• Korean Parent-Child Health Journal
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• v.20 no.1
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• pp.39-47
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• 2017

Purpose: This study was conducted to investigate the factors predicting HPV (Human Papilloma Virus) vaccination practices among female college students. Methods: A convenience sample of 207 female students attending four universities in one metropolitan city participated. Self-report questionnaires consisted of general characteristics, characteristics related prevention of cervical cancer, knowledge of HPV, knowledge of cervical cancer vaccination, and health beliefs related to HPV vaccination. Data were analyzed by $x^2$ test, independent t-test, and bivariate logistic regression. Results: Factors predicting HPV vaccination practices were information about HPV (OR=3.37), experience of HPV test (OR=12.71), and health beliefs related to HPV vaccination (OR=1.13). Conclusion: In order to increase the practice rate of HPV vaccination, it is necessary to provide simple key information that is easy to understand, rather than expert knowledge about HPV. Therefore, it is necessary to provide a way for college students to get information about virus easily. It is necessary to intervene integrally with the facilitation factor and obstacle factor of vaccination practice.

• Journal of Korean Biological Nursing Science
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• v.15 no.1
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• pp.24-32
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• 2013

Purpose: The purpose of this study was to investigate and compare human papillomavirus (HPV) vaccination status associated with HPV health belief and knowledge between male and female highschool students. Methods: In the winter of 2012, 183 students responded to self-administered questionnaires, and t-test, ${\chi}^2$-test, and ANOVA were used for data analysis. Results: There were significant differences in the experiences of hearing about HPV vaccination, source of HPV information, experience of being vaccinated with HPV vaccination, reason for HPV unvaccination and vaccination intention by gender. The mean scores for health belief of HPV vaccination were 1.72 (total score: 4) in men and 2.31 in women. There were significant differences in HPV health belief (t=-5.14, p<.001). The mean scores for knowledge of HPV vaccination were 0.08 (total score: 1) in men and 0.12 in women, but there were no significant differences in HPV knowledge (t=-1.62, p=.108). There were positive associations between HPV health belief and knowledge in women (p=.02). Conclusion: This study showed different HPV vaccination status, health belief and knowledge in gender. The results indicate a need to consider levels of health belief and knowledge of HPV vaccination in target populations of highschool students when planning a HPV related education program.

• Women's Health Nursing
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• v.24 no.1
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• pp.71-79
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• 2018

Purpose: The purpose of this study was to identify effects of attitude, subjective norm, and perceived behavior control toward Human Papillomavirus (HPV) on HPV vaccination intention in female high school students. Methods: Subjects of this study were female students aged 16 to 17 years, the optimal age group of HPV vaccination, arbitrarily selected from three high schools in B city. A total of 140 students agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. Results: Attitude, subjective norm, and perceived behavior control toward HPV were factors influencing HPV vaccination intention of subjects. Perceived behavior control toward HPV vaccination was the most influential factor. These factors accounted for 49% of HPV vaccination intention. Conclusion: These results suggest a need to increase perceived behavior control to increase HPV vaccination intention. The government needs to establish a national policy system such as financial support for HPV vaccines and free vaccinations so that students are aware that HPV vaccines can be easily inoculated.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.2
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• pp.158-168
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• 2015

Purpose: The purpose of this study was to investigate knowledge of cervical cancer, HPV and intention for vaccination in Korean soldiers on active duty. Methods: Participants were 494 army men aged 18 to 26 serving in D area. Knowledge of cervical cancer was measured using the 8 item scale developed by Han et al. (2007) and knowledge of HPV was measured using the 13 item scale developed by Pitts et al. (2009). Collected data were analyzed with t-test, $x^2$-test, and ANOVA. Results: Mean scores for cervical cancer and HPV knowledge were $6.03{\pm}1.52$ and $8.15{\pm}1.75$ respectively and vaccination intention was 75.6%. HPV vaccination intention had significant differences depending on knowledge about cervical cancer (${\chi}^2=12.76$, p=.001), and HPV (${\chi}^2=9.00$, p=.003), education (${\chi}^2=12.24$, p=.002), sexual intercourse after first meeting (${\chi}^2=11.79$, p=.003), and sexual education in the military service (${\chi}^2=12.27$, p=.001). Conclusion: When planning education program for men in military service, it is necessary to consider include content to increase knowledge of cervical cancer and HPV.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.4
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• pp.457-465
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• 2014

Purpose: The purpose of this study was to apply Ajzen's theory of planned behavior to identify factors that affect undergraduate women's decisions to receive human papillomavirus(HPV) vaccination. Method: The research design for this study was a descriptive survey design using convenience sampling. Data collection was done using self-report questionnaires with 254 undergraduate students in G city. Data were analyzed using percentage, mean, standard deviation, t-test, ANOVA, Mann-Whitney U test, Pearson correlation analysis and multiple regression with the SPSS Win 20.0 Program. Results: The mean score of intention to receive HPV vaccine was $3.88{\pm}1.05$ out of a possible 7. Intention to receive HPV vaccine showed a significantly positive correlation with attitudes (r=.26, p<.001), subjective norm (r=.51, p<.001), perceived behavior control (r=.41, p<.001) to receive HPV vaccination. In the multiple regression analysis, subjective norm and perceived behavior control to receive HPV vaccine were significant predictors and explained 33.7% of intention to receive HPV vaccine. Conclusion: Results of this study show that there are significant factors affecting the intention of undergraduate women to receive HPV vaccination. Also, strategies emphasizing subjective norm and perceived behavior control in obtaining HPV vaccination should be taken into account in developing educational programs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.2
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• pp.201-211
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• 2012

Purpose: The purpose of this study was to investigate knowledge of cervical cancer and HPV in adult men and their acceptance of vaccination for HPV. Methods: A convenience sample of 229 men between 19 and 39 years of age, responded to self-report questionnaires on knowledge of cervical cancer and HPV, vaccination intention, and general and sexual characteristics. Data were collected during September and October, 2010 and analyzed using t-test, ${\chi}2$-test, and ANOVA. Results: Mean scores for knowledge of cervical cancer and HPV were 4.88, and 7.87 respectively. Seventy-five percent stated they intended to be vaccinated. There were significant differences in knowledge of cervical cancer depending on education (F=3.04, $p$=.030), sexual frequency (F=4.62, $p$=.011), condom use (t=2.19, $p$=.029), and frequency of condom use (F=3.28, $p$=.040), and in knowledge of HPV depending on sexually activity (t=2.35, $p$=.020), condom use (t=0.03, $p$=.019), and frequency of condom use (F=4.65, $p$=.011). There were significant differences in vaccination intention depending on education (${\chi}2$=10.47, $p$=.015), but sexual characteristics were not significant for vaccination intentions. Conclusion: The results indicate a need to consider levels of education and knowledge of cervical cancer and HPV in target populations of men, when planning a cervical cancer prevention education program for men.

• Research in Community and Public Health Nursing
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• v.32 no.2
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• pp.195-204
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• 2021

Purpose: This study was to determine how attitude, subjective norm, and perceived behavioral control (PBC) were related to parents' intentions to vaccinate their sons in elementary school against human papillomavirus (HPV), applying the updated theory of planned behavior. Two hypotheses were examined: PBC would moderate the relationship of attitude to intention and subjective norm to intention, respectively. Methods: This was a cross-sectional study with 231 participants recruited in November, 2018. Inclusion criteria for the participants were parents with 5th-6th grade boys in elementary schools. The moderation effects of the hypotheses were analyzed using the PROCESS macro for SPSS. Results: PBC significantly moderated the relationship of attitude to intention on HPV vaccination. The simple effect of attitude to intention was significant under three different levels of the PBC (low, moderate, and high), but the magnitudes of the relationships were not homogeneous. The magnitude of the relationship between attitude and intention was the lowest for the parents with the low level of the PBC. In the relationship of subjective norm to intention on HPV vaccination, the moderating effect of the PBC was not supported. Subjective norm and PBC directly predicted the intention on HPV vaccination. Conclusion: In order to promote the parents' intentions to vaccinate their sons in elementary school against HPV, we need a program that can improve parents' attitude, subjective norm, and PBC, requiring special attention to the parents with the low PBC.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.5
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• pp.465-474
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• 2021

This study investigated knowledge about the human papillomavirus (HPV), attitudes toward HPV vaccination, and intention to receive HPV vaccination among marriage-immigrant women, and identified factors associated with intention to receive HPV vaccination. The subjects of this study were 136 marriage-immigrant women in J Province. Data were collected from September 28 to December 21, 2017, and analyzed using SPSS for Windows version 24.0. The participants' knowledge of HPV was low (mean score, 2.74) and their attitude towards HPV vaccination was positive (mean score, 36.66). The factors affecting the intention to take the HPV vaccination included Vietnamese nationality (odds ratio [OR]=2.899, p=.048), desire for education about the HPV vaccine (OR=5.967, p<.001), and a positive attitude towards HPV vaccination (OR=1.083, p=.034). Therefore, educational programs about HPV vaccination targeting marriage-immigrant women are needed. It is also necessary to provide accurate information about the HPV vaccination using various methods, at health care facilities and through mass media.

• Asian Oncology Nursing
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• v.11 no.3
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• pp.186-192
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• 2011

Purpose: The primary prevention for cervical cancer, the human papilloma virus (HPV) vaccination, has been available in South Korea and its importance has been emphasized publicly. The purpose of this study was to investigate the knowledge regarding HPV vaccination and identify the factors associated with HPV vaccination in female university students. Methods: A sample of 200 women among university students in Seoul was asked to answer a questionnaire on HPV-related knowledge and attitude, and influencing factors on HPV vaccination. Results: Among the respondents, 12.0% were HPV vaccinated. Overall HPV-related knowledge was low, and knowledge was not different between the vaccinated and unvaccinated groups. The vaccinated group demonstrated a higher score on the knowledge about the place where people could receive HPV vaccination and the cost of the vaccination than that of the unvaccinated group. The major influencing factor on vaccination was the parent's recommendation and the major barrier for vaccination was the cost of the vaccination. Conclusion: A broadened public campaign is recommended to increase the knowledge and positive attitude towards HPV vaccination for university female students as well as their parents.

• The Journal of Korean Academic Society of Nursing Education
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• v.24 no.3
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• pp.205-213
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• 2018

Purpose: This study was performed to identify factors associated with human papillomavirus vaccination intention among unvaccinated nursing students. Methods: Two hundred-and-five female nursing students from three universities completed self-administered questionnaires including participants' characteristics, human papillomavirus-related knowledge, attitude toward human papillomavirus vaccination, and human papillomavirus-related health beliefs. Multivariate logistic regression analysis was used to determine significant independent predictors of human papillomavirus vaccination intention. Results: Of 205 participants, 134 (65.4%) reported an intention to obtain a vaccination against human papillomavirus. As a result of the analysis of the bivariate relationships, family history of cervix cancer, perceived needs, importance of prevention, perceived susceptibility, perceived benefit, and perceived barrier were significantly related to vaccination intention. A multivariate logistic regression model identified factors of human papillomavirus vaccination intention: higher importance of prevention (Adjusted Odds Ratio [AOR]: 4.20, 95% Confidence Interval [CI]: 1.73~10.19), higher perceived benefit (AOR: 6.94, 95% CI: 2.01~23.98), lower perceived barrier (AOR: 0.39, 95% CI: 0.20~0.73). Conclusion: The results of this study indicated significant factors influencing the intention to obtain human papillomavirus vaccination in unvaccinated nursing students. Also, the importance of prevention, perceived susceptibility, perceived benefit, and perceived barrier in obtaining human papillomavirus vaccination should be taken into account when developing educational programs.