한국학교보건학회지 (Journal of the Korean Society of School Health)

  • 제31권2호
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  • Pages.59-69
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  • 2018
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  • 1225-9608(pISSN)
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  • 2288-9957(eISSN)
한국학교보건학회 (The Korean Society of School Health)
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남녀 고등학생의 인유두종 바이러스(HPV) 예방접종의도 영향요인 비교: HPV 관련 지식, 접종태도와 건강신념 중심으로

Comparison of Factors associated with Intention to HPV Vaccination between Male and Female High School Students: Focusing on HPV Knowledge, Attitude and Health Beliefs related to HPV

  • Jang, Insun (Department of Nursing, Korean Bible University)
  • 투고 : 2018.01.12
  • 심사 : 2018.05.18
  • 발행 : 2018.08.31
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초록

Purpose: The purpose of this study is to identify and compare the factors associated with human papillomavirus (HPV) vaccination intention between male and female high school students. The focus is on the knowledge, attitudes and health beliefs related to HPV. Methods: The participants were 246 male and 298 female students from an academic high school located in Seoul. Data were collected in June 2017, which were analyzed using descriptive statistics, the chi-test, t test, Mann-Whitney U test, Pearson correlation coefficients and logistic regression with SPSS for Windows 21.0. Results: 47.6% of the male participants and 86.2% of the female participants indicated HPV vaccination intention. The median score of the HPV knowledge level was 0 (total score:16) in the boys and 3 in the girls (p<.001). There were significant differences in attitudes and health beliefs related to HPV by gender. Religion (OR=0.50), sexual experience (OR=0.09), safety concerns (OR=0.65), perceived needs (OR=1.59), importance of prevention (OR=1.78) and perceived susceptibility (OR=1.80) determined HPV vaccination intention in the male students, whereas awareness of HVP vaccination (OR=2.25) and importance of prevention (OR=1.92) significantly predicted HPV vaccination intention in the female students. Conclusion: The results of this study suggest that different strategies need to be taken for different genders: education focusing on safety concerns as well as perceived needs, importance of prevention and perceived susceptibility for male students and education emphasizing importance of prevention for female students.

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참고문헌

  1. National Cancer Information Center. Type of cancers: Uterine cervical cancer[Internet]. Ilsan: National Cancer Information Center; 2017[cited 2017 December 14]. Available from: http://www.cancer.go.kr/mbs/cancer/jsp/cancer/canttttcer.jsp?cancerSeq=4877&menuSeq=4880&viewType=all&id=cancer_020118000000/.
  2. Korea Centers for Disease Control and Prevention. Notice: 12-year-old female teenager, one cancer can be prevented with two vaccination for the life[Internet]. Ilsan: Korea Centers for Disease Control and Prevention; 2017 [cited 2017 December 14]. Available from: http://cdc.go.kr/CDC/mobile/notice/CdcKrIntro0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0011&cid=72943.
  3. Shin HR, Franceschi S, Vaccarella S, Roh JW, Ju YH, Oh JK, et al. Prevalence and determinants of genital infection with papillomavirus, in female and male university students in Busan, South Korea. Journal of Infectious Diseases. 2004;190(3):468-476. https://doi.org/10.1086/421279
  4. Lee EH, Um TH, Chi HS, Hong YJ, Cha YJ. Prevalence and distribution of human papillomavirus infection in Korean women as determined by restriction fragment mass polymorphism assay. Journal of Korean Medical Science. 2012;27:1091-1097. https://doi.org/10.3346/jkms.2012.27.9.1091
  5. Dunne EF, Neilson CM, Stone KM, Markowitz LE, Giuliano AR. Prevalence of HPV infection among men: A systematic review of the literature. Journal of Infectious Diseases. 2006;194:1044-1057. https://doi.org/10.1086/507432
  6. Korea Policy News. Some amendments to the Act on the Prevention and Management of Infectious Diseases [Internet]. Seoul: Korea Policy News; 2015 [cited 2017 December 14]. Available from: http://www.kpinews.co.kr/news/articleView.html?idxno=13088.
  7. Kim CJ, Kim BK, Kim SC, Kim YT, Kim YM, Park SY, et al. Sexual behavior of korean young women: Preliminary study for the introducing of HPV prophylactic vaccine. Korean Journal of Gynecologic Oncology. 2007;18(3):209-218.
  8. Centers for Disease Control and Prevention. Human papillomavirus vaccination coverage among adolescents, 2007-2013, and postlicensure vaccine safety monitoring, 2006-2014-United States. Morbidity and Mortality Weekly Report. 2014;63:620-624.
  9. Park SM, Choi JS. Comparison of human papillomavirus vaccination status, associated with health belief and knowledge between male and female highschool students. Korean Society of Biological Nursing Science. 2013;15(1):24-32. https://doi.org/10.7586/jkbns.2013.15.1.24
  10. Park SM, Jang IS. Factors influencing practice and intention of HPV vaccination among adolescent daughter's mothers: Focusing on HPV knowledge and sex-related communication. Journal of the Korean Society of School Health. 2017;30(2):93-102. https://doi.org/10.15434/kssh.2017.30.2.93
  11. Lee YE, Park JS, Choi EJ. The exact state of female high school students' knowledge about cervical cancer, human papillomavirus vaccination related health belief and vaccination rate. Journal of Korean Society of Child Health. 2013;17(1):27-37. https://doi.org/10.21896/jksmch.2013.17.1.27
  12. Choi MS, Cheon SH. HPV (Human Papillomavirus) vaccination coverage and intention among female middle and high school students. Journal of the Korean Society of Living Environmental System. 2015;22(1):93-105. https://doi.org/10.21086/ksles.2015.02.22.1.93
  13. Bang KS, Sung SM, Koo BY, Kim MJ, Kim YN, Kim JS, et al. Female university students' HPV related knowledge and influencing factors on HPV. Journal of Korean Oncology Nursing. 2011;11(3):186-192. https://doi.org/10.5388/jkon.2011.11.3.186
  14. Kim EJ, Kim SH, Chung HI, Kim YA. Factors affecting human papillomavirus vaccination among college nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(3):464-472. https://doi.org/10.5762/KAIS.2016.17.3.464
  15. Choi JA, Kim KA. HPV knowledge, HPV vaccination intention, and barriers on HPV vaccination in male undergraduate students of health department and non-health department. Journal of Korean Academy of Community Health Nursing. 2016; 27(2):144-152. https://doi.org/10.12799/jkachn.2016.27.2.144
  16. Kim HW. Knowledge about human papillomavirus (HPV), and health beliefs and intention to recommend HPV vaccination for girls and boys among Korean health teachers. Vaccine. 2012;30 (36):5327-5334. https://doi.org/10.1016/j.vaccine.2012.06.040
  17. Schuler CL, Coyne-Beasley T. Has their son been vaccinated? Beliefs about other parents matter for human papillomavirus vaccine. American Journal of Men's Health. 2016;10(4):318-324. https://doi.org/10.1177/1557988314567324
  18. Kim HW. Comparison of factors associated with intention to receive human papillomavirus vaccine between male and female undergraduate students. Korean Journal of Women Health Nursing. 2011;17(4):415-425. https://doi.org/10.4069/kjwhn.2011.17.4.415
  19. Park AS. The influence of cervical cancer, HPV knowledge and health beliefs on HPV vaccination among undergraduate students. Journal of Korea Academia-Industrial cooperation Society. 2015;16(11):7708-7717. https://doi.org/10.5762/KAIS.2015.16.11.7708
  20. Ministry of Education, Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Reports on the Korea youth risk behavior web-based survey [Internet]. Cheongju, Chungbuk: Korea Centers for Disease Control & Prevention; 2016 [cited 2017 December 14]. Available from: https://yhs.cdc.go.kr/new/pages/pds1.asp.
  21. Pitts M, Smith A, Croy S, Lyons A, Ryall R, Garland S, et al. Singaporean men's knowledge of cervical cancer and human papillomavirus (HPV) and their attitudes towards HPV vaccination. Vaccine. 2009;27(22):2989-2993. https://doi.org/10.1016/j.vaccine.2009.02.101
  22. Centers for Disease Control and Prevention. Recommendations on the use of quadrivalent human papillomavirus vaccine in males-Advisory committee on immunization practices (ACIP), 2011.Morbidity and Mortality Weekly Report. 2011;60:1705-1708.
  23. Lee EJ, Park JS. Knowledge about cervical cancer, health belief and human papillomavirus vaccination rate in female university students. Journal of Korean Oncology Nursing. 2011;11(1): 65-73. https://doi.org/10.5388/jkon.2011.11.1.65
  24. Kang HS, Moneyham L. Attitudes toward and intention to receive the human papillomavirus (HPV) vaccination and intention to use condoms among female Korean college students. Vaccine. 2010;28(3):811-816. https://doi.org/10.1016/j.vaccine.2009.10.052
  25. Choi KA, Kim JH, Lee KS, Oh JK, Liu SN, Shin HR. Knowledge of human papillomavirus infection and acceptability of vaccination among adult women in Korea. Korean Society of Obstetrics and Gynecology. 2008;51(6):617-623.
  26. Kim SH, Sung MH. Factors influencing HPV-related infection preventive behavioral intention among female university students. Korean Journal of Women Health Nursing. 2017;13(2): 126-134. https://doi.org/10.4069/kjwhn.2017.23.2.126
  27. Jang YM, Han JS, Moon YS. 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. 2015;13(9): 313-321. https://doi.org/10.14400/JDC.2015.13.9.313
  28. Krawczyk AL, Perez S, Lau E, Holcroft CA, Amsel R, Knauper B, et al. Human papillomavirus vaccination intentions and uptake in college women. Health Psychology. 2012;31(5):685-693. https://doi.org/10.1037/a0027012
  29. Park HJ. Predictors of HPV vaccination status in female nursing university students: HPV related knowledge and perception. Journal of the Korean Society of School Health. 2016;29(3):123-131. https://doi.org/10.15434/kssh.2016.29.3.123
  30. Christy SM, Winger JG, Raffanello EW, Halpern LF, Danoff-Burg S, Mosher CE. The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults. Journal of Behavioral Medicine. 2016;39(3):429-440. https://doi.org/10.1007/s10865-016-9716-z

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