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Factors Influencing Human Papillomavirus Vaccination Intention among Unvaccinated Nursing Students in Korea

인유두종바이러스 백신 미접종 간호대생의 접종의도 영향 요인

  • Yun, Younghee (College of Nursing, Seoul National University) ;
  • Koh, Chin-Kang (College of Nursing & The Research Institute of Nursing Science, Seoul National University)
  • 윤영희 (서울대학교 간호대학) ;
  • 고진강 (서울대학교 간호대학.간호과학연구소)
  • Received : 2018.06.14
  • Accepted : 2018.07.31
  • Published : 2018.08.31

Abstract

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.

Keywords

References

  1. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  2. Allen, J. D., Mohllajee, A. P., Shelton, R. C., Othus, M. K. D., Fontenot, H. B., & Hanna, R. (2009). Stage of adoption of the human papillomavirus vaccine among college women. Preventive Medicine, 48(5), 420-425. https://doi.org/10.1016/j.ypmed.2008.12.005
  3. Bair, R. M., Mays, R. M., Sturm, L. A., & Zimet, G. D. (2008). Acceptability of the human papillomavirus vaccine among Latina mothers. Journal of Pediatric and Adolescent Gynecology, 21(6), 329-334. https://doi.org/10.1016/j.jpag.2008.02.007
  4. Bowyer, H. L., Forster, A. S., Marlow, L. A. V., & Waller, J. (2014). Predicting human papillomavirus vaccination behaviour among adolescent girls in England: Results from a prospective survey. Journal of Family Planning and Reproductive Health Care, 40(1), 14-22. https://doi.org/10.1136/jfprhc-2013-100583
  5. Centers for Disease Control and Prevention. (2016, November 22). Human Papillomavirus (HPV). Retrieved from https://www.cdc.gov/vaccines/vpd/hpv/index.html
  6. Choi, K. A., Kim, J. A., Lee, K. S., Oh, J. K, Lie, S. N., & Shin, H. R. (2008). Knowledge of human papillomavirus infection and acceptability of vaccination among adult women in Korea. Korean Journal of Obstetrics and Gynecology, 51(6), 617-623.
  7. Gerend, M. A., & Shepherd, J. E. (2012). Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior. Annals of Behavioral Medicine, 44(2), 171-180. https://doi.org/10.1007/s12160-012-9366-5
  8. Gu, C., Niccolai, L. M., Yang, S., Wang, X., & Tao, L. (2015). Human papillomavirus vaccine acceptability among female undergraduate students in China: The role of knowledge and psychosocial factors. Journal of Clinical Nursing, 24(19-20), 2765-2778. https://doi.org/10.1111/jocn.12871
  9. Han, Y. J., Lee, S. R., Kang E. J., Kim, M. K., Kim, N. H., Kim, H. J., et al. (2007). 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, 50(8), 1090-1099.
  10. Hsu, Y. Y., Fetzer, S. J., Hsu, K. F., Chang, Y. Y., Huang, C. P., & Chou, C. Y. (2009). Intention to obtain human papillomavirus vaccination among taiwanese undergraduate women. Sexually Transmitted Diseases, 36(11), 686-692. https://doi.org/10.1097/OLQ.0b013e3181ad28d3
  11. Jones, M., & Cook, R. (2008). Intent to receive an HPV vaccine among university men and women and implications for vaccine administration. Journal of American College Health, 57(1), 23-32. https://doi.org/10.3200/JACH.57.1.23-32
  12. Juntasopeepun, P., Davidson, P. M., Suwan, N., Phianmongkhol, Y., & Srisomboon, J. (2011). Human papillomavirus vaccination intention among young women in Thailand. Asian Pacific Journal of Cancer Prevention, 12(12), 3213-3219.
  13. Juraskova, I., O'Brien, M., Mullan, B., Bari, R., Laidsaar-Powell, R., & McCaffery, K. (2012). HPV vaccination and the effect of information framing on intentions and behaviour: An application of the theory of planned behaviour and moral norm. International Journal of Behavioral Medicine, 19(4), 518-525. https://doi.org/10.1007/s12529-011-9182-5
  14. Kang, H. Y., & Kim, J. S. (2011). Knowledge, attitudes of human papillomavirus vaccine, and intention to obtain vaccine among Korean female undergraduate students. Women Health, 51(8), 759-776. https://doi.org/10.1080/03630242.2011.627091
  15. Kang, H. S., & Moneyham, L. (2010). Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students. Vaccine, 28(3), 811-816. https://doi.org/10.1016/j.vaccine.2009.10.052
  16. Kim, E. J., Kim, S. H., Chung, H. I., & Kim, Y. A. (2016). Factors affecting human papillomavirus vaccination among college nursing students. Journal of Academia-Industrial Technology, 17(3), 464-472.
  17. Kim, J. H., & Park, M. K. (2009). Study on the knowledge of cervical cancer and human papillomavirus and preventive behavior intention of female university students. The Journal of Korean Academic Society of Nursing Education, 15(2), 225-231. https://doi.org/10.5977/JKASNE.2009.15.2.225
  18. Kim, H. W. (2009). Effects of prevention education on human papillomavirus linked to cervix cancer for unmarried female university students. Journal of Korean Academy of Nursing, 39(4), 490-498. https://doi.org/10.4040/jkan.2009.39.4.490
  19. 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.
  20. Korea Centers for Disease Control and Prevention. (2014, September 12). 2013 Korean National Immunization Survey. Retrieved from http://www.cdc.go.kr/CDC/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1155-MNU1083-MNU1375-MNU0025%20&fid=28&q_type=&q_value=&cid=28239&pageNum=1
  21. Lee, E. J., & Park, J. S. (2011). Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students. Asian Oncology Nursing, 11(1), 65-73.
  22. Lee, H. R., & Oh, Y. J. (2015). Convergence factors influencing the human papillomavirus vaccination in some female university students. Journal of Digital Convergence, 13(12), 235-244. https://doi.org/10.14400/JDC.2015.13.12.235
  23. McBride, C. M., Puleo, E., Pollak, K. I., Clipp, E. C., Woolford, S., & Emmons, K. M. (2008). Understanding the role of cancer worry in creating a "teachable moment" for multiple risk factor reduction. Social Science & Medicine, 66(3), 790-800. https://doi.org/10.1016/j.socscimed.2007.10.014
  24. National Cancer Information Center. (2016, September 9). Incidence rates of cancers. Retrieved from: https://www.cancer.go.kr/lay1/S1T639C642/contents.do
  25. Park, H. J. (2016). Predictors of HPV vaccination status in female nursing university students: HPV related knowledge and perception. The Journal of the Korean Society of School Health, 29(3), 123-131. https://doi.org/10.15434/kssh.2016.29.3.123
  26. Wong, L. P. (2011). Knowledge and attitudes about HPV infection, HPV vaccination, and cervical cancer among rural southeast Asian women. International Journal of Behavioral Medicine, 18(2), 105-111. https://doi.org/10.1007/s12529-010-9104-y
  27. World Health Organization. (2018, February 15). Human papillomavirus (HPV) and cervical cancer. Retrieved from http://www.who.int/mediacentre/factsheets/fs380/en/
  28. Yu, Y., Xu, M., Sun, J., Li, R., Li, M., Wang, J., et al. (2016). Human papillomavirus infection and vaccination: Awareness and knowledge of HPV and acceptability of HPV vaccine among mothers of teenage daughters in Weihai, Shandong, China. Plos One, 11(1), e0146741. https://doi.org/10.1371/journal.pone.0146741