RUcore: Rutgers University Community Repository
Adolescents involved in decision-making
Descriptive
TitleInfo
Title
Adolescents involved in decision-making
SubTitle
clinic conversations about the human papillomavirus and vaccination
Name
(type = personal)
NamePart
(type = family)
Wander
NamePart
(type = given)
Marla DeMesquita
NamePart
(type = date)
1952-
DisplayForm
Marla Wander
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Hart
NamePart
(type = given)
Daniel
DisplayForm
Daniel Hart
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Atkins
NamePart
(type = given)
Robert
DisplayForm
Robert Atkins
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Bluebond-Langner
NamePart
(type = given)
Myra
DisplayForm
Myra Bluebond-Langner
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
Camden Graduate School
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(qualifier = exact)
2013
DateOther
(qualifier = exact);
(type = degree)
2013-05
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
Thoughtful and deliberate, adolescent decision-making is not well understood. For example, adolescents and parents visit with physicians for routine health care however the extent that adolescents participate has not been satisfactorily investigated. This study used surveys, conversations, and observations of healthy adolescents, parents, and physicians discussing issues of optional vaccination against human papillomavirus infections to interrogate the gap in understanding adolescent decision-making. The decision involves if and when to receive vaccination to prevent sexually transmitted infections that potentially cause adult cancers. Thus, sexual behavior and vaccination effectiveness infuse these discussions. Survey results from several hundred 11 thru 21 year-old Black, Hispanic, and White adolescents and parents showed adolescents’ older age, female gender, and suburban residence as significant predictors of vaccination acceptance; race, education, HPV knowledge, and judgments of adolescent autonomy were not. Survey conversations and observations substantiated that parents were the decision-makers. Information did not influence decisions; parents were influenced by their personal beliefs about vaccinations and sexual debut and their adolescents’ age. Adolescents indicated on their surveys that they would make vaccination decisions which contradicted their survey conversations and participant-physician encounters that showed adolescents deferring the decision to their parents. During survey conversations, when their parents were not present, adolescents posed thoughtful questions and engaged in HPV discussions. During participant-physician encounters adolescents rarely participated. Notably, if adolescents chose to speak they protested the shot and rallied to postpone it. An adolescent focused on a vaccination presents a vulnerable and asexual image. Adolescents’ participation in HPV vaccination decision-making is not determined by their decision-making competence but by their social competency. Both parents and adolescents understand the sexual subtexts looming in the background and neither want those perceptions to rise to the forefront. Reformulating the manner and content of HPV discussions may increase adolescent participation and vaccination reception.
Subject
(authority = RUETD)
Topic
Childhood Studies
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_4814
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
x, 175 p. : ill.
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = vita)
Includes vita
Note
(type = statement of responsibility)
by Marla DeMesquita Wander
Subject
(authority = ETD-LCSH)
Topic
Decision making in adolescence
Subject
(authority = ETD-LCSH)
Topic
Papillomavirus vaccines
Subject
(authority = ETD-LCSH)
Topic
Papillomaviruses
Subject
(authority = ETD-LCSH)
Topic
Teenagers--Health and hygiene
Subject
(authority = ETD-LCSH)
Topic
Teenagers and adults
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10005600001.ETD.000068647
RelatedItem
(type = host)
TitleInfo
Title
Camden Graduate School Electronic Theses and Dissertations
Identifier
(type = local)
rucore10005600001
Location
PhysicalLocation
(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3QZ28KZ
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Wander
GivenName
Marla
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2013-05-08 02:18:29
AssociatedEntity
Name
Marla Wander
Role
Copyright holder
Affiliation
Rutgers University. Camden Graduate School
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
RULTechMD
(ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
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Statistical Profile