여대생의 인유두종바이러스 예방접종행위 변화단계의 관련요인: 예방책 채택과정 모델 적용
Factors Influencing Human Papillomavirus Vaccination Adoption Stages Based on the Precaution Adoption Process Model
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to identify the factors influencing human papillomavirus (HPV) vaccination adoption stages using the Precaution Adoption Process model. Methods: A total of 173 female university students from B metropolitan city participated. Demographics, factors contributing to action, knowledge, health beliefs, and self-efficacy related to the HPV vaccination were measured. The collected data were analyzed using descriptive statistics and multiple logistic regression analysis using SPSS for Windows version 21.0. Results: Factors that contributed to the transition from the unaware and unengaged stages to the undecided about action stage included age, economic status, experience of recommendation from doctors, perceived severity of cervical cancer, and perceived barriers. Factors that contributed to the transition from the undecided about action stage to the deciding to act stage were perceived benefit and self-efficacy of the HPV vaccination. Factors that contributed to the transition from the deciding to act stage to the acting and maintenance stages were experience of recommendation from doctors and perceived severity of cervical cancer. Conclusion: These results suggest that aggressive HPV vaccination campaigns increase awareness. Further studies should develop tailored strategies for promoting HPV vaccination that emphasize health beliefs and self-efficacy.
Abstract
Purpose: This study aimed to identify the factors influencing human papillomavirus (HPV) vaccination adoption stages using the Precaution Adoption Process model. Methods: A total of 173 female university students from B metropolitan city participated. Demographics, factors contributing to action, knowledge, health beliefs, and self-efficacy related to the HPV vaccination were measured. The collected data were analyzed using descriptive statistics and multiple logistic regression analysis using SPSS for Windows version 21.0. Results: Factors that contributed to the transition from the unaware and unengaged stages to the undecided about action stage included age, economic status, experience of recommendation from doctors, perceived severity of cervical cancer, and perceived barriers. Factors that contributed to the transition from the undecided about action stage to the deciding to act stage were perceived benefit and self-efficacy of the HPV vaccination. Factors that contributed to the transition from the deciding to act stage to the acting and maintenance stages were experience of recommendation from doctors and perceived severity of cervical cancer. Conclusion: These results suggest that aggressive HPV vaccination campaigns increase awareness. Further studies should develop tailored strategies for promoting HPV vaccination that emphasize health beliefs and self-efficacy.
참고문헌 (30)
- 김혜원, "미혼 여대생에게 적용한 인유두종 바이러스 연계 자궁경부암 예방교육의 효과", Journal of Korean Academy of Nursing, 39(4), pp.490~498 (2009), 한국간호과학회
- "World Health Organization Website"[URL]
- Dunne EF, "Prevalence of HPV infection among females in the united states", JAMA, 297(8), pp.813~819 (2007)
- 최경아, "우리나라 성인 여성의 HPV 감염과HPV 백신 접종에 대한 지식 및 태도 조사", Obstetrics & Gynecology Science, 51(6), pp.617~623 (2008), 대한산부인과학회
- 박종섭, "한국 젊은 여성의 성생활 양상; HPV예방 백신 도입을 위한 예비 연구", Journal of Gynecologic Oncology, 18(3), pp.209~218 (2007), 대한부인종양학회
- Goldie SJ, "Projected clinical benefits and cost-effectiveness of human papillomavirus 16", 18 vaccine, 2004, pp.96, 604~615
- Ho GY. Bierman R, "Natural history of cervicovaginal papillomavirus infection in young women", N Engl J Med, 338, pp.423~428 (1998)
- 김찬주, "교차 예방 효과를 포함한 자궁경부암 예방 백신들의 효과에 대한 최신 지견", Obstetrics & Gynecology Science, 53(02), pp.103~118 (2010), 대한산부인과학회
- Castellsagué X, "HPV vaccination against cervical cancer in women above 25years of age: key considerations and current perspectives", J Gynecol Oncol, 115(3 Suppl), pp.S15~S23 (2009)
- 이은주, "여대생의 자궁경부암 지식, 인유두종바이러스 예방접종 관련 건강신념 및 접종실태", Asian Oncology Nursing, 11(1), pp.65~73 (2011), 대한종양간호학회
- 김정효, "일부 여대생의 자궁경부암 지식과 인유두종바이러스 지식 및 감염 예방행위의도에 관한 연구", 한국간호교육학회지, 15(2), pp.225~231 (2009), 한국간호교육학회
- Ko KM, "The impact of health campaigns on the public’s awareness &behavior regarding cervical cancer", master, pp.2012
- Prochaska JO, "Stages and processes of self-change of smoking : toward an integrative model of change", J Consult Clin Psychol, 51, pp.390~395 (1983)
- Blalock SJ, "Osteoporosis prevention in premenopausal women : using a stage model approach to examine the predictors of behavior", Health Psychology, 15(2), pp.84~93 (1996)
- Choi SR, "Factors associated with stages of adoption for breast cancer screening based on the PAPM", master, pp.2012
- Weinstein ND, "The precaution adoption process model", Health Psychology, 7, pp.355~386 (1988)
- Becker MH, "The health belief model and prediction of dietary compliance : a field experiment", J Health Soc Behav, 18(4), pp.348~366 (1977)
- Lee SH, "Relationship between knowledge level and cancer-prevention performance in anti-cancer vaccine of human papilloma virus (HPV)and cervical cancer in women", master, pp.2009
- Lipschitz JM, "Validation of decisional balance and self-efficacy measures for HPV vaccination in college women", American J Health Promot, 27(5), pp.299~307 (2012)
- 오재우, "유방암검진 관련요인 : 예방책 채택과정 모형을 적용하여 -간호사와 일반여성의 비교 중심으로-", 한국콘텐츠학회 논문지, 12(11), pp.246~257 (2012), 한국콘텐츠학회[DOI]
- 계수연, "위암검진행태단계의 관련요인: PAPM을 적용하여", 보건교육건강증진학회지, 23(4), pp.29~45 (2006), 한국보건교육건강증진학회
- "National Cancer Information Center Website"[URL]
- 이혜진, "단계적 행위변화 모형을 이용한 자궁경부암 검진행위 관련요인 분석 -국가 조기 암검진 대상자들을 중심으로-", 예방의학회지, 38(1), pp.82~92 (2005), 대한예방의학회
- 김혜원, "일부 여대생의 인유두종 바이러스 지식에 관한 연구", 여성건강간호학회지, 13(1), pp.13~20 (2007), 여성건강간호학회
- Kwon YE, "Konwledge on cervical cancer & human papillomavirus infection of female university students and preventive behavior intention", master, pp.2014
- Lee KS, "Prediction cervix cancer screening behavior using the theory of planned behavior", pp.1999
- Kye SY, "A prediction model for stages of change in cancer screening", pp.2009
- 강민정, "시민들의 암검진 실천 단계변화와 영향요인: 예방책 채택과정 모형 및 건강믿음모형의 통합적 활용", 보건교육건강증진학회지, 28(3), pp.83~98 (2011), 한국보건교육건강증진학회
- Burak LJ, "Using the health belief model to examine and predict college women’s cervical cancer screening beliefs and behavior", Health Care Women Int, 18(3), pp.251~262 (1997)
- Weinstein ND, "A model of the Precaution Adoption Process evidence from home radon testing", Health Psychology, 11, pp.170~180 (1992)
