한국응용과학기술학회지 (Journal of the Korean Applied Science and Technology)

  • 제38권6호
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  • Pages.1722-1734
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  • 2021
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  • 1225-9098(pISSN)
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  • 2288-1069(eISSN)
한국응용과학기술학회 (The Korean Society of Applied Science and Technology)
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계획된 행위이론에 근거한 대학생의 HPV예방교육 효과

Effect of HPV Prevention Education on College Students Based on Planned Behavior Theory

  • 투고 : 2021.08.03
  • 심사 : 2021.12.29
  • 발행 : 2021.12.30
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초록

본 연구의 목적은 계획된 행위이론에 근거한 HPV 예방교육이 대학생의 HPV 백신지식, 자궁경부암 지식, HPV 백신접종에 대한 태도, HPV 백신접종에 대한 주관적 규범, HPV백신접종에 대한 지각된 행위통제, HPV 백신접종에 대한 의도, HPV 예방백신 접종행위에 미치는 효과를 확인하기 위한 유사실험 연구이다. 대상자는 실험군 32명, 대조군 34명으로 임의표출 하였다. 수집된 자료는 기술통계, t-test, χ2-test, Fisher's exact test와 repeated Measures ANOVA로 분석하였다. 연구결과 HPV 예방교육에 참여한 실험군은 참여하지 않은 대조군과 HPV 백신지식(t=5.66, p<.001), 자궁경부암 지식(t=4.13, p<.001), 태도(t=2.24, p=.032), 주관적 규범(t=2.83, p=.008), 지각된 행위통제(t=2.65, p=.013), 의도(t=3.91, p<.001)에 유의한 차이가 있었다. HPV 예방교육 중재 4주 후 HPV 백신접종 의도는 집단과 시간의 경과 간의 교호작용에 유의한 차이가 있었다(F=6.95, p=.002). 따라서 HPV 예방교육은 대학생에게 실제 적용할 수 있는 교육프로그램임을 확인하였다.

The purpose of this study was that HPV prevention education based on the planned behavioral theory was designed to provide college students with HPV vaccine knowledge, cervical cancer knowledge, attitude toward HPV vaccination, subjective norms for HPV vaccination, perceived behavioral control for HPV vaccination, and HPV vaccination. This is an experimental study to confirm the effect on the intention to vaccinate and the behavior of HPV vaccination. The subjects were arbitrarily expressed as 32 subjects in the experimental group and 34 subjects in the control group. The collected data were analyzed by descriptive statistics, t-test, χ2-test, Fisher's exact test and repeated Measures ANOVA. As a result, the experimental group participating in HPV prevention education was compared to the control group who did not participate in HPV vaccine knowledge (t=5.66, p<.001), cervical cancer knowledge (t=4.13, p<.001), attitude (t=2.24, p=) .032 ), subjective norm (t=2.83, p=.008), perceived behavioral control (t=2.65, p=.013), and intention (t=3.91, p<.001) were significantly different. After 4 weeks of HPV prevention education intervention, there was a significant difference in the interaction between group and time course of HPV vaccination intention (F=6.95, p=.002). Therefore, it was confirmed that HPV prevention education is an educational program that can be applied to college students.

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참고문헌

  1. Ministry of Health and Welfare.Korea Central Cancer Registry.National Cancer Center, 2018 National Cancer Enrollment Statistics Reference, Sejong, (2020).
  2. Lee KW, Koo YJ, Kim YM, Kim JW, Min KJ, Park KW et al, Cervical cancer. pp.43-53, Korea Medicine Publishers, (2012).
  3. W. S. Ahn, "Recent Advances in Cervical Cancer Vaccine Development", Obstetrics & Gynecology Science, Vol.48, No.6 pp. 1377-1389, (2005).
  4. Y. T. Kim, "Natural History of HPV and Carcinogenesis of Cervical Cancer", Obstetrics & Gynecology Science. Vol.50, No.5 pp. 711-20, (2007).
  5. Health Insurance Review & Assessment Service. 2018 Sexually Transmitted Disease Status, Wonju 2019 [cited 2019. Nov 16]. http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do
  6. S. E. Oliver, E. R. Unger, R. Lewis, D. McDaniel, J. W. Gargano, M. Steinau, et al. "Prevalence of Human Papillomavirus among Females after Vaccine Introduction -National Health and Nutrition Examination Survey, United States, 2003-2014". The Journal of Infectious Diseases. Vol. 216, No.5 pp. 594-603, (2017). https://doi.org/10.1093/infdis/jix244
  7. Korea Disease Control and Prevention Agency, "Cervical Cancer Prevention Campaign with the Korea Centers for Disease Control and Prevention", Osong 2017 [cited 2021. July 16]. http://www.kdca.go.kr/gallery.es?mid=a20503030100&bid=0004&act=view&list_no=138739.
  8. Korea Disease Control and Prevention Agency, Vaccination Assistant. https://nip.kdca.go.kr/irgd/index.html [Internet]. Osong (2020).
  9. Korea Disease Control and Prevention Agency, Press Release, [Internet]. Osong: 2020 [cited 2021. July 18]. Available from:http://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=711373
  10. S. Y. Kim, "Factors Influencing the Human Papilloma Virus Vaccination Using The Theory of Planned Behavior in College students", Chung-Ang University, (2018).
  11. I. H. Frazer, J. T. Cox, E. J. Mayeaux, E. L. Franco, A. B. Moscicki, J. M. Palefsky, et al. "Advances in Prevention of Cervical Cancer and other Human Papillomavirus-Related Diseases", The Pediatric Infectious Disease Journal, Vol. 25, pp.65-81.(2006). https://doi.org/10.1097/01.inf.0000183751.75880.f8
  12. E. J. Lee, H. O. Kim, "Effects of Human Papillomavirus Vaccination Education on College Women's Knowledge, Health Belief, and Preventive Behavior Intention", Journal of Korean academy of nursing Vol.41 No.5 pp.715-723, (2011). https://doi.org/10.4040/jkan.2011.41.5.715
  13. I. M. Rosenstock, "Why People use Health Services", The Milbank Memorial Fund Quarterly, Vol.83, No.4 pp.94-124. (2005).
  14. E. S. Lee, "The Effect of an Education Program for Cervical Cancer Prevention on Intention for HPV Vaccination in Adolescent Daughter's Mother", Chung-Ang University, (2014).
  15. G. Y. Park, "Development and Effect of Education on Human Papilloma Virus (HPV) Vaccination for Female Middle School Students", Cha Medical University, (2018).
  16. J. Y. Choi, S. Y. Choi, "Effects of Human Papilloma Virus on Related Education for Female High School Students", Asian Oncology Nursing. Vol.13, No.3 pp.128-135, (2013). https://doi.org/10.5388/aon.2013.13.3.128
  17. R. Sabates, L. Feinstein, " The Role of Education in the Uptake of Preventative Health Care: The Case of Cervical Screening in Britain", Social Science & Medicine. Vol.62, No.12 pp.2998-3010, (2006). https://doi.org/10.1016/j.socscimed.2005.11.032
  18. I. Ajzen, "The Theory of Planned Behavior". Organizational Behavior and Human Decision Processes. Vol.50, No.2 pp.179-211, (1991). https://doi.org/10.1016/0749-5978(91)90020-t
  19. Kiriakidis, S. "Theory of Planned Behaiour: The Intention-Behaviour Relationship and the Perceived Behavioral Control (PBC) Relationship with Intention and Behaviour", International Journal of Strategic Innovative Marketing, Vol 3, pp 40-51, (2015).
  20. M. H. Sung, M. H. Sung, "Factors influencing Human Papillomavirus Vaccination intention in Female High School Students: Application of Planned Behavior Theory", Korean journal of women health nursing Vol.24 No.1 pp.71-79, (2018). https://doi.org/10.4069/kjwhn.2018.24.1.71
  21. G. 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). https://doi.org/10.7739/jkafn.2014.21.4.457
  22. E. H. Kang, E. H. Lee, "Updated Theory of Planned Behavior in Predicting Parents' Intentions to Vaccinate Their Sons in Elementary School against Human Papillomavirus", Journal of korean academy of community health nursing Vol.32 No.2 ,pp.195-204, (2021) https://doi.org/10.12799/jkachn.2021.32.2.195
  23. 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). https://doi.org/10.5392/JKCA.2014.14.08.307
  24. 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). https://doi.org/10.7586/jkbns.2013.15.1.24
  25. S. M. Park, I. S. Jang. "Factors Influencing Practice and Intention of HPV Vaccination among Adolescent Daughter's Mothers: Focusing on HPV Knowledge and Sex-related Communication", The Journal of the Korean society of school health Vol.30 No.2 pp.93- 102, (2017). https://doi.org/10.15434/KSSH.2017.30.2.93
  26. J. H. Kim, M. K. Park, "Study on the Knowledge of Cervical Cancer and Human Papillomavirus and Preventive Behavior Intention of Female University Students", The Journal of Korean Academic Society of Nursing Education, Vol.15, No.2 pp. 225-231, (2009). https://doi.org/10.5977/JKASNE.2009.15.2.225
  27. I. Ajzen, "The Theory of Planned Behaviour: Reactions and Reflections", Psychol Health, Vol.26, No.9 pp.1113-1127, (2011). https://doi.org/10.1080/08870446.2011.613995
  28. Seels, B. B., Richey, R. C. Instructional technology, translator Kim YS. Seoul, PA: Kyoyook.(1995).
  29. S. M. Koo. "Development and Evaluation of an Educational Program to Prevent Cervical Cancer among Vietnamese Married Immigrant Women", Daejeon University. (2015).
  30. A. T. Bennett, D. A. Patel, R. C. Carlos, M. K. Zochowski, S. M. Pennewell, A. M. Chi et al. "Human Papillomavirus Vaccine Uptake after a Tailored, Online Educational Intervention for Female University Students: A Randomized Controlled Trial", Journal of Women's Health, Vol.24, No.11 pp. 950-957, (2015). https://doi.org/10.1089/jwh.2015.5251
  31. C. L. Liu, H. Liang, X. Zhang, P. Chen, L. Qin, Q. L. Li, et al. "Effect of an Educational Intervention on HPV Knowledge and Attitudes Towards HPV and its Vaccines among Junior Middle School Students in Chengdu, China", BMC Public Health, Vol.19, No.1 pp.488, (2019). https://doi.org/10.1186/s12889-019-6823-0
  32. O. Wagwarth, S. Kurzenhauser-Carstens, G. Gigerenzer, "Overcoming the Knowledge-Behavior Gap: The Effect of Evidence-Based HPV Vaccination Leaflets on Understanding, Intention, and Actual Vaccination Decision", Vaccine, Vol.32, No.12 pp.1388-1393, (2014). https://doi.org/10.1016/j.vaccine.2013.12.038
  33. A. S. Park, "The Influence of Cervical cancer, HPV Knowledge and Health Beliefs on HPV Vaccination among Undergraduate Students", Journal of the Korean Society of Industry-Academic Technology. Vol.16, No.11, pp. 7708-7717. (2015).
  34. Y. J. Oh, E. M. Lee, "Convergence Related Factors and HPV Vaccination Intention for Mothers with Children Elementary School", Journal of digital convergence Vol.16, No.3, pp. 311-319, (2018). https://doi.org/10.14400/JDC.2018.16.3.311
  35. Swenson, RR. An Integrated Theoretical Model of Condom use Intentions among Emerging Adult Female College Students: The Health Belief Model and Theory of Planned Behavior State University of New York at Albany. (2007).
  36. H. W. Kim, "Comparison of Factors Associated with Intention to Receive Human Papillomavirus Vaccine Between Male and Female Undergraduate Students", Korean journal of women health nursing Vol.17 No.4 , pp.415-425, (2011). https://doi.org/10.4069/kjwhn.2011.17.4.415