The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
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An Increase in HPV-related Knowledge and Vaccination Beliefs Among Parents of Adolescent Sons in Dongdaemon-gu, Seoul, Korea

남자 청소년을 둔 학부모 대상 HPV 및 HPV 백신 지식 관련 교육 전후 지식과 태도의 변화: 서울시 동대문구 지역을 중심으로

  • Kim, Seyoung (Seoul National University Graduate School of Public Health) ;
  • Choi, Jihye (University of Texas Health Science Center at Houston School of Public Health) ;
  • Kim, Sooyoun (Seoul National University Institute of Health & Environment)
  • 김세영 (서울대학교 보건대학원) ;
  • 최지혜 (텍사스대학교 휴스턴 보건과학센터) ;
  • 김수연 (서울대학교 보건대학원 보건환경연구소)
  • Received : 2021.02.01
  • Accepted : 2021.02.25
  • Published : 2021.02.28
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Abstract

Background and objectives: Human papillomavirus (HPV) is the most common sexually transmitted infection globally and is responsible for multiple clinical outcomes, including genital warts and cervical, anal, and oropharyngeal cancers. Despite the well established burden of HPV on both men and women, vaccine uptake among men is critically low in Korea. A preliminary step to combat this issue is to target parents of male adolescents. In the present study, we aimed to assess any change observed in parents' HPV knowledge and attitudes towards male HPV and subsequent willingness to vaccinate their sons following an HPV educational intervention. Methods: On November 14, 2020, a one-time HPV educational session was conducted and parents (n=136) completed self-administered pre-/post-test questionnaires that included previously validated survey items. Paired t-tests were used to evaluate change in HPV-related knowledge, attitudes and intent for HPV vaccination. Results: Following the intervention, participants reported increased scores in HPV and vaccine related knowledge by approximately 4 and 1.5 points, respectively (p<.001). Parents scored higher on perceived benefits of the vaccine, perceived social influence on vaccination decision and perceived severity of diseases caused by HPV infections, whereas lower scores were observed for perceived harm of the vaccine, and difficulties communicating with their sons about sex and HPV vaccination. Following the intervention, those without the intent to vaccinate their sons significantly decreased and those who intended to vaccinate their sons though not in the next six months significantly increased (χ2=33.045, p<.001) Conclusion: Our educational intervention resulted in an increase in HPV-related knowledge with a positive impact on parents' attitudes toward male HPV vaccination. We expect that this study can serve as a pivotal reference to promote the unexplored issue of HPV vaccination among male adolescents in Korea.

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References

  1. 강경아, 김신정, 조해련, 임영숙. (2017). 여대생의 자궁경부암검사 (Pap test) 행위의도 예측 경로모형. 한국보건간호학회지, 31(1), 135-148. https://doi.org/10.5932/JKPHN.2017.31.1.135
  2. 건강보험심사평가원. (2016). 2016년 진료비통계 지표.
  3. 대한감염학회. (2014). 대한감염학회 권장 성인예방접종 개정안. Retrieved December 28. 2020. http://www.ksid.or.kr/popup/file/2014_141224.pdf
  4. 박승미, 장인순. (2017). 여자청소년 자녀를 둔 어머니의 자녀 HPV 백신 접종여부 및 접종의도에 영향을 미치는 요인: HPV 백신 지식, 성 의사소통 정도 중심으로. 한국학교보건학회지, 30(2).
  5. 박혜민, 오현이. (2014). 여중생 딸을 둔 어머니의 인유두종 바이러스 백신 접종 의도 및 관련 요인. 한국콘텐츠학회논문지, 14(8), 307-318. https://doi.org/10.5392/JKCA.2014.14.08.307
  6. 이승주, 배상락. (2020.7) 국내 남성 HPV 감염 현황 분석, 2020 대한비뇨의학회 KUCE 학술대회. 서울.
  7. 이은주, 박정숙. (2011). 여대생의 자궁경부암 지식, 인유두종바이러스 예방접종 관련 건강신념 및 접종실태. 중앙간호학회지, 11(1), 65-73.
  8. 장인순. (2018). 남녀 고등학생의 인유두종 바이러스 (HPV) 예방접종의도영향요인 비교: HPV 관련 지식, 접종태도와 건강신념 중심으로. 한국학교보건학회지, 31(2), 59-69. https://doi.org/10.15434/KSSH.2018.31.2.59
  9. 중앙암등록본부. (2015). 국가암등록사업(연례보고서) 2017년 암등록통계. 보건복지부.
  10. 질병관리본부. (2020). 성매개감염병 관리지침. 질병관리본부.
  11. 통계청. (2020). 61개 암종/성/연령(5세)별 암 발생자수, 발생률. Retrieved September 21, 2020. http://kosis.kr/statHtml/statHtml.do?orgld=117&tblId=DT_11N_A0024
  12. 한지연 외. (2020) 남녀 대학생의 성지식과 성태도가 인유두종 바이러스 감염 예방접종 이행의도에 미치는 영향, 글로벌 건강과 간호학회지, 10(1), 69-78.
  13. 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
  14. Becker, M. H. (1974). The health belief model and sick role behavior. Health education monographs, 2(4), 409-419. https://doi.org/10.1177/109019817400200407
  15. Centers for Disease C, Prevention. Recommendations on the use of quadrivalent human papillomavirus vaccine in males-- Advisory Committee on Immunization Practices (ACIP). (2011). MMWR Morbidity and mortality weekly report. 23;60(50):1705-8. PubMed PMID: 22189893.
  16. Goldie, S. J., Kohli, M., Grima, D., Weinstein, M. C., Wright, T. C., Bosch, F. X., and Franco, E. (2004). Projected clinical benefits and cost-effectiveness of a human papillomavirus 16/18 vaccine. Journal of the National Cancer Institute, 96(8), 604-615. https://doi.org/10.1093/jnci/djh104
  17. McRee, A. L., Brewer, N. T., Reiter, P. L., Gottlieb, S. L., and Smith, J. S. (2010). The Carolina HPV immunization attitudes and beliefs scale (CHIAS): scale development and associations with intentions to vaccinate. Sexually transmitted diseases, 37(4), 234-239. https://doi.org/10.1097/OLQ.0b013e3181c37e15
  18. Perez S. Sharpiro G. K., Tatar O, Joyal-Desmarais K and Resberger Z. (2016) Development and Validation of the Human Papillomavirus Attitudes and Beliefs Scale in a National Canadian Sample, Sexually Transmitted Diseases. 43(10). 626-632. https://doi.org/10.1097/OLQ.0000000000000506
  19. Radisic, G., Chapman, J., Flight, I., and Wilson, C. (2017). Factors associated with pargoogle.caents' attitudes to the HPV vaccination of their adolescent sons: a systematic review. Preventive medicine, 95, 26-37. https://doi.org/10.1016/j.ypmed.2016.11.019
  20. Reiter, P. L., Stubbs, B., Panozzo, C. A., Whitesell, D., and Brewer, N. T. (2011). HPV and HPV vaccine education intervention: effects on parents, healthcare staff, and school staff. Cancer Epidemiology and Prevention Biomarkers, 20(11), 2354-2361. https://doi.org/10.1158/1055-9965.EPI-11-0562
  21. Sherman, S. M., Nailer, E. (2018). Attitudes towards and knowledge about Human Papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK. PloS one, 13(4), e0195801. https://doi.org/10.1371/journal.pone.0195801
  22. Spleen, A. M., Kluhsman, B. C., Clark, A. D., Dignan, M. B., and Lengerich, E. J. (2012). An increase in HPV-related knowledge and vaccination intent among parental and non-parental caregivers of adolescent girls, age 9-17 years, in Appalachian Pennsylvania. Journal of Cancer Education, 27(2), 312-319. https://doi.org/10.1007/s13187-011-0294-z
  23. Thomas, T. L., Strickland, O. L., DiClemente, R., Higgins, M., Williams, B., and Hickey, K. (2013). Parental Human Papillomavirus Vaccine Survey (PHPVS): Nurse- led instrument development and psychometric testing for use in research and primary care screening. Journal of nursing measurement, 21(1), 96-109. https://doi.org/10.1891/1061-3749.21.1.96
  24. World Health Organization. (2014). Comprehensive cervical cancer control: a guide to essential practice. http://appswhoint/bitstream/10665/144785/1/9789241548953_eng pdf?ua=1.
  25. Zimet, G. D.,and Rosenthal, S. L. (2010). HPV vaccine and males: issues and challenges. Gynecologic oncology, 117(2), S26-S31. https://doi.org/10.1016/j.ygyno.2010.01.028