Influences of Sex-related Knowledge, Sex-related Attitude, and Knowledge of Cervical Cancer on Knowledge of Human Papillomavirus in Female High School Students

여고생의 성지식, 성태도 및 자궁경부암 지식이 인유두종바이러스 지식에 미치는 영향

  • Yoo, Myung Sook (Catholic University of Daegu, College of Nursing, Institute of Nursing Science)
  • 유명숙 (대구가톨릭대학교 간호대학)
  • Received : 2015.11.25
  • Accepted : 2015.12.18
  • Published : 2015.12.31

Abstract

Purpose: The purpose of this study was to examine the influences of sex-relatedl knowledge, sex-related attitude and knowledge of cervical cancer on knowledge of human papilloma virus (HPV) among female high school students. Methods: A cross-sectional descriptive study was conducted with a convenience sample of 545 second-grade female high school students of three different schools. Results: Knowledge of HPV was positively correlated with sex-related knowledge (r=.36, p<.001), sex-related attitude (r=.14 p=.001) and knowledge of cervical cancer (r=.62, p<.001). Significant predictors affecting knowledge of HPV among female high school students were knowledge of cervical cancer (${\beta}$=.57) and sex-related knowledge (${\beta}$=.11), explaining 39.6% of the variance in knowledge of cervical cancer among female high school students (F=178.34, p<.001). Conclusion: Based on the outcomes of this study, in order to improve knowledge of HPV among female high school students, school based sexual education linked to HPV and cervical cancer must be included in the curriculum.

Keywords

References

  1. American Cancer Society. (2014, January). American cancer society guidelines for the early detection of cancer. Retrieved January 27, 2014, from the American Cancer Society Web site: http://www.cancer.org/healthy.findcancerearly/american-cancer-society-guidelines-for-the-early-detection-of-cancer
  2. Brotherton, J. M., Murray S. L., Hall M. A., Andrewartha, L. K., Banks, C. A., Meijer, D., Pitcher, H. C., Scully, M. M., & Molchanoff, L. (2013). Human papillomavirus vaccine coverage among female Australian adolescents: success of the school-based approach. The Medical Journal of Australia, 199(9), 614-617. https://doi.org/10.5694/mja13.10272
  3. Centers for Disease Control and Prevention. (2011b). Recommendations on the use of quadrivalent human papillomavirus vaccine in males-advisory committee on immunization practices (ACIP). 2011. Morbidity and Mortality Weekly Report, 60(50), 1705-1708.
  4. Choi, J. Y., & Choi, S. Y. (2013). Effects human papilloma virus on related education for female high school students. Asian Oncology Nursing, 13(3), 128-135. https://doi.org/10.5388/aon.2013.13.3.128
  5. Choi, K. B., Mo, H. S., & Kim, J. S. (2013). Factors Associated with the Intention to Recommend Human Papillomavirus Vaccination Among Korean School Health Teachers. Journal for Specialists in Pediatric Nursing, 18(4), 297-310. https://doi.org/10.1111/jspn.12041
  6. Hopkins, T. G., & Wood, N. (2013). Female Human Papillomavirus (HPV) Caccination: Global Uptake and the Impact of Attitudes. Vaccine, 31(13), 1673-1679. https://doi.org/10.1016/j.vaccine.2013.01.028
  7. Jeon, Y. J., & Lee, H. S. (2007). The effect of sex education program on high school girls' knowledge and attitude toward sex. Korean Journal of Human Ecology, 16(6), 1251-1268. https://doi.org/10.5934/KJHE.2007.16.6.1251
  8. Kessels, S. J., Marshall, H. S., Watson, M., Braunack-Mayer, A. J., Reuzel, R., & Tooher, R. L. (2012). Factors Associated with HPV Vaccine Uptake in Teenage Girls: A Systematic Review. Vaccine, 30(24), 3546-3556. https://doi.org/10.1016/j.vaccine.2012.03.063
  9. Kim, H. W., & Ahn, H. Y. (2007). Study on the knowledge of human Papilloma virus in female university students. Korean Journal of Women Health Nursing, 13(1), 13-20.
  10. Lee, E. J., & Park, J. S. (2011). Knowledge About Cervical Cancer, Health Beliefs and Human Papillomavirus Vaccination Rate in Female University Students. Journal of Korean Oncology Nursing, 11(1), 65-73. https://doi.org/10.5388/jkon.2011.11.1.65
  11. Lee, E. Y., Park, J. S., & Cho, E. J. (2013). The Exact State of Female High School Students' Knowledge About Cervical Cancer, Human Papillomavirus Vaccination-related Health Belief and Vaccination Rate. Journal of the Korean Society of Maternal and Child Health, 17(1), 27-37. https://doi.org/10.21896/jksmch.2013.17.1.27
  12. Lee, S. Y., Lee, J. E., Ki, M. K., & Kang, C. (2014). An overview of immunization and efficacy of human papillomavirus vaccines. Public Health Weekly Report, 7(52), 1162-1166.
  13. Lee, E. H., Um, T. H., Chi, H. S., Hong, Y. J., & Cha, Y. J. (2012). Prevalence and distribution of human papillomavirus infection in Korean women as determined by restriction fragment mass polymorphism assay. Journal of Korean Medical Science, 27(9), 1091-1097. https://doi.org/10.3346/jkms.2012.27.9.1091
  14. Lim, J. Y., Lee, W. H., Kim, U. S., & Kang, N. M. (2014). Web-based content strategy for adolescent sexuality education-focused on sexuality knowledge, attitude and web-based need-. Journal of Korea Society of Design Forum, 42(1), 287-296.
  15. Moon, S. H. (2010). A Suggestion to Educate Students in the Value System of Pure Love During the Sexuality Education of the Schools. Korean Journal of Religious Education, 33, 277-298.
  16. National Cancer Information Center. (2014). Annual report of cancer statistic in Korea in 2011. Retrieved January 27, 2014, from National Cancer Center Web site: http://www.cancer.go.kr/mbs/cancer/sub-view.jsp?id=cancer_040101000000
  17. Park, S. M. (1999). Factors related to continuous participation in the Pap smear screening among Korean women: using a structural model. Unpublished doctoral dissertation, Yonsei University, Seoul.
  18. Park, S. M., & Choi, J. S. (2013). Comparison of Human Papillomavirus Vaccivation Status, Associated with Health Belief and Knowledge Between Male and Female Highschool Students. Journal of Korean Biological Nursing Science, 15(1), 24-32. https://doi.org/10.7586/jkbns.2013.15.1.24
  19. Public Health England. (2014, January). Annual HPV vaccine coverage in England: 2012-2013. Retrieved January 27, 2014, from Public Health England Web site: https://www.gov.uk/government/pyblications/annual-hpv-vaccine-coverage-2012-to-2013-by-poct-and-sha
  20. Rysavy, M. B., Kresowik, J. D., Liu, D., Mains, L., Lessard, M., & Ryan, G. L. (2014). Human papillomavirus vaccination and sexual behavior in young women. Journal of Pediatric and Adolescent Gynecology, 27(2), 67-71. https://doi.org/10.1016/j.jpag.2013.08.009
  21. Ryu, H. S., Im, Y. J., & Cho, J. (2013). Health Education Needs and Confidence of School Nurses in Korean Secondary Schools. Journal of Korean Public Health Nursing, 27(2), 280-292. https://doi.org/10.5932/JKPHN.2013.27.2.280
  22. Samkange-Zeeb, F., Mikolajczyk, R. T., & Zeeb, H. (2013). Awareness and Knowledge of Sexually Transmitted Diseases Among Secondary School Students in Two German Cities. Journal of Community Health, 38(2), 293-300. https://doi.org/10.1007/s10900-012-9614-4
  23. Shin, K. R., Park, H. J., & Shin, M. K. (2009). Influence of military service experience on sexual knowledge, attitudes, and behavior of male college students. Korean Journal of Adult Nursing, 21(1), 77-85.
  24. Sung, S. M. (2001). A study on the effectiveness of sexuality education programs for adolescent. Unpublished master's thesis. Yonsei University, Seoul.
  25. Tang, S. Y., Liu, Z. H., Li, L., Cai, H. L., & Wan, Y. P. (2013). Awareness and Knowledge About Human Papillomavirus Among High School Students in China. The Journal of Reproductive Medicine, 59(1-2), 44-50.
  26. Woo, M. J. (2011). Study on sexual knowledge of high school students and their demands for sex education. Unpublished master's thesis. Yeungnam University, Gyeongbuk.
  27. Yang, Y. K. (2012). A Study on Knowledge, Attitudes, and Need for Sex Education in High School Students. Korean Journal of Women Health Nursing, 18(3), 159-169. https://doi.org/10.4069/kjwhn.2012.18.3.159
  28. Yoo, K. S. & Kang, S. H. (2010). A study on sexual knowledge according to sex and sexual intercourse among college students. Korean Journal of Family Welfare, 15(1), 101-118.
  29. Yoo, M. S. (2014). Knowledge Level of Human Papillomavirus, Cervical Cancer and Vaccination Status among Mothers with Daughters in High School. Korean Journal of Women Health Nursing, 20(1), 105-114. https://doi.org/10.4069/kjwhn.2014.20.1.105
  30. Yum, J. H., Jeong, H. S., Lee, D. W., Park, K. H., & Kim, N. L. (2011). Factors Influencing Willingness for Human Papilloma Virus (HPV) Vaccination in Female Students at One University. Korean Journal of Health Promotion, 11(2), 100-105.