• International Journal of Advanced Culture Technology
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• 제10권3호
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• pp.237-243
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• 2022

This study intends to examine gender differences in predictors of Human Papilloma Virus (HPV) vaccination intention based on the Theory of Planned Behavior (TPB). Specifically, this study investigated whether the variables constituting TPB might show differential effects on college men and women's HPV vaccination intention. The current study also examined which specific subjective norms are more influential in explaining HPV vaccination intention of men and women. The results of an online survey revealed that females showed significantly higher intention to get the HPV vaccine and perceived behavioral control than male students. Female students' vaccination intention was best predicted by perceived behavioral control whereas friend norm was the most influential predictor of male students' intention to get the HPV vaccine. The results of this study provide implications for persuasive strategies required to appeal to college men and women to increase HPV vaccination rate.

• 한국콘텐츠학회논문지
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• 제16권4호
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• pp.359-367
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• 2016

본 연구는 자궁경부암 백신접종 유무에 따른 효능감, 건강신념 및 자궁경부암 지식을 파악하고 백신접종 유무에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구로 J지역의 간호대학생 354명을 대상으로 하였다. 자궁경부암 백신접종률은 34.2%이었으며 백신접종 유무에 따른 연령, 학년, 종교, 성경험 및 산부인과 진료경험에서 유의미한 차이를 보였다. 대상자의 효능감, 건강신념 및 자궁경부암 지식은 접종자가 미접종자보다 높았으며 유의미한 차이가 있었다. 자궁경부암 백신접종 유무에 영향을 미치는 요인은 학년과 효능감으로 나타났다. 이러한 결과를 볼 때, 간호 대학생의 자궁경부암 백신접종을 향상시키기 위해서는 학년을 고려하여 효능감을 증진시킬 수 있는 개별 교육전략이 필요하며 이를 통해 대상자의 자궁경부암 백신접종 향상에 기여 할 수 있을 것이다.

• 대한두경부종양학회지
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• 제38권1호
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• pp.11-16
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• 2022

HHPV (Human Papillomavirus) is a DNA virus that can cause benign lesions, genitourinary cancer, and oropharyngeal cancer by penetrating the mucous membrane and skin. It is widely known to be transmitted mainly through sexual contact. As with many viral infections, vaccines have been developed to prevent infection with HPV. Currently, in many countries, HPV vaccines are mainly used for national immunization for women to prevent diseases that traditionally occur frequently in women, especially cervical cancer. However, since the vaccination rate is relatively low, many countries are struggling with ways to increase the vaccination rate. Meanwhile, the incidence of oropharyngeal cancer caused by HPV in men has been increasing recently. In the United States, the annual number of oropharyngeal cancers in men already exceeds the number of cervical cancers in women, so HPV infection in men has emerged as a major problem. Accordingly, interest in HPV vaccination in men has also increased, and studies on the effectiveness and necessity of vaccination of both women and men compared to women alone are being actively conducted. In this paper, the evidence of HPV vaccination for men will be reviewed through previous studies, and its validity and cost-effectiveness will be analyzed to bolster the clinical usefulness of HPV vaccination for men.

• Journal of Preventive Medicine and Public Health
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• 제35권1호
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• pp.33-40
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• 2002

Objective : From an analysis of a community outbreak of measles in Youngju, Gyeongbuk, in March 2000, the authors evaluated the effectiveness of the measles vaccination and its determinants to Provide an epidemiologic basis for the establishment of a vaccination policy. Methods : Information was collected regarding the vaccinations from the health records of four primary schools and through a questionnaire surrey of the parents of students in two middle and two high schools (N=4638). Measles cases were surveyed from the patient list of each school and from case reports in the public health center. The attack rate and vaccine effectiveness of measles was evaluated by school; grade; frequency, region, and institution of vaccination. Results : The attack rate cf measles, 6.3% among the total subjects, was higher in middle school students (15.8%) than in primary (2.0%, p<0.05) and high school students (8.9%, p<0.05). The attack rate of the unvaccinated group was 4.6-fold higher than the vaccinated group in primary schools (p<0.05). Vaccine effectiveness was 83.2% among lower graders of primary schools, 34.0% among higher graders of primary schools,26.1% in middle schools, and -7.0% in high schools. In multiple logistic regression analysis, grade in school (odds ratio, 0.77; 95% CI=0.67-0.87) and frequency of vaccination (odds ratio, 0.57: 95% CI=0.37-0.58) were significant predictors of the outcome. Conclusions : We concluded that the explosive outbreak of measles in this area resulted from both inadequate vaccination coverage and secondary failure of vaccination. There was no evidence of any effect of the cold chain system on the vaccine failure.

• 한국학교보건학회지
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• 제30권2호
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• pp.93-102
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• 2017

Purpose: The purpose of this study is to identify the factors that influence the practices and the intentions of human papillomavirus (HPV) vaccination among adolescent daughters' mothers. The focus is on the mothers' HPV knowledge and sex-related communication with their daughters. Methods: The participants were 298 mothers with middle or high school student daughters. Participants were conveniently selected from a mothers' association and churches in Seoul, Cheonan and Asan city. Information on their demographics, HPV vaccination-related knowledge, sex-related communication, and intention of receiving HPV vaccination were obtained through questionnaires. The results were analyzed using descriptive statistics, the $x^2$ test and logistic regression with SPSS for Windows 21.0 software. Results: The rate of HPV vaccination, the awareness of the HPV vaccine and the rate of giving correct answers to HPV knowledge questions were 13.1%. 84.6%, and 36.3%, respectively. The factors that influenced HPV vaccination most were their family history of cervical cancer, educational backgrounds and awareness of the HPV vaccine. The intention to receive HPV vaccination was mainly influenced by HPV knowledge. However, sex-related communication did not affect the mothers' intention of obtaining HPV vaccination. Conclusion: The results of this study suggest that strategies to educate mothers with adolescent daughters on HPV are necessary. In addition, this study strongly recommends further studies be planned to examine sex-related communication between mothers and daughters.

• 대한간호학회지
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• 제41권3호
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• pp.403-410
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• 2011

Purpose: This study was to identify the current status of vaccination against the pandemic (H1N1) 2009 virus among university students from the fields of nursing and allied health from a local community and verify factors influencing vaccination. Methods: The study included 227 students in the fields of nursing and allied health from a provincial university. Data were obtained from these participants between May 31 and June 11, 2010 by using self-report questionnaires. Results: The rate of vaccination against the pandemic (H1N1) 2009 virus for these participants was 14.5%. No difference was observed in this regard between majors and school year. Factors that influence vaccination against this virus included previous vaccination against seasonal influenza and participants’ attitudes toward general vaccination. Conclusion: The results suggest that for effective pandemic (H1N1) 2009 vaccination of university students from the fields of nursing and allied health, students who have not been vaccinated should be intensively managed. Developing a vaccination program that encourages a positive attitude toward vaccination is recommended.

• 융합정보논문지
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• 제9권8호
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• pp.74-82
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• 2019

본 연구는 인플루엔자 예방접종에 대한 권유와 인플루엔자 예방 가능성에 대한 인식이 대학생의 예방접종 실천에 미치는 영향을 파악하기 위해 시행하였다. 2018년 4월 30일부터 11월 30일까지 설문지를 배부하고, 239명의 자료를 분석하였다. 연구결과 36.8%의 대학생이 지난 1년간 인플루엔자 예방접종을 시행하였다. 57.6%가 예방접종 권유를 받았으며, 인지한 예방 가능성은 78.29%였다. 인플루엔자 예방접종 실천 영향요인으로 예방접종 권유는 유의하였으나(p<.001) 예방 가능성에 대한 인식은 유의하지 않았다(p=.853). 이에 대학생 인플루엔자 예방접종 프로그램 개발 시 예방접종에 대한 직접 권유뿐 아니라 다양한 매체를 활용한 간접적인 권유 전략을 포함하면 실천율을 높이는데 효과적일 것이다.

• 한국콘텐츠학회논문지
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• 제13권4호
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• pp.300-311
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• 2013

이 연구는 2007년부터 2010년까지 4년간의 국민건강영양조사에 참여한 대상자 중 인플루엔자 백신 예방접종에 응답한 19세 이상 65세 미만 성인 남녀 18,289명을 대상으로 인구사회학적 특성 및 건강행태에 따른 인플루엔자 예방접종률과 접종에 미치는 영향요인을 분석하였다. 국민건강영양조사 데이터를 분석한 결과, 인플루엔자 예방 백신 접종률은 21.7%이었으며, 예방접종에 영향을 주는 요소는 연령의 증가, 농촌지역 거주, 높은 개인 소득수준, 낮은 교육수준, 직업이 없는 여성, 의료기관 이용 경험이 있는 경우 및 만성질환에 유병 되어 있는 경우이었다. 결론적으로 우리나라의 인플루엔자 예방접종률은 낮고, 다양한 인구사회학적 특성 및 건강행태에 영향을 받는다. 인플루엔자 예방접종률을 높이기 위하여 인플루엔자 예방접종에 영향을 주는 요인들을 고려하여 예방접종률의 극대화를 위한 방안을 모색하여야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제44권4호
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• pp.141-148
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• 2011

Annual epidemics of seasonal influenza occur during autumn and winter in temperate regions and have imposed substantial public health and economic burdens. At the global level, these epidemics cause about 3-5 million severe cases of illness and about 0.25-0.5 million deaths each year. Although annual vaccination is the most effective way to prevent the disease and its severe outcomes, influenza vaccination coverage rates have been at suboptimal levels in many countries. For instance, the coverage rates among the elderly in 20 developed nations in 2008 ranged from 21% to 78% (median 65%). In the U.S., influenza vaccination levels among elderly population appeared to reach a "plateau" of about 70% after the late 1990s, and levels among child populations have remained at less than 50%. In addition, disparities in the coverage rates across subpopulations within a country present another important public health issue. New approaches are needed for countries striving both to improve their overall coverage rates and to eliminate disparities. This review article aims to describe a broad conceptual framework of vaccination, and to illustrate four potential determinants of influenza vaccination based on empirical analyses of U.S. nationally representative populations. These determinants include the ongoing influenza epidemic level, mass media reporting on influenza-related topics, reimbursement rate for providers to administer influenza vaccination, and vaccine supply. It additionally proposes specific policy implications, derived from these empirical analyses, to improve the influenza vaccination coverage rate and associated disparities in the U.S., which could be generalizable to other countries.

• 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.