPV vaccination intentions: The role of descriptive norms, prototypes, and physician gender

Auteurs: Laurel M. Peterson, Jennifer A. Orr, Sasha D. Rogelberg, Nils Olsen

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Men’s low HPV vaccination uptake and HPV-related disease incidence are public health issues; gendered social–contextual factors likely play a role. In Study 1, college men (N = 130; Mage = 19.55; white = 58.1%) reported their social cognitions (male-referent descriptive norms and prototypes), self-reliance masculinity ideology, and vaccination intentions. In Study 2, college men (N = 106; Mage = 19.32; white = 61.3%) were randomly assigned to receive HPV vaccination information from a man or woman physician-avatar. Descriptive norms and favorable prototypes (bs ≥ .337; ps ≤ .016) were associated with higher HPV vaccination intentions. Men with higher self-reliance masculinity had higher HPV vaccination intentions with a man physician and when they perceived greater vaccination among men (ps ≤ .035). Men with higher self-reliance masculinity are more sensitive to gendered social–contextual effects in HPV vaccination decision-making. Gendered social–contextual factors should be integrated into public health interventions to increase college men’s HPV vaccination uptake.
Voetnoten
1
Throughout the manuscript when we refer to descriptive norms the terms “higher/greater” or “lower” are meant to capture behavioral prevalence perceptions (e.g., “higher descriptive norms for HPV vaccination” represents higher perceived prevalence of HPV vaccination in a referent group).
 
2
Data collection for the two studies overlapped and analyses testing hypotheses occurred after data collection concluded for both studies. Study 1 hypotheses were analyzed first, followed by Study 2.
 
3
The larger, parent study explored the influence of physician characteristics for college students who identified as men and women (N = 460). The present study focused on questions specified for the men subsample, specifically how self-reliance masculinity may influence HPV vaccination cognitions and thus, the present study focuses exclusively on the subsample of college men (N = 154).
 
4
A second version of each physician stimuli were edited to slightly alter symmetry of facial features, creating two stimuli versions within each gender condition. The original purpose of manipulating facial features was to examine facial symmetry as an additional randomly assigned condition. No significant effects for physician facial symmetry emerged for either dependent variable (ps ≥ .220) and thus, the two versions of each physician gender stimuli were collapsed within their respective conditions and function as stimulus sampling in the present study (Wells & Windschitl, 1999). To further confirm that versions of the stimuli did not influence the results, analyses were repeated including stimuli symmetry version as a control variable, stimuli symmetry did not influence any results, and reports of each analysis are included in Results footnotes.
 
5
In the present analytic sample of college men, the woman physician was rated as more attractive than the man physician (p = .002), which is somewhat expected given that most of the sample was straight. In the larger, parent study of college men and women who passed the manipulation check, no significant differences emerged for attractiveness ratings between the man and woman stimuli (p = .385). To rule out the possibility that any significant physician gender effects were driven by attractiveness, analyses were repeated substituting attractiveness ratings for condition; no main effects or interactions emerged, and reports of each analysis are included in Results footnotes.
 
6
The analysis was repeated including physician facial stimuli as a control variable, functional results (i.e., direction and significance of the effects) were the same. The analysis was repeated substituting the continuous participant rating of physician attractiveness for physician gender condition. No significant effects emerged for either attractiveness or the attractiveness by masculinity interaction (ps ≥ .281).
 
7
The analysis was repeated including physician facial stimuli as a control variable, functional results (i.e., direction and significance of the effects) were the same. The analysis was repeated substituting the continuous participant rating of physician attractiveness for physician gender condition. No significant effects emerged for either attractiveness or the attractiveness by masculinity interaction (ps ≥ .298).
 
Literatuur
go back to reference Addis, M. E., Reigeluth, C. R., & Schwab, J. R. (2016). Social norms, social constructionism, and the psychology of men and masculinity. In APA handbook of men and masculinities. (pp. 81–104). American Psychological Association. Addis, M. E., Reigeluth, C. R., & Schwab, J. R. (2016). Social norms, social constructionism, and the psychology of men and masculinity. In APA handbook of men and masculinities. (pp. 81–104). American Psychological Association.
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage.
go back to reference Courtenay, W. H. (2000). Behavioral factors associated with disease, injury, and death among men: Evidence and implications for prevention. The Journal of Men’s Studies, 9, 81–142.CrossRef Courtenay, W. H. (2000). Behavioral factors associated with disease, injury, and death among men: Evidence and implications for prevention. The Journal of Men’s Studies, 9, 81–142.CrossRef
go back to reference Dal Cin, S., Worth, K. A., Gerrard, M., Gibbons, F. X., Stoolmiller, M., Wills, T. A., & Sargent, J. D. (2009). Watching and drinking: Expectancies, prototypes, and friends’ alcohol use mediate the effect of exposure to alcohol use in movies on adolescent drinking. Health Psychology, 28, 473–483. https://doi.org/10.1037/a0014777CrossRef Dal Cin, S., Worth, K. A., Gerrard, M., Gibbons, F. X., Stoolmiller, M., Wills, T. A., & Sargent, J. D. (2009). Watching and drinking: Expectancies, prototypes, and friends’ alcohol use mediate the effect of exposure to alcohol use in movies on adolescent drinking. Health Psychology, 28, 473–483. https://​doi.​org/​10.​1037/​a0014777CrossRef
go back to reference Fekedulegn, B. D., Colbert, J. J., Hicks, J. R., & Schuckers, M. E. (2002). Coping with multicollinearity: An example on application of principal components regression in dendroecology (p. 43). U.S. Department of Agriculture, Forest Service, Northeastern Research Station. Fekedulegn, B. D., Colbert, J. J., Hicks, J. R., & Schuckers, M. E. (2002). Coping with multicollinearity: An example on application of principal components regression in dendroecology (p. 43). U.S. Department of Agriculture, Forest Service, Northeastern Research Station.
go back to reference Flocke, S. A., & Gilchrist, V. (2005). Physician and patient gender concordance and the delivery of comprehensive clinical preventive services. Medical Care, 43, 486–492.CrossRefPubMed Flocke, S. A., & Gilchrist, V. (2005). Physician and patient gender concordance and the delivery of comprehensive clinical preventive services. Medical Care, 43, 486–492.CrossRefPubMed
go back to reference Gerend, M. A., Madkins, K., Crosby, S., Korpak, A. K., Phillips, G. L., Bass, M., Houlberg, M., & Mustanski, B. (2020a). Evaluation of a text messaging-based Human Papillomavirus Vaccination intervention for young sexual minority men: Results from a pilot randomized controlled trial. Annals of Behavioral Medicine. https://doi.org/10.1093/abm/kaaa056CrossRefPubMedCentral Gerend, M. A., Madkins, K., Crosby, S., Korpak, A. K., Phillips, G. L., Bass, M., Houlberg, M., & Mustanski, B. (2020a). Evaluation of a text messaging-based Human Papillomavirus Vaccination intervention for young sexual minority men: Results from a pilot randomized controlled trial. Annals of Behavioral Medicine. https://​doi.​org/​10.​1093/​abm/​kaaa056CrossRefPubMedCentral
go back to reference Gibbons, F. X., Gerrard, M., Stock, M. L., & Finneran, S. D. (2015). The Prototype/Willingness Model. In M. Connor & P. Norman (Eds.), Predicting health behavior: Research and practice with social cognition models (3rd ed., pp. 189–224). Cambridge University Press. Gibbons, F. X., Gerrard, M., Stock, M. L., & Finneran, S. D. (2015). The Prototype/Willingness Model. In M. Connor & P. Norman (Eds.), Predicting health behavior: Research and practice with social cognition models (3rd ed., pp. 189–224). Cambridge University Press.
go back to reference Gibbons, F. X., Pomery, E. A., Gerrard, M., Sargent, J. D., Weng, C.-Y., Wills, T. A., Kingsbury, J., Dal Cin, S., Worth, K. A., Stoolmiller, M., Tanski, S. E., & Yeh, H.-C. (2010). Media as social influence: Racial differences in the effects of peers and media on adolescent alcohol cognitions and consumption. Psychology of Addictive Behaviors, 24, 649–659. https://doi.org/10.1037/a0020768CrossRefPubMedPubMedCentral Gibbons, F. X., Pomery, E. A., Gerrard, M., Sargent, J. D., Weng, C.-Y., Wills, T. A., Kingsbury, J., Dal Cin, S., Worth, K. A., Stoolmiller, M., Tanski, S. E., & Yeh, H.-C. (2010). Media as social influence: Racial differences in the effects of peers and media on adolescent alcohol cognitions and consumption. Psychology of Addictive Behaviors, 24, 649–659. https://​doi.​org/​10.​1037/​a0020768CrossRefPubMedPubMedCentral
go back to reference Gilkey, M. B., Bednarczyk, R. A., Gerend, M. A., Kornides, M. L., Perkins, R. B., Saslow, D., Sienko, J., Zimet, G. D., & Brewer, N. T. (2020). Getting Human Papillomavirus Vaccination back on track: Protecting our national investment in Human Papillomavirus Vaccination in the COVID-19 era. Journal of Adolescent Health, 67, 633–634. https://doi.org/10.1016/j.jadohealth.2020.08.013CrossRef Gilkey, M. B., Bednarczyk, R. A., Gerend, M. A., Kornides, M. L., Perkins, R. B., Saslow, D., Sienko, J., Zimet, G. D., & Brewer, N. T. (2020). Getting Human Papillomavirus Vaccination back on track: Protecting our national investment in Human Papillomavirus Vaccination in the COVID-19 era. Journal of Adolescent Health, 67, 633–634. https://​doi.​org/​10.​1016/​j.​jadohealth.​2020.​08.​013CrossRef
go back to reference Giuliano, A. R., Palefsky, J. M., Goldstone, S., Moreira, E. D., Penny, M. E., Aranda, C., Vardas, E., Moi, H., Jessen, H., Hillman, R., Chang, Y.-H., Ferris, D., Rouleau, D., Bryan, J., Marshall, J. B., Vuocolo, S., Barr, E., Radley, D., Haupt, R. M., & Guris, D. (2011). Efficacy of quadrivalent HPV vaccine against HPV infection and disease in males. The New England Journal of Medicine, 364, 401–411. https://doi.org/10.1056/NEJMoa0909537CrossRefPubMedPubMedCentral Giuliano, A. R., Palefsky, J. M., Goldstone, S., Moreira, E. D., Penny, M. E., Aranda, C., Vardas, E., Moi, H., Jessen, H., Hillman, R., Chang, Y.-H., Ferris, D., Rouleau, D., Bryan, J., Marshall, J. B., Vuocolo, S., Barr, E., Radley, D., Haupt, R. M., & Guris, D. (2011). Efficacy of quadrivalent HPV vaccine against HPV infection and disease in males. The New England Journal of Medicine, 364, 401–411. https://​doi.​org/​10.​1056/​NEJMoa0909537CrossRefPubMedPubMedCentral
go back to reference Krähenmann-Müller, S., Virgini, V. S., Blum, M. R., da Costa, B. R., Collet, T.-H., Martin, Y., Cornuz, J., Zimmerli, L., Gaspoz, J.-M., Bauer, D. C., Kerr, E. A., Aujesky, D., & Rodondi, N. (2014). Patient and physician gender concordance in preventive care in university primary care settings. Preventive Medicine, 67, 242–247. https://doi.org/10.1016/j.ypmed.2014.08.004CrossRefPubMed Krähenmann-Müller, S., Virgini, V. S., Blum, M. R., da Costa, B. R., Collet, T.-H., Martin, Y., Cornuz, J., Zimmerli, L., Gaspoz, J.-M., Bauer, D. C., Kerr, E. A., Aujesky, D., & Rodondi, N. (2014). Patient and physician gender concordance in preventive care in university primary care settings. Preventive Medicine, 67, 242–247. https://​doi.​org/​10.​1016/​j.​ypmed.​2014.​08.​004CrossRefPubMed
go back to reference Kreisel, K. M., Spicknall, I. H., Gargano, J. W., Lewis, F. M. T., Lewis, R. M., Markowitz, L. E., Roberts, H., Johnson, A. S., Song, R., & St. Cyr, S. B., Weston, E. J., Torrone, E. A., & Weinstock, H. S. (2021). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2018. Sexually Transmitted Diseases, 48, 208–214. https://doi.org/10.1097/OLQ.0000000000001355CrossRefPubMed Kreisel, K. M., Spicknall, I. H., Gargano, J. W., Lewis, F. M. T., Lewis, R. M., Markowitz, L. E., Roberts, H., Johnson, A. S., Song, R., & St. Cyr, S. B., Weston, E. J., Torrone, E. A., & Weinstock, H. S. (2021). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2018. Sexually Transmitted Diseases, 48, 208–214. https://​doi.​org/​10.​1097/​OLQ.​0000000000001355​CrossRefPubMed
go back to reference Levant, R. F., Rankin, T. J., Williams, C. M., Hasan, N. T., & Smalley, K. B. (2010). Evaluation of the factor structure and construct validity of scores on the Male Role Norms Inventory—Revised (MRNI-R). Psychology of Men and Masculinity, 11, 25–37. https://doi.org/10.1037/a0017637CrossRef Levant, R. F., Rankin, T. J., Williams, C. M., Hasan, N. T., & Smalley, K. B. (2010). Evaluation of the factor structure and construct validity of scores on the Male Role Norms Inventory—Revised (MRNI-R). Psychology of Men and Masculinity, 11, 25–37. https://​doi.​org/​10.​1037/​a0017637CrossRef
go back to reference Mahalik, J. R., Lagan, H. D., & Morrison, J. A. (2006). Health behaviors and masculinity in Kenyan and US male college students. Psychology of Men and Masculinity, 7, 191–202.CrossRef Mahalik, J. R., Lagan, H. D., & Morrison, J. A. (2006). Health behaviors and masculinity in Kenyan and US male college students. Psychology of Men and Masculinity, 7, 191–202.CrossRef
go back to reference Marcell, A. V., Ford, C. A., Pleck, J. H., & Sonenstein, F. L. (2007). Masculine beliefs, parental communication, and male adolescents’ health care use. Pediatrics, 119, e966–e975.CrossRefPubMed Marcell, A. V., Ford, C. A., Pleck, J. H., & Sonenstein, F. L. (2007). Masculine beliefs, parental communication, and male adolescents’ health care use. Pediatrics, 119, e966–e975.CrossRefPubMed
go back to reference Monzani, D., Vergani, L., Pizzoli, S. F. M., Marton, G., Mazzocco, K., Bailo, L., Messori, C., Pancani, L., Cattelan, M., & Pravettoni, G. (2020). Sexism interacts with patient–physician gender concordance in influencing patient control preferences: Findings from a vignette experimental design. Applied Psychology: Health and Well-Being, 12, 471–492. https://doi.org/10.1111/aphw.12193CrossRefPubMed Monzani, D., Vergani, L., Pizzoli, S. F. M., Marton, G., Mazzocco, K., Bailo, L., Messori, C., Pancani, L., Cattelan, M., & Pravettoni, G. (2020). Sexism interacts with patient–physician gender concordance in influencing patient control preferences: Findings from a vignette experimental design. Applied Psychology: Health and Well-Being, 12, 471–492. https://​doi.​org/​10.​1111/​aphw.​12193CrossRefPubMed
go back to reference Nelson, N. P., Weng, M. K., Hofmeister, M. G., Moore, K. L., Doshani, M., Kamili, S., Koneru, A., Haber, P., Hagan, L., Romero, J. R., Schillie, S., & Harris, A. M. (2020). Prevention of Hepatitis A virus infection in the United States: Recommendations of the Advisory Committee on Immunization Practices, 2020. MMWR Recommendations and Reports, 69, 1–38. https://doi.org/10.15585/mmwr.rr6905a1CrossRefPubMedPubMedCentral Nelson, N. P., Weng, M. K., Hofmeister, M. G., Moore, K. L., Doshani, M., Kamili, S., Koneru, A., Haber, P., Hagan, L., Romero, J. R., Schillie, S., & Harris, A. M. (2020). Prevention of Hepatitis A virus infection in the United States: Recommendations of the Advisory Committee on Immunization Practices, 2020. MMWR Recommendations and Reports, 69, 1–38. https://​doi.​org/​10.​15585/​mmwr.​rr6905a1CrossRefPubMedPubMedCentral
go back to reference Shearer, C. L., Hosterman, S. J., Gillen, M. M., & Lefkowitz, E. S. (2005). Are traditional gender role attitudes associated with risky sexual behavior and condom-related beliefs? Sex Roles, 52, 311–324.CrossRef Shearer, C. L., Hosterman, S. J., Gillen, M. M., & Lefkowitz, E. S. (2005). Are traditional gender role attitudes associated with risky sexual behavior and condom-related beliefs? Sex Roles, 52, 311–324.CrossRef
go back to reference Vogel, D. L., & Heath, P. J. (2016). Men, masculinities, and help-seeking patterns. In APA handbook of men and masculinities (pp. 685–707). American Psychological Association. Vogel, D. L., & Heath, P. J. (2016). Men, masculinities, and help-seeking patterns. In APA handbook of men and masculinities (pp. 685–707). American Psychological Association.
go back to reference Wade, J. C. (1998). Male reference group identity dependence: A theory of male identity. The Counseling Psychologist, 26, 349–383.CrossRef Wade, J. C. (1998). Male reference group identity dependence: A theory of male identity. The Counseling Psychologist, 26, 349–383.CrossRef
Metagegevens
Titel
Social–contextual factors interact with masculinity to influence college men’s HPV vaccination intentions: The role of descriptive norms, prototypes, and physician gender
Auteurs
Laurel M. Peterson
Jennifer A. Orr
Sasha D. Rogelberg
Nils Olsen
Publicatiedatum
06-09-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-022-00350-1

Andere artikelen Uitgave 6/2022

Journal of Behavioral Medicine 6/2022 Naar de uitgave