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Factors affecting Human Papillomavirus Vaccination among College Nursing Students

일 지역 간호대학생들의 인유두종바이러스 예방접종에 영향을 미치는 요인

  • Received : 2016.01.27
  • Accepted : 2016.03.03
  • Published : 2016.03.31

Abstract

This investigates the factors that affect HPV (human papillomavirus) vaccination among college nursing students. The subjects were 604 students from 3 nursing colleges located in city G. Data were collected from June to October 2015 and analyzed using SPSS 21.0 software. 14.7% were in the HPV vaccinated group and 85.3% were in the unvaccinated group. Statistical evaluations were done to determine whether vaccination had any associations with age, year in school, gender, pocket money, health beliefs, and knowledge of the HPV vaccination (p<.001). The average score of cancer prevention behavior of the students was 7.22, and the average score of health beliefs was 24.71. The most determining factor for vaccination was "recommendation from parents or significant others," and the most interfering factor for vaccination was "no interest." The significant factors affecting vaccination were the year in school, pocket money, knowledge of the HPV vaccination, and health beliefs. The vaccination rate of subjects who had knowledge of HPV vaccination was higher (OR=8.59, p<.001). These results can contribute to the limited knowledge about the HPV vaccination of college nursing students. Also, this research provides useful baseline data for increasing the rate of HPV vaccination.

본 연구는 간호대학생들을 대상으로 인유두종바이러스(HPV) 예방접종에 영향을 미치는 요인을 조사하였다. 연구대상은 G광역시에 소재하는 3개 대학의 간호학생 604명이었다. 자료수집은 2015년 6월부터 10월까지 이루어졌으며, SPSS 21.0 program을 이용하여 분석하였다. 대상자 가운데 HPV 예방접종군은 14.7%, 비접종군은 85.3%로 나타났다. 예방접종여부와 연령, 학년, 성별, 용돈, 예방접종에 대해 들어본 경험은 통계적으로 연관이 있었다(p<.001). 대상자의 암 예방행위 점수는 평균 7.22점, 건강신념은 평균 24.71점이었다. 예방접종군의 결정요인은 '부모님 또는 주변인의 권유'가 가장 많았고, 비접종군의 장애요인은 '관심이 없어서'가 가장 많았다. HPV 예방접종에 영향을 미치는 유의한 요인은 학년, 용돈, 예방접종에 대해 들어본 경험, HPV 예방접종 관련 건강신념이었다. 특히 HPV 예방접종에 대해 들어본 경험이 없는 대상자 보다 경험이 있는 대상자의 예방접종률이 높았다(OR=8.59, p<.001). 본 연구의 결과는 간호대학생들의 HPV 예방접종에 대한 제한된 지식에 기여할 수 있을 것이다. 또한 예방접종률 증진을 위한 기초자료로써 유용하게 활용될 것으로 사료된다.

Keywords

References

  1. E. J. Crosbie, M. H. Einstein, S. Franceschi & H. C. Kitchener, "Human papillomavirus and cervical cancer," Lancet, Vol. 382, No. 9895, pp. 889-899, 2013. DOI: http://dx.doi.org/10.1016/S0140-6736(13)60022-7
  2. E. F. Dunne, E. R. Unger, M. Sternberg, G. McQuillan, D. C. Swan, S. S. Patel & L. E. Markowitz, “Prevalence of HPV infection among females in the United States,” Journal of the American Medical Association, Vol. 297, No. 8, pp. 813-819, 2007. https://doi.org/10.1001/jama.297.8.813
  3. M. B. Kovacic, P. E. Castle, R. Herrero, M. Schiffman, M. E. Sherman, S. Wacholder, A. C. Rodriguez, M. L. Hutchinson, M. C. Bratti, A. Hildesheim, J. Morales, M. Alfaro & R. D. Burk, "Relationships of human papillomavirus type, qualitative viral load, and age with cytologic abnormality," Cancer Research, Vol. 66, No. 20, pp. 1012-1019, 2006. DOI: http://dx.doi.org/10.1158/0008-5472.CAN-06-1812
  4. L. Koutsky, “Epidemiology of genital human papillomavirus infection,” American Journal of Medicine, Vol. 102, No. 5A, pp. 3-8, 1997.
  5. M. Schiffman & S. K. Kjaer, "Chapter 2: Natural history of anogenital human papillomavirus infection and neoplasia," Journal of the National Cancer Institute Monographs, No. 31, pp. 14-19, 2003.
  6. Centers for Disease Control and Prevention, "Genital HPV infection-fact sheet" [Internet], Atlanta, GA: Centers for Disease Control and Prevention, 2016 Jan 14 [cited 2016 Jan 22]. Available From: http://www.cdc.gov/std/HPV/STDFact-HPV.htm
  7. Centers for Disease Control and Prevention, “FDA Licensure of Bivalent Human Papillomavirus Vaccine (HPV2, Cervarix) for Use in Females and Updated HPV Vaccination Recommendations from the Advisory Committee on Immunization Practices (ACIP),” Morbidity and Mortality Weekly Report, Vol. 59, No. 20, pp. 626-629, 2010. Available From: http://www. cdc.gov/mmwr/pdf/wk/mm5920.pdf
  8. Centers for Disease Control and Prevention, “FDA Licensure of Quadrivalent Human Papillomavirus Vaccine (HPV4, Gardasil) for Use in Males and Guidance from the Advisory Committee on Immunization Practices (ACIP),” Morbidity and Mortality Weekly Report, Vol. 59, No. 20, pp. 630-632, 2010. Available From: http://www.cdc.gov/mmwr/pdf/wk/mm5920.pdf
  9. S. J. Goldie, M. Kohli, D. Grima, M. C. Weinstein, T. C. Wright, F. X. Bosch & E. Franco, “Projected clinical benefits and cost-effectiveness of a human papillomavirus 16/18 vaccine,” Journal of the National Cancer Institute, Vol. 96, No. 8, pp. 604-615, 2004. DOI: http://dx.doi.org/10.1093/jnci/djh104
  10. S. J. Goldie, M. O'Shea, M. Diaz & S. Y. Kim, “Benefits, cost requirements and cost-effectiveness of the HPV 16, 18 vaccine for cervical cancer prevention in developing countries: policy implications,” Reproductive Health Matters, Vol. 16, No. 32, pp. 86-96, 2008. DOI: http://dx.doi.org/10.1016/S0968-8080(08)32409-4
  11. E. J. Lee & J. S. Park, “Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students,” Journal of Korean Oncology Nursing, Vol. 11, No. 1, pp. 65-73, 2011. DOI: http://dx.doi.org/10.5388/jkon.2011.11.1.65
  12. K. A. Choi, J. H. Kim, K. S. Lee, J. K. Oh, S. N. Liu & H. R. Shin, “Knowledge of human papillomavirus infection and acceptability of vaccination among adult women in Korea,” Korean Journal of Obstetrics and Gynecology, Vol. 51, No. 6, pp. 617-623, 2008.
  13. Ministry of Health and Welfare, "A new year's report" [Internet], Sejong: Ministry of Health and Welfare, 2016 Jan 20 [cited 2016 Jan 22]. Available From: http://www.mohw.go.kr/front_new/al/sal0301vw.j sp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SE Q=329605&page=1
  14. The Korea Central Cancer Registry, National Cancer Center, "Annual report of cancer statistics in Korea in 2011," Ministry of Health and Welfare, 2013, Report No. 11-1352000-000145-10
  15. H. W. Kim & Y. Y. Jung, “Relating factors in pap smears by stages of change among married nurses,” Korean Journal of Women Health Nursing, Vol. 16, No. 4, pp. 317-325, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.4.317
  16. M. H. Lee, E. J. Lim, Y. H. Yu & M. H. Jun, "Clinical nurses' HPV-related knowledge and perception of cancer causes: HPV vaccinated vs. not vaccinated," Korean Journal of Women Health Nursing, Vol 17, No. 1. pp. 1-9, 2011. DOI: http://dx.doi.org/10.4069/kjwhn.2011.17.1.1
  17. H. W. Kim, “Effects of prevention education on human papillomavirus linked to cervix cancer for unmarried female university students,” Journal of Korean Academy of Nursing, Vol. 39, No. 4, pp. 490-498, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.4.490
  18. K. B. Choi, H. S. Mo & J. S. Kim, "Factors associated with intention to recommend human papillomavirus vaccination among Korean school health teachers," Journal for Specialists in Pediatric Nursing, Vol. 18, pp. 297-310, 2013. DOI: http://dx.doi.org/10.1111/jspn.12041
  19. H. W. Kim, “Factors influencing mothers' acceptance of human papillomavirus vaccination to prevent cervical cancer in their daughters,” Korean Journal of Women Health Nursing, Vol. 17, No. 2, pp. 137-147, 2011. DOI: http://dx.doi.org/10.4069/kjwhn.2011.17.2.137
  20. J. S. Park & E. J. Lee, “Predictors of human papillomavirus vaccination in female university students,” Korean Journal of Women Health Nursing, Vol. 17, No. 4, pp. 346-358, 2011. DOI: http://dx.doi.org/10.4069/kjwhn.2011.17.4.34
  21. H. M. Park & H. E. Oh, "Factors associated with the intention of human papillomavirus vaccination among mothers of junior high school daughters," The Journal of the Korea Contents Association, Vol. 14, No. 8, pp. 307-318, 2014. DOI: http://dx.doi.org/10.5392/JKCA.2014.14.08.307
  22. K. S. Bang, S. M. Sung, B. Y. Koo, M. J. Kim, Y. N. Kim, J. S. Kim & S. M. Ryu, “Female university students' HPV-related knowledge and influencing factors on HPV vaccination,” Journal of Korean Oncology Nursing, Vol. 11, No. 3, pp. 186-192, 2011. DOI: http://dx.doi.org/10.5388/jkon.2011.11.3.186
  23. K. E. Lee, “Factors associated with intention to receive human papillomavirus vaccine in undergraduate women: an application of the theory of planned behavior,” Journal of Korean Academy of Fundamentals of Nursing, Vol. 21, No. 4, pp. 457-465, 2014. DOI: http://dx.doi.org/10.7739/jkafn.2014.21.4.457
  24. D. H. Cho, E. K. Kim, D. H. Lee, W. K. Choi, E. J. Lim, J. H. Kim, J. H. Lee, S. N. Cho, B. C. Oh & Y. J. Jeong, “Awareness and knowledge of human papillomavirus infection among female public health personnel,” Korean Journal of Obstetrics and Gynecology, Vol. 53, No. 5, pp. 410-415, 2010. DOI: http://dx.doi.org/10.5468/kjog.2010.53.5.410
  25. J. Y. Choi & S. Y. Choi, “Effects of human papilloma virus on relate education for female high school students,” Asian Oncology Nursing, Vol. 13, No. 3, pp. 128-135, 2013. DOI: http://dx.doi.org/10.5388/aon.2013.13.3.128
  26. Y. M. Jang, J. S. Han & Y. S. Moon, "Convergence study of knowledge, health beliefs and HPV preventive behavior intention about human papilloma virus(HPV) vaccination among health college students," Journal of Digital Convergence, Vol. 13, No. 9, pp. 313-321, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.9.313
  27. S. M. Park & J. S. Choi, “Comparison of human papillomavirus vaccination status, associated with health belief and knowledge between male and female highschool students,” Journal of Korean biological nursing science, Vol. 15, No. 1, pp. 24-32, 2013. DOI: http://dx.doi.org/10.7586/jkbns.2013.15.1.24
  28. National Cancer Information Center, "Cancer Prevention & Control" [Internet], Koyang: National Cancer Information Center, 2013 Feb 1 [cited 2016 Jan 22]. Available From: http://www.cancer.go.kr/mbs/ cancer/subview.jsp?id=cancer_010101030000