• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3239-3245
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• 2014

Background: College students are recommended as the target groups for catch-up human papillomavirus (HPV) vaccination. Systematical exploration of awareness, acceptability, and decision-making factors of HPV vaccination among Chinese college students has been limited. Materials and Methods: A multi-center survey was conducted in mainland China between November 2011 and May 2012. College students aged 18-22 years were stratified by their grade, gender, and major for sampling. Socio-demographic and HPV-related information such as knowledge, perceptions, acceptability, and attitudes were collected through a questionnaire. Results: A total of 3,497 undergraduates completed the questionnaire, among which 1,686 were males. The acceptability of the HPV vaccine was high (70.8%). Undergraduates from high-level universities, at lower grade, or with greater prior knowledge of HPV vaccines showed higher acceptability of HPV vaccination ($p_{trend}$ <0.001). Additionally, undergraduates with vaccination experience outside the National Expanded Program on Immunization (OR=1.29; 95%CI: 1.10-1.51) or fear of HPV-related diseases (OR=2.79; 95%CI: 2.28-3.41) were more willing to accept HPV vaccination. General knowledge of HPV vaccine was low among undergraduates, and safety was a major concern (71.05%). The majority of students wished to pay less than 300RMB for HPV vaccine and chose the Chinese Center for Disease Control and Prevention as the most appropriate venue for vaccination. Conclusions: Although most undergraduates demonstrate positive attitudes towards HPV vaccination, challenges pertaining to introduction exist in China. Corresponding proactive education and governmental subsidy to do so are urgently needed by this age-group population. Suggestions and potential strategies indicated may help shape the future HPV vaccination program in China.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.464-472
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• 2016

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.

• 농촌의학ㆍ지역보건
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• 제27권1호
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• pp.125-142
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• 2002

This study was carried out to purpose drawing up the efficient method of rural residents' health management, analyzing factors having influences on the behavioral intention and the behavior of hepatitis B vaccination of rural residents, using the theory of planned behavior(TPB). Surveying the first questionnaire about TPB to 439 people of rural adults over 40-year old who participated to hepatitis B examination program was made from March 14 to April 23 in 2001 at two primary health care posts in a city in Gyeongsangbuk-do and the second survey for hepatitis B vaccination was made to the last subjects of 332 people(75.6%) that had been proved as subjects of inoculation against the hepatitis B as the result of examination after two months of notification. In the behavioral intention rate of hepatitis B vaccination of the subjects within a month, 100%(the top) was 45.2%, 80-90%(the middle) was 21.1% and under 70%(the low) was 33.7%. In simple analysis, vaccination intention was related with significantly health security type and economic status(p<0.05). And vaccination intention was related with significantly all variables of attitude toward behavior and subjective norm, and economic power of utilizing medical facilities and perceived power variable of perceived behavioral control(p<0.01). The vaccination rate of the subjects within a month was 31.3%. In simple analysis, the vaccination rate was higher significantly in the lower the age was, the higher the educational level was(p<0.01), the larger the family was, and subjects having transport(p<0.05). And the vaccination rate was higher in the higher the economic power was and the higher the perceived ability was. As the results of making generalized logit analysis for behavioral intention, the more positive the subjective norm was, the higher was the score of the perceived behavioral control, the intention was higher significantly in the top class on a basis of the low class of behavioral intention. In multiple logistic regression analysis for vaccination(behavior) using intention and perceived behavioral control as dependent variables, it showed that perceived behavioral control variable only influenced significantly. The higher was the score of perceived behavioral control, it showed that they got the more vaccination(p<0.01). And even in the result having analyzed, adding the significant general characteristics variables in the simple analysis to the independent variable, the higher was the score of perceived behavioral control, it showed that they got vaccination more.

• 유통과학연구
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• 제20권7호
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• pp.57-64
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• 2022

Purpose: The government of India has initiated the Covid-19 Vaccination drive from early January 2021. Vaccination is identified to be best option to protect the people across the globe. However, owing to fast wide spread of the Covid-19, the Vaccine Distribution is a major challenge owing various issues like temperature control, infrastructure, hesitancy, geographical diversity, and other critical factors. Various research is carried out globally to understand and study the Vaccine Distribution issues based on the respective country issues and factors. Research Design, Data, and Methodology: This research paper attempts to explore prominent factors that could be taken up on priority for better and effective vaccination program. The study tries to rank various factors and sub-factors affecting vaccine distribution in India. AHP methodology based on feedback from 22 experts from the Vaccine industry has been deployed to get the desired results. Result: The results show that factors vaccine approval process, geographical prioritization, power supply, infrastructure maintenance costs for vaccine storage, and vaccine pricing are the prominent factors of effective vaccination in the country. Conclusion: The role and need for district-level health officers towards vaccine storage has been brought forward. A long-term effective vaccination policy is needed for optimum vaccine distribution.

• 보건행정학회지
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• 제18권3호
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• pp.58-89
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• 2008

The purpose of this study was to evaluate comparatively the content of the Expanded National Immunization Program according to the provision method between 2005 and 2006 in Korea. We assessed the impact of the mutually exclusive vaccination policy using the result reports of the 2005 and 2006 Demonstration Project and the related references by the content analysis. The public health centers paid vaccination fees to the private clinic and hospital in the 2005 Demonstration Project in Daegu metropolitan city and Gunpo city. But, the public health centers directly supplied free vaccination services to the children in the 2006 Demonstration Project in Gangneung city, Yangsan city, and Yeongi-gun. The total budgets of 2005 and 2006 Demonstration Project were 6.57 billion won and 0.65 billion won, respectively. The computerized registration rates and timeliness rates of administration of each vaccination had improved all in the 5 Demonstration Project regions. However, the computerized registration rates of most vaccination in Gunpo city were higher than those in the 2006 Demonstration Project regions except hepatitis B. Especially, the computerized registration rate of BCG was 48.3%, but the BCG coverage rate by the follow-up telephone survey was 99.8% in Daegu metropolitan city. The community parents in all the regions were satisfied because of expanding financial and geographical access to immunization coverage. In conclusions, from the aspect of the main outcomes, the implementation of two different financial immunization aids appears to be widely accepted among these parents and to have had an impact on vaccination coverage. In the future, the government must try to enact that the national immunization policy including under-immunised or incompletely immunised groups would be achieved by the affordable method of the public-private dynamics.

• Clinical and Experimental Pediatrics
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• 제65권3호
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• pp.127-128
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• 2022

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7325-7329
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• 2013

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted infectious agents, and the effectiveness of vaccine delivery programs will depend largely upon whether providers recommend vaccines. The objectives of this study were to examine pediatrician characteristics, knowledge, and attitudes associated with HPV and HPV immunization. Materials and Methods: Attendees of the national pediatric meeting in 2011, were asked to complete a questionnaire that, aside from demographic information, elicited level of agreement with statements regarding HPV, its related diseases, and HPV vaccination. It also documented attitudes and beliefs about HPV vaccination. Results: Of the 480 attendees, 226 (47%) filled in the questionnaire. The level of pediatrician HPV-related knowledge varied. The majority (78%) were aware that HPV infection is the most common sexually transmitted infection, while 51% were unaware that a condom is ineffective protection against HPV infection. Between 60-80% of respondents were aware of the effectiveness of HPV vaccination for women. On the other hand, only 10% were aware of reasons why men should be vaccinated against HPV. The majority (75%) of Turkish pediatricians were likely to recommend HPV vaccination to their daughter, if they had one. Seventy percent of pediatricians agreed that the HPV vaccination should be added to the National Immunization Program (NIP) in Turkey. However, the respondents documented concerns about the cost of the vaccination. Conclusions: Increasing pediatricians' knowledge and awareness of HPV and HPV vaccination may assist with the implementation of an effective NIP.

• 문화기술의 융합
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• 제7권3호
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• pp.343-351
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• 2021

본 연구의 목적은 간호대학생의 코로나19 예방접종 의도에 미치는 영향요인을 건강신념모델에 근거하여 확인하기 위함이다. 일개 간호학과 1-4학생 169명을 대상으로 구조화된 자가보고식 온라인 설문지를 사용하여 자료수집을 하였다. 수집된 자료는 SPSS/Window 21.0 프로그램을 사용하여 분석하였고, 코로나19 예방접종 의도에 미치는 영향요인을 확인하기 위해 다중회귀분석을 실시하였다. 연구 결과 연구대상자의 코로나19 예방접종 의도에 영향을 미치는 요인들은 자기효능감(β=.345, p<.001), 행동의 계기(β=.307, p<.001), 지각된 유익성(β=.143, p=.034)과 지식(β=.116, p=.042)이었고, 모형의 설명력은 50.8%이었다. 간호대학생의 코로나19 예방접종 행위 증진을 위해 특히 자기효능감과 코로나19 관련 지식 향상을 위한 전략적 중재가 중요하다.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.307-318
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• 2014

본 연구는 계획된 행위이론을 적용하여 여중생 딸을 둔 어머니의 HPV(human papillomavirus) 백신 접종 의도를 파악하고, 관련 요인을 알아보기 위함이며, G광역시에 소재한 여중학교 4개교의 어머니 198명을 대상으로 하였다. 연구 도구로 HPV 백신 접종에 대한 태도, 주관적 규범, 지각된 행위 통제는 Askelson 등이 개발한 도구를 사용하였으며 자료 수집 기간은 2012년 9월 17일부터 24일까지였고, 수집된 자료는 SPSS 18.0 Program을 사용하였다. 본 연구 결과 여중생 어머니들의 HPV 백신 접종 의도는 비교적 높았지만, 6개월 이내에 접종하겠다고 한 어머니는 29.8% 뿐이었고, 어머니들이 생각하는 HPV 백신 최적 접종 연령이 평균 17.74세였다. 대상자의 HPV 백신 접종 의도는 태도, 지각된 행위 통제, 주관적 규범과 통계적으로 유의한 상관관계가 있었고, HPV 백신 접종에 대한 태도, 주관적 규범, 지각된 행위 통제가 접종의도의 중요한 영향 요인임이 확인되었으며, 대상자의 HPV 백신 접종 의도를 84.3%를 설명하였다. 그러므로 어머니들이 HPV 백신 접종에 대해 긍정적으로 생각하고, 백신 접종을 쉽고, 용이하게 지각하도록 격려하는 홍보 및 사회적 분위기 조성이 필요하리라 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4651-4654
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• 2012

Organized introduction of prophylactic human papillomavirus (HPV) vaccination can reduce the burden of cervical cancer in developing countries. One of the most effective ways is through a national school-based program. Information on teachers is therefore important since this group may have a disproportionate influence in the success of any implementation. Objective: To assess teachers' knowledge and perception of HPV, cervical cancer and HPV vaccine prior to commencing a school-based HPV vaccination program in a multiethnic, predominantly Muslim country. Factors associated with acceptability of the vaccine were identified. Method: A bilingual questionnaire was applied to 1,500 secondary school teachers from 20 urban schools in Malaysia. Data collected were analyzed using SPSS version 17. Results: 1,166 questionnaires were returned. From this group, 46.1% had never heard of HPV while 50.9% had never had a pap smear. However, 73.8% have heard of the HPV vaccine with 75% agreeing to have it. 96% considered themselves religious with 79.8% agreeing to have the vaccine. Conclusions: A national school-based HPV immunization program can be implemented effectively in a multiethnic, cultural and religious country despite limited knowledge of HPV-related pathology among teachers. In addition, the perception that religion has a negative influence on such a program is unwarranted.