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088 Utilizing a web-based decision aid to understand cultural and religious impacts on HPV vaccination decision-making
  1. Yulia Gendler,
  2. Ayala Blau
  1. The Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel


Background Human papillomavirus (HPV) poses a significant public health concern, being 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 healthcare. 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 10–17 (n=120) and young adults aged 18–26 (n=160). A quasi-experimental study was conducted among Hebrew-speaking parents and young adults eligible for HPV vaccination. Participants completed pre- and post-intervention questionnaires assessing vaccination intentions, knowledge about HPV, decision self-efficacy, and decisional conflict.

Results The decision aid significantly improved intentions towards HPV vaccination among most religious groups, except the Jewish ultra-Orthodox community. Ultra-Orthodox participants exhibited reluctance to vaccinate themselves or their children (OR= 0.23, p<0.001 for parents’ group; OR= 0.43, p<0.001 for young adults’ group). Parental preference for vaccinating girls over boys (OR= 2.66, p<0.001) and increased inclination for vaccination among Muslim-Arabs were observed (OR= 3.12, p<0.001). Knowledge levels improved among ultra-Orthodox participants but not decisional conflict and self-efficacy.

Discussion The web-based decision aid positively influenced the quality of HPV vaccination decision-making among various religious groups in Israel, except for the ultra-Orthodox community.

Conclusion It is crucial to work with community leaders, health professionals, and stakeholders to develop decision aids that are not only informative but also culturally sensitive, as addressing unique community concerns is key to facilitating informed decision-making.

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