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Attitudes Regarding HPV Vaccinations of Children among Mothers with Adolescent Daughters in Korea

  • Lee, Kyong-No (Department of Obstetrics and Gynecology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Chang, Kylie Hae-Jin (Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Seong-Sik (Department of Occupational and Environmental Medicine, Konkuk University Chungju Hospital) ;
  • Park, Sung-Ho (Department of Obstetrics and Gynecology, Hallym University Kangnam Sacred Heart Hospital) ;
  • Park, Sung Taek (Department of Obstetrics and Gynecology, Hallym University Kangnam Sacred Heart Hospital)
  • 투고 : 2016.06.24
  • 심사 : 2016.10.04
  • 발행 : 2017.01.10

초록

The aim of this study, carried out before the beginning of human papillomavirus (HPV) vaccinations as a National Immunization Program (NIP) in Korea in 2016, is to assess the ranges of perceptions and personal experience and their influences on attitudes regarding HPV vaccinations of children, among mothers of adolescent (9-14 years of age) daughters in Korea. From November 2015 to February 2016, we distributed a written questionnaire to mothers who had daughters aged 9-14 years. The questionnaire consisted of several questions, related to knowledge of HPV, personal experiences of HPV vaccination, and attitudes toward HPV vaccinations of their adolescent daughters. Of the 260 questionnaires distributed, 140 participants returned answered ones. And although only 51% of participants were aware that cervical cancer is highly related with HPV infection, 70% said they were willing to vaccinate their daughters, showing that awareness does not coincide with intention to vaccinate. Among the participants showing negative attitudes, 50% were concerned about the vaccination side effects. The more the participants' pre-knowledge about HPV infection, and about the relationship of HPV to cervical cancer, the more positive their attitudes (P = 0.002, P < 0.001). Our study showed that, as the level of education rose, the proportion of mothers with negative attitudes toward vaccinating their adolescent daughters rose as well. Thus, the provision of correct education by health care providers and accurate information through active advertising may play an important role in increasing the vaccination rate among adolescent girls in Korea.

키워드

참고문헌

  1. Lee Y, Lim MC, Kim SI, Joo J, Lee DO, Park SY. Comparison of quality of life and sexuality between cervical cancer survivors and healthy women. Cancer Res Treat 2016; 48: 1321-29. https://doi.org/10.4143/crt.2015.425
  2. World Health Organization. Human papillomavirus vaccines: WHO position paper, October 2014. Wkly Epidemiol Rec 2014; 89: 465-91.
  3. Han KT, Kim SJ, Lee SY, Park EC. Cost-effectiveness analysis of HPV vaccination: comparing the general population with socially vulnerable individuals. Asian Pac J Cancer Prev 2014; 15: 8503-8. https://doi.org/10.7314/APJCP.2014.15.19.8503
  4. Kelly BJ, Leader AE, Mittermaier DJ, Hornik RC, Cappella JN. The HPV vaccine and the media: how has the topic been covered and what are the effects on knowledge about the virus and cervical cancer? Patient Educ Couns 2009; 77: 308-13. https://doi.org/10.1016/j.pec.2009.03.018
  5. World Health Organization. Evidence based recommendations on human papilloma virus (HPV) vaccines schedules: background paper for SAGE discussions [Internet]. Available at http://www.who.int/immunization/sage/meetings/2014/april/1_HPV_Evidence_based_recommendationsWHO_with_Appendices2_3.pdf [cited 10 June 2016].
  6. Elam-Evans LD, Yankey D, Jeyarajah J, Singleton JA, Curtis RC, MacNeil J, Hariri S; Immunization Services Division, National Center for Immunization and Respiratory Diseases; Centers for Disease Control and Prevention (CDC). National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17 years--United States, 2013. MMWR Morb Mortal Wkly Rep 2014; 63: 625-33.
  7. Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10- to 15-year-old adolescents. J Low Genit Tract Dis 2004; 8: 188-94. https://doi.org/10.1097/00128360-200407000-00005
  8. Kessels SJ, Marshall HS, Watson M, Braunack-Mayer AJ, Reuzel R, Tooher RL. Factors associated with HPV vaccine uptake in teenage girls: a systematic review. Vaccine 2012; 30: 3546-56. https://doi.org/10.1016/j.vaccine.2012.03.063
  9. Laz TH, Rahman M, Berenson AB. An update on human papillomavirus vaccine uptake among 11-17 year old girls in the United States: National Health Interview Survey, 2010. Vaccine 2012; 30: 3534-40. https://doi.org/10.1016/j.vaccine.2012.03.067
  10. Dahlstrom LA, Tran TN, Lundholm C, Young C, Sundstrom K, Sparen P. Attitudes to HPV vaccination among parents of children aged 12-15 years-a population-based survey in Sweden. Int J Cancer 2010; 126: 500-7. https://doi.org/10.1002/ijc.24712
  11. Mullins TL, Griffioen AM, Glynn S, Zimet GD, Rosenthal SL, Fortenberry JD, Kahn JA. Human papillomavirus vaccine communication: perspectives of 11-12 year-old girls, mothers, and clinicians. Vaccine 2013; 31: 4894-901. https://doi.org/10.1016/j.vaccine.2013.07.033
  12. Hertweck SP, LaJoie AS, Pinto MD, Flamini L, Lynch T, Logsdon MC. Health care decision making by mothers for their adolescent daughters regarding the quadrivalent HPV vaccine. J Pediatr Adolesc Gynecol 2013; 26: 96-101. https://doi.org/10.1016/j.jpag.2012.10.009
  13. Reiter PL, McRee AL. Correlates of receiving recommended adolescent vaccines among youth with special health care needs: findings from a statewide survey. Vaccine 2016; 34: 3125-31. https://doi.org/10.1016/j.vaccine.2016.04.062
  14. McRee AL, Gottlieb SL, Reiter PL, Dittus PJ, Tucker Halpern C, Brewer NT. Human papillomavirus vaccine discussions: an opportunity for mothers to talk with their daughters about sexual health. Sex Transm Dis 2012; 39: 394-401. https://doi.org/10.1097/OLQ.0b013e318248aaa0
  15. Gilkey MB, Magnus BE, Reiter PL, McRee AL, Dempsey AF, Brewer NT. The vaccination confidence scale: a brief measure of parents' vaccination beliefs. Vaccine 2014; 32: 6259-65. https://doi.org/10.1016/j.vaccine.2014.09.007
  16. Gilkey MB, Reiter PL, Magnus BE, McRee AL, Dempsey AF, Brewer NT. Validation of the vaccination confidence scale: a brief measure to identify parents at risk for refusing adolescent vaccines. Acad Pediatr 2016; 16: 42-9. https://doi.org/10.1016/j.acap.2015.06.007
  17. Shah PD, McRee AL, Reiter PL, Brewer NT. What parents and adolescent boys want in school vaccination programs in the United States. J Adolesc Health 2014; 54: 421-7. https://doi.org/10.1016/j.jadohealth.2013.09.022
  18. Seven M, Guvenc G, Sahin E, Akyuz A. Attitudes to HPV vaccination among parents of children aged 10 to 13 years. J Pediatr Adolesc Gynecol 2015; 28: 382-6. https://doi.org/10.1016/j.jpag.2014.11.005
  19. Ezenwa BN, Balogun MR, Okafor IP. Mothers' human papilloma virus knowledge and willingness to vaccinate their adolescent daughters in Lagos, Nigeria. Int J Womens Health 2013; 5: 371-7.
  20. Yu Y, Xu M, Sun J, Li R, Li M, Wang J, Zhang D, Xu A. 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 2016; 11: e0146741. https://doi.org/10.1371/journal.pone.0146741
  21. Jaspers L, Budiningsih S, Wolterbeek R, Henderson FC, Peters AA. Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: a cross-sectional study. Vaccine 2011; 29: 7785-93. https://doi.org/10.1016/j.vaccine.2011.07.107
  22. Mortensen GL. Parental attitudes towards vaccinating sons with human papillomavirus vaccine. Dan Med Bull 2010; 57: A4230.

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  1. Human Papillomavirus: A Qualitative Study of Korean American Female College Students’ Attitudes Toward Vaccination vol.21, pp.5, 2017, https://doi.org/10.1188/17.cjon.e239-e247
  2. 초등학생 자녀를 둔 어머니의 HPV 백신 접종의도와 융복합적 관련요인 vol.16, pp.3, 2017, https://doi.org/10.14400/jdc.2018.16.3.311
  3. 한국 성인여성의 인유두종 바이러스(HPV)백신 접종 및 접종의도에 영향을 미치는 요인: 체계적 문헌고찰 vol.32, pp.1, 2018, https://doi.org/10.5932/jkphn.2018.32.1.69
  4. 만 12세 초등학생 딸의 자궁경부암 예방접종 실태 및 영향요인 vol.20, pp.2, 2017, https://doi.org/10.7586/jkbns.2018.20.2.114
  5. Burden of Human papillomavirus (HPV)-related disease and potential impact of HPV vaccines in the Republic of Korea vol.7, pp.None, 2017, https://doi.org/10.1016/j.pvr.2018.12.002
  6. Acceptability of two- versus three-dose human papillomavirus vaccination schedule among providers and mothers of adolescent girls: a mixed-methods study in five countries vol.29, pp.11, 2017, https://doi.org/10.1007/s10552-018-1085-1
  7. HPV VACCINE ADHERENCE AMONG ADOLESCENTS: INTEGRATIVE REVIEW vol.28, pp.None, 2017, https://doi.org/10.1590/1980-265x-tce-2018-0257
  8. Clinical nurses’ awareness and caring experiences for patients with cervical cancer: A qualitative study vol.14, pp.5, 2017, https://doi.org/10.1371/journal.pone.0217201
  9. Awareness and attitude towards human papillomavirus and its vaccine among females with and without daughter(s) who participated in cervical cancer screening in Shenzhen, China vol.24, pp.9, 2017, https://doi.org/10.1111/tmi.13283
  10. Awareness and knowledge of human papillomavirus vaccination and their influential factors among Chinese women: a systematic review vol.6, pp.4, 2017, https://doi.org/10.2478/fon-2019-0048
  11. Resources for assessing parents’ vaccine hesitancy: a systematic review of the literature vol.61, pp.3, 2017, https://doi.org/10.15167/2421-4248/jpmh2020.61.3.1448
  12. Factors Associated with the HPV Vaccination among Korean Americans and Koreans: A Systematic Review vol.19, pp.1, 2022, https://doi.org/10.3390/ijerph19010051