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Effects of cultural cues on perceptions of HPV vaccination messages among parents and guardians of American Indian youth

Published on Oct 1, 2018in Preventive Medicine3.449
· DOI :10.1016/j.ypmed.2018.08.021
Marco Yzer22
Estimated H-index: 22
(UMN: University of Minnesota),
Kristine L. Rhodes9
Estimated H-index: 9
+ 4 AuthorsSarah E. Gollust31
Estimated H-index: 31
(UMN: University of Minnesota)
Sources
Abstract
Abstract The encouragement of human papillomavirus (HPV) vaccination is an important goal for interventions among American Indians (AIs), given the significant disparities AIs face with respect to HPV cancers. Tailoring intervention messages to the culture of message recipients has been proposed as a potentially useful intervention approach, yet cultural tailoring of HPV messages has never been tested among AIs. The objective of this research was to test the effectiveness of cultural tailoring in positively affecting two variables that have been proposed as mechanisms of tailoring effects, namely identification with the message and perceptions of message effectiveness. We conducted a between subjects randomized experiment among 300 parents of AI children. Participants saw one of three messages that differed in the extent to which the message contained cues to AI culture. Analysis of variance (anova) showed that participants identified more strongly (partial eta2 = 0.10) with messages that included stronger AI cultural features and thought these messages were more convincing (partial eta2 = 0.14) and pleasant (partial eta2 = 0.11) compared to messages that included weaker cultural cues. Effects on message identification and convincingness were moderated by AI identity, such that the more participants identified themselves with AI culture, the stronger the effects of the culturally-tailored messages were (R2change = 0.043 and 0.020 in hierarchical regression analyses). These findings suggest good potential for cultural tailoring to encourage HPV vaccination among AIs.
  • References (19)
  • Citations (2)
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References19
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Vaccination is one of the great achievements of the 20th century, yet persistent public-health problems include inadequate, delayed, and unstable vaccination uptake. Psychology offers three general propositions for understanding and intervening to increase uptake where vaccines are available and affordable. The first proposition is that thoughts and feelings can motivate getting vaccinated. Hundreds of studies have shown that risk beliefs and anticipated regret about infectious disease correlate...
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#2Sonya Dal Cin (UM: University of Michigan)H-Index: 20
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ABSTRACTAdditional research is needed to guide the design of narratives for use in practice-oriented, naturalistic settings to maximize health behavior change, particularly among populations affected by health disparities. This mixed-methods study explored the influence of cultural tailoring and emotional arousal on identification and message recall in narratives promoting childhood obesity prevention among 40 Mexican American mothers. Participants were also asked about narrative exposure, narra...
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#1Yan Huang (PSU: Pennsylvania State University)H-Index: 5
#2Fuyuan Shen (PSU: Pennsylvania State University)H-Index: 20
This meta-analysis examined the persuasive impact of culturally tailored messages in cancer communication. The study sample includes 36 articles with 58 experimental pairs (N = 30,006). Results showed that culturally tailored cancer messages had an overall small and significant influence on persuasion (r = .120, p < .001). Deep tailoring, which integrates the cultural values, norms, and religious beliefs of the target ethnic group, had a significantly stronger effect compared to surface tailorin...
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Health message quality is best understood in terms of a message’s ability to effectively produce change in the variables that it was designed to change. The importance of determining a message’s effectiveness in producing change prior to implementation is clear: The better a message’s potential effectiveness is understood, the better able interventionists are to distinguish effective from ineffective messages before allocating scarce resources to message implementation. For this purpose, researc...
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Objectives. We used improved data on American Indian and Alaska Native (AI/AN) ancestry to provide an updated and comprehensive description of cancer mortality and incidence among AI/AN populations from 1990 to 2009.Methods. We linked the National Death Index and central cancer registry records independently to the Indian Health Service (IHS) patient registration database to improve identification of AI/AN persons in cancer mortality and incidence data, respectively. Analyses were restricted to ...
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#1Marco YzerH-Index: 22
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#1Marco Yzer (UMN: University of Minnesota)H-Index: 22
#2Kathleen D. Vohs (UMN: University of Minnesota)H-Index: 66
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Perceived message effectiveness is often used as a diagnostic tool to determine whether a health message is likely to be successful or needs modification before use in an intervention. Yet, published research on the antecedents of perceived effectiveness is scarce and, consequently, little is known about why a message is perceived to be effective or ineffective. The present study’s aim was to identify and test the affective antecedents of perceived effectiveness of antidrug television messages i...
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