일부 여대생에서 인유두종 바이러스 예방접종과 관련요인
Human Papillomavirus Vaccination Status and Related Factors among Some Female College Students
2
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to investigate the vaccination status of female university students for the human papillomavirus (HPV) vaccine for cervical cancer prevention, as well as factors associated with vaccination. Methods: 348 female university students were selected using convenience sampling methods. Demographic characteristics, health-related behavior, and cervical cancer-related knowledge were collected by self-reported questionnaire on 9~10 November 2011. Vaccinated subjects were defined as those who received at least one of the three doses in the HPV vaccine series. The differences in vaccination status were tested with chi-square test, t-test and multiple logistic regression analysis. Results: Of 348 female students, 39 (11.2%) reported that they were vaccinated. In simple analysis, age, major, allowance, parental academic background, obstetrics and gynecology visiting experience and knowledge about HPV vaccination were associated with being vaccinated. In multiple logistic regression, having a high allowance (OR=3.97, 95% CI=1.37~11.53), having parents with a high academic background (OR=3.14, 95% CI=1.13~8.68) and having more knowledge about HPV vaccination (OR=2.27, 95% CI=1.15~4.48) were significantly associated with being vaccinated. Conclusions: Allowance, parental academic background and knowledge about HPV vaccination were associated with vaccination status. Considering these factors will help in decision-making regarding HPV vaccination. Future study is needed to include other populations involved in making decisions about HPV vaccination, including adolescents and their parents.
Abstract
Objectives: The purpose of this study was to investigate the vaccination status of female university students for the human papillomavirus (HPV) vaccine for cervical cancer prevention, as well as factors associated with vaccination. Methods: 348 female university students were selected using convenience sampling methods. Demographic characteristics, health-related behavior, and cervical cancer-related knowledge were collected by self-reported questionnaire on 9~10 November 2011. Vaccinated subjects were defined as those who received at least one of the three doses in the HPV vaccine series. The differences in vaccination status were tested with chi-square test, t-test and multiple logistic regression analysis. Results: Of 348 female students, 39 (11.2%) reported that they were vaccinated. In simple analysis, age, major, allowance, parental academic background, obstetrics and gynecology visiting experience and knowledge about HPV vaccination were associated with being vaccinated. In multiple logistic regression, having a high allowance (OR=3.97, 95% CI=1.37~11.53), having parents with a high academic background (OR=3.14, 95% CI=1.13~8.68) and having more knowledge about HPV vaccination (OR=2.27, 95% CI=1.15~4.48) were significantly associated with being vaccinated. Conclusions: Allowance, parental academic background and knowledge about HPV vaccination were associated with vaccination status. Considering these factors will help in decision-making regarding HPV vaccination. Future study is needed to include other populations involved in making decisions about HPV vaccination, including adolescents and their parents.
참고문헌 (27)
- American Academy of Pediatrics Committee on Infectious Diseases, "Prevention of human papillomavirus infection: provisional recommendations for immunization of girls and women with quadrivalent human papillomavirus vaccine", Pediatrics, 120(3), pp.666~668 (2007)
- 방경숙, "여대생의 인유두종 바이러스 예방접종 여부에 영향을 미치는 요인", Asian Oncology Nursing, 11(3), pp.186~192 (2011), 대한종양간호학회
- Baseman JG, "The epidemiology of human papillomavirus infections", J Clin Virol, 32(Suppl 1), pp.S16~S24 (2005)
- Baykal C, "Knowledge and interest of Turkish women about cervical cancer and HPV vaccine", Eur J Gynaecol Oncol, 29(1), pp.76~79 (2008)
- Bekkers RL, "Epidemiological and clinical aspects of human papillomavirus defection in the prevention of cervical cancer", Rev Med Virol, 14, pp.95~105 (2004)
- Bosch FX, "Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group", J Natl Cancer Inst, 87(11), pp.796~802 (1995), International biological study on cervical cancer (IBSCC) Study Group
- Brown DR, "A longitudinal study of genital human papillomavirus infection in cohort of closely followed adolescent women", J Infect Dis, 191, pp.182~192 (2005)
- 최경아, "우리나라 성인 여성의 HPV 감염과HPV 백신 접종에 대한 지식 및 태도 조사", Obstetrics & Gynecology Science, 51(6), pp.617~623 (2008), 대한산부인과학회
- Daley EM, "Influences on human papillomavirus vaccination status among female college students", J Womens Health (Larchmt), 19(10), pp.1885~1891 (2010)
- Fairley CK, "Rapid decline in presentations of genital warts after the implementation of a national quadrivalent human papillomavirus vaccination programme for young women", Sex Transm Infect, 85(7), pp.499~502 (2009)
- Joo WD, "Prevalence of human papillomavirus infection in Korean women: risks of abnormal Pap smear and cervical neoplasia", Korean J Gynecol Oncol Colposc, 15(4), pp.309~316 (2004)
- 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2008", Cancer Research and Treatment, 43(1), pp.1~11 (2011), 대한암학회
- Kang HS, "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), pp.811~816 (2010)
- 김찬주, "교차 예방 효과를 포함한 자궁경부암 예방 백신들의 효과에 대한 최신 지견", Obstetrics & Gynecology Science, 53(02), pp.103~118 (2010), 대한산부인과학회
- Kivistik A, "Women's knowledge about cervical cancer risk factors, screening, and reasons for non-participation in cervical cancer screening programme in Estonia", BMC Womens Health, 11, pp.43~ (2011)
- Lee EJ, "Levels of knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students", pp.2010
- 이은주, "여대생의 자궁경부암 지식, 인유두종바이러스 예방접종 관련 건강신념 및 접종실태", Asian Oncology Nursing, 11(1), pp.65~73 (2011), 대한종양간호학회
- Licht AS, "Is use of the human papillomavirus vaccine among female college students related to human papillomavirus knowledge and risk perception?", Sex Transm Infect, 86(1), pp.74~78 (2010)
- Lorincz AT, "Human papillomavirus infection of the cervix: relative risk associations of 15 common anogenital types", Obstet Gynecol, 79(3), pp.328~337 (1992)
- Markowitz LE, "Quadrivalent Human Papillomavirus Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP)", MMWR Recomm Rep, 56(RR-2), pp.1~24 (2007)
- Oh JK, "Awareness of and attitude towards human papillomavirus infection and vaccination for cervical cancer prevention among adult males and females in Korea: a nationwide interview survey", Vaccine, 28(7), pp.1854~1860 (2010)
- Rama CH, "Awareness and knowledge of HPV, cervical cancer, and vaccines in young women after first delivery in São Paulo, Brazil--a cross- sectional study", BMC Womens Health, 10, pp.35~ (2010)
- Sauvageau C, "Human papilloma virus vaccine and cervical cancer screening acceptability among adults in Quebec, Canada", BMC Public Health, 7, pp.304~ (2007)
- Syrjänen KJ, "Spontaneous evolution of intraepithelial lesions according to the grade and type of the implicated human papillomavirus (HPV)", Eur J Obstet Gynecol Reprod Biol, 65(1), pp.45~53 (1996)
- Walboomers JM, "Human papillomavirus is a necessary cause of invasive cervical cancer worldwide", J Pathol, 189(1), pp.12~19 (1999)
- Zimet GD, "Vaccines against sexually transmitted infections: promise and problems of the magic bullets for prevention and control", Sex Transm Dis, 27, pp.49~52 (2000)
- zur Hausen H, "Papillomaviruses causing cancer: evasion from host-cell control in early events in carcinogenesis", J Natl Cancer Inst, 92(9), pp.690~698 (2000)