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일부 여대생의 인유두종바이러스 백신 접종에 영향을 미치는 융복합적 예측요인

Convergence factors influencing the human papillomavirus vaccination in some female university students

  • 이혜란 (계명문화대학교 간호학과) ;
  • 오윤정 (계명문화대학교 간호학과)
  • Lee, Hye-Ran (Dept. of Nursing, Keimyung College University) ;
  • Oh, Yun-Jung (Dept. of Nursing, Keimyung College University)
  • 투고 : 2015.10.15
  • 심사 : 2015.12.20
  • 발행 : 2015.12.28

초록

본 연구는 여대생의 인유두종바이러스 백신 접종에 영향을 주는 융복합적 예측요인을 알아보기 위해 시도되었다. 연구대상은 여대생 546명이며, 2013년 10월 5일부터 10월 30일까지 자료수집을 실시하였다. 연구결과를 살펴보면 백신을 접종한 여대생은 138명(25.3%)이었다. 백신 접종군과 미접종군은 종교, 자궁경부암, 인유두종바이러스 및 자궁경부암 백신에 대해 들어본 적이 있는 경우, 자궁경부암 선별 검사 경험, 인유두종바이러스 백신 지식, 건강 신념, 지각된 유익성과 장애성, 암 예방행위, 자궁경부암 예방행위에 따라 유의한 차이가 있었다. 인유두종바이러스 백신 접종에 영향을 주는 예측요인은 자궁경부암 검진 경험이 있는 군일수록(OR=34.67, 95% CI=17.19~69.92), 지각된 유익성이 높을수록(OR=1.45, 95% CI=1.17~1.81), 장애성은 낮을수록(OR=1.44, 95% CI=1.27~1.63) 백신 접종 확률이 높았다. 따라서 인유두종바이러스 백신 접종의 적정 연령을 대상으로 대국민 홍보가 필요하며, 백신 접종의 긍정적 효과를 강조하고, 장애요인을 감소시켜 백신접종을 높일 수 있도록 학교기반사업과 국가차원에서의 융복합적 지원과 중재방안이 마련되어야 할 것이다.

This study was done to identify convergence factors influencing the HPV vaccination in female university students. The subjects of this study were 546 female university students. The data were collected through interviews using a structured questionnaire from 5 to 30th of October, 2013. 138(25.3%) reported that they were vaccinated. Religion, ever heard cervical cancer, HPV and cervical cancer vaccination, ever had a pap test, knowledge about HPV vaccination, health beliefs(total), perceived benefit, perceived barrier, cancer preventive behavior(total) and cervical cancer preventive behavior were associated with being vaccinated. In logistic regression analysis showed that the predictors are ever had a pap test(OR=34.67, 95% CI=17.19~ 69.92), perceived benefit(OR=1.45, 95% CI=1.17~1.81) and perceived barrier(OR=1.44, 95% CI=1.27~1.63). It was recommended to make convergence policy supports and education programs reinforcing a pap test and perceived benefit and reducing perceived barriers about HPV vaccination.

키워드

참고문헌

  1. National Cancer Information Center. National cancer registry statistics in 2012. http://www.cancer.go.kr. (July 10, 2015)
  2. GLOBOCAN. Estimated cancer incidence, mortality and prevalence worldwide in 2012. http://globocan.iarc.fr/Default.aspx (July 15, 2015)
  3. C. H. Cho. Updated long-term effectiveness & safety for HPV vaccine. Korean Society of Obstetrics and Gynecology, Vol. pp. 97, 59-64, 2011.
  4. H. S. Hwang, M. S. Park, S. Y. Lee, K. H. Kwon, & M. G. Pang. Distribution and prevalence of human papillomavirus genotypes in routine pap smear of 2,470 Korean women determined by DNA chip. Cancer Epidemiology Biomarkers & Prevention, Vol. 13, No. 12, pp. 2153-2156, 2004.
  5. N. Munoz, F. X. Bosch, X. Castellsagu, M. Diaz, S. D. Sanjose, D. Hammouda, K. V. Shah, & C. J. L. M. Meijer. Against which hunan papillomavirus types shall we vaccinate and screen? the international perspective. International Journal of Cancer, Vol. 111, pp. 278-285. 2004 https://doi.org/10.1002/ijc.20244
  6. H. R. Shin, S. Franceschi, S. Vaccarella, J. W. Roh, Y. H. Ju, J. K. , Oh, & M. H. Stole. Human papillomaviruses and cervical neoplasia: A model for carcinogenesis. International Journal of Gynecological Pathology, Vol. 19, pp. 16-18, 2004.
  7. A. M. Park & S. B. Koh. Prevalence and distribution of single and multiple HPV infection in cervical cancer and precancerous lesion from Daegu and Gyeongbuk province. Korean Journal of Obstetrics and Gynecology, Vol. 51, No. 10, pp. 1128-1136, 2008.
  8. E. F. Dunne, E. R. Unger, M. Sternberg, G. McQuillan, D. C. Swan, S. S. Patel, & L. E. Markowitz. Prevalence of HPV Infection Among Females in the United States. The Journal of the American Medical Association, Vol. 297, No. 8, pp. 813-819, 2007. https://doi.org/10.1001/jama.297.8.813
  9. E. J. Lee & J. S. Park. Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students. Journal of Korean Oncology Nursing, Vol. 11, No. 1, pp. 65-73, 2011. https://doi.org/10.5388/jkon.2011.11.1.65
  10. 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
  11. Y. E. Lee, J. S. Park, & E. J. Choi. The exact of female high school students'knowledge about cervical cancer, human papillomavirus vaccination-related health belief and vaccination rate. Journal of the Korean Society Maternal & Child Health, Vol. 17, No. 1, pp. 27-37, 2013. https://doi.org/10.21896/jksmch.2013.17.1.27
  12. E. J. Young, S. N. Tabrizi, J. M. Brotherton, J. D. Wark, J. Pyman, M. Saville, C. D. Wrede, Y. Jayasinghe, J. Tab, D. M. Gertig, M. Pitts, & S. M. Garland. Measuring effectiveness of the cervical cancer vaccine in an Australian setting(the vaccine study). BMC Cancer, Vol. 13, No. 296, pp. 1-7, 2013. https://doi.org/10.1186/1471-2407-13-1
  13. S. L. Rosenthal, T. W. Weiss, G. D. Zimet, M. B. Good, & M. D. Vichnin. Predictors of HPV vaccine uptake among women aged 19-26: Importance of a physician's recommendation. Vaccine, Vol. 29, No. 5, pp. 890-895, 2011. https://doi.org/10.1016/j.vaccine.2009.12.063
  14. S. K. Kim & B. S. Lee. Knowledge, attitude and preventive health behavior of high school students on the six most common cancers in Korea. Keimyung Journal of Nursing Science, Vol. 10, No. 1, pp. 135-148, 2006.
  15. K. S. Bang, S. M. Sung, B. Y. Koo, M. J. Kim, Y. N. Kim, J. S. Kim, & S. M. Rye. Female university students' HPV-related knowledge and influencing factors on HPV vaccination. Journal of Korean Oncology Nursing, Vol. 11, No. 3, pp. 186-192, 2011. https://doi.org/10.5388/jkon.2011.11.3.186
  16. J. S. Park & E. J. Lee. Predictors of human papillomavirus vaccination in female university students, Korean Journal of Women Health Nursing, Vol. 17, No. 4, pp. 346-358, 2011. https://doi.org/10.4069/kjwhn.2011.17.4.346
  17. Korea Centers for Disease Control and Prevention. National immunization survey in South Korea, 2013. pp. 217-218, 2013.
  18. M. S. Yoo. Knowledge level of human papillomavirus, cervical cancer and vaccination status among mothers with daughters in high school. Korean Journal of Women Health Nursing, Vol. 20, No. 1, pp. 105-114, 2014. https://doi.org/10.4069/kjwhn.2014.20.1.105
  19. C. Dorell, D. Yankey, & S. Strasser. Parent-reported reasons for nonreceipt of recommended adolescent vaccinations national immunization survey: teen, 2009. Clinical Pediatrics, Vol. 50, No. 12, pp. 1116-11124, 2011. https://doi.org/10.1177/0009922811415104
  20. M. F. Daley, L. A. Crane, & L. E. Markowitz, S. R. Black, B. L. Beaty, J. Barrow, C. Babbel, S. L. Gottlieb, N. Liddon, S. Dtokley, L. Miriam Dickinson, & A. Kempe. Human papillomavirus vaccination practices: A survey of US physicians 18 months after licensure. Pediatrics, Vol. 126, No. 3, pp. 425-433, 2010. https://doi.org/10.1542/peds.2009-3500
  21. L. M. Kester, G. D. Zimet, J. D. Fortenberry, J. A. Kahn, & M. L. Shew. A maternal study of HPV vaccination of adolescent girls: Rates, predictors, and reasons for non-vaccination. Maternal & Child Health Journal, Vol. 17, pp. 879-885, 2013. https://doi.org/10.1007/s10995-012-1066-z
  22. Ministry of health & welfare. National health statistics in 2010. http://www.mw.go.kr. (July 1, 2015)
  23. B. L. Cho. Evaluation of the validity of current national health screening program and plan to improve the system. Korea Centers for Disease Control and Prevention. 2013.
  24. Y. L. Lee. Factors influencing intention for human papillomavirus vaccination among mothers with female adolescent. Unpublished master's thesis, Ajou University. 2014.
  25. Y. J. Han, S. R. Lee, E. J. Kang, M. K. Kim, N. H. Kim, & H. J. Kim, W. Ju, S. C. Kim. Knowledge regarding cervical cancer, human papillomavirus and future acceptance of vaccination among girls in their Late teens in Korea. Korean Journal of Obstetrics and Gynecology, Vol. 50, No. 8, pp. 1090-1099, 2007.
  26. M. K. Bendik, R. M. Mayo, & V. G. Parker. Knowledge, Perception, and motivations related to HPV vaccination among college women. Journal of Cancer Education. Vol. 26, No. 3, pp. 459-464, 2011. https://doi.org/10.1007/s13187-011-0200-8
  27. H. W. Kim. Factors influencing mothers'acceptance of human papillomavirus vaccination to prevent cervical cancer in their daughters. Korean Journal of Women Health Nursing, Vol. 17, No. 2, pp. 137-147. 2011. https://doi.org/10.4069/kjwhn.2011.17.2.137
  28. L. A. Mills, R. C. Vanderpool, & R. A. Crosby. Sexually related behaviors as predictors of HPV vaccination among young rural women. Journal of Women's Health, Vol. 20, No, 12, pp. 1909-1915. 2011. https://doi.org/10.1089/jwh.2011.3000
  29. J. K. Jun, K. S. Choi, K. W. Jung, H. Y. Lee, S. M. Gapstur, E. C. Park, & K. Y. Yoo. Effectiveness of an organized cervical cancer screening program in Korea: results from a cohort study. International Journal of Cancer, Vol. 124, No. 1, pp. 188-193, 2009. https://doi.org/10.1002/ijc.23841
  30. S. S. Chan, B. H. Yan Ng, W. K. Lo, T. H. Cheung, & T. K. Hung Chung. Adolescent girls' attitudes on human papillomavirus vaccination. Journal of Pediatric and Adolescent Gynecology, Vol. 22, No. 2, pp. 85-90, 2009. https://doi.org/10.1016/j.jpag.2007.12.007