만 12세 초등학생 딸과 어머니의 사람유두종바이러스(Human Papilloma Virus, HPV) 예방접종의 영향요인 = Factors affecting HPV (Human Papilloma Virus) vaccination intentions of daughters aged 12 years with their mothers

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify factors that that affect the intention of a daughter's HPV vaccination among her 12-year-old daughters with her mother.

Method: A descriptive study was conducted with 64 daughters of hpv unvaccinated and mothers in GangWon Wonju. Data collection was conducted from October to November in 2019. Data was analyzed using SPSS WIN 24.0 Program. Descriptive statistics, independent sample t-test, χ²-test, and logistic regression analysis were conducted.
Purpose: The purpose of this study was to identify factors that that affect the intention of a daughter's HPV vaccination among her 12-year-old daughters with her mother.

Method: A descriptive study was conducted with 64 daughters of HPV unvaccinated and mothers in GangWon Wonju. Data collection was conducted from October to November in 2019. Data was analyzed using SPSS WIN 24.0 Program. Descriptive statistics, independent sample t-test, χ²-test, and logistic regression analysis were conducted.
Result:
First, The intention of HPV vaccination is as follows. In case of daughter, a group that had the intentions of HPV vaccination is 57.8%, another group that did not have the intentions of HPV vaccination is 42.2%. In case of mother, a group that had the intentions of HPV vaccination is 62.5%, another group that did not have the intentions of HPV vaccination is 37.5%.
Second, The total cervical cancer knowledge score of daughter and mother subjects was significantly higher than the total cervical cancer knowledge score of mother subjects than that of daughter subjects(t=-4.005, p=.000). The subregions showed statistically significant differences in knowledge of cervical cancer(t=-3.114, p=.003) and knowledge of HPV vaccination(t=-6.177, p=.000), but knowledge of HPV was not statistically significant(t=-. 846, p=.401). HPV vaccination health beliefs showed statistically significant differences in perceived benefits(t=-2.393, p=.020) of subareas, but perceived sensitivity(t=-.158, p=.875), perceived severity(t=-.168, p=.867) and perceived disability(t=.258, p=.797) was no statistically significant difference.
Third, In order to determine the factors affecting the intentions of HPV vaccination of daughter subjects, the results of the differences in the intentions of HPV vaccination showed that there was no statistically significant difference between a group that did not have the intentions of HPV vaccination and a group that had the intentions of HPV vaccination. In case of mother subjects, there were significant differences in education(χ²=4.796, p =.029), occupation(χ²=7.179, p=.007), HPV vaccination status(χ²=4.574, p=.032), HPV vaccination awareness(χ²=8.195, p=.004), HPV national vaccination program awareness(χ²=4.638, p=.031), cervical cancer knowledge(t=-3.971, p=.000), and perceived disability(t=-3.868), p=.000) among the unvaccinated groups.
Fourth, in the binary logistic regression analysis for the factors affecting the daughter and mother’s HPV vaccination intention, there was no significant difference in case of daughter subjects between the group without intention to vaccinate and those with intention to vaccinate. In the case of mothers, there was a statistically significant difference in cervical cancer knowledge and perceived disability between the group without intention to vaccinate and those with intention to vaccinate.
Conclusion: In order to increase the HPV vaccination rate, an educational programs will be needed to provide knowledge of cervical cancer. A variety of intervention strategies should be developed to enhance the perceived disability of HPV vaccination health beliefs.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 3
• 3. 용어의 정의 3
• Ⅱ. 문헌 고찰 5
• 1. 자궁경부암과 사람유두종바이러스 백신 5
• 2. 건강신념모델 6
• 3. 사람유두종바이러스 예방접종의도 6
• Ⅲ. 연구의 개념적 기틀 7
• Ⅳ. 연구방법 8
• 1. 연구설계 8
• 2. 연구대상 8
• 3. 연구도구 8
• 4. 자료 수집방법 9
• 5. 자료 분석방법 10
• 6. 윤리적 고려 10
• Ⅴ. 연구결과 11
• 1. 딸 대상자의 특성 11
• 2. 어머니 대상자의 특성 12
• 3. 딸과 어머니 대상자의 자궁경부암 지식정도와 차이 13
• 4. 딸과 어머니 대상자의 HPV 예방접종 건강신념의 정도와 차이 14
• 5. 딸과 어머니 대상자의 특성에 따른 HPV 예방접종의도의 차이 16
• 6. 딸과 어머니 대상자의 자궁경부암 지식과 HPV 예방접종 건강신념에 따른 HPV 예방접종의도의 차이 18
• 7. 딸과 어머니 대상자의 HPV 예방접종의도에 영향을 미치는 요인 20
• Ⅵ. 논의 21
• Ⅶ. 결론 및 제언 24
• 1. 결론 24
• 2. 제언 25
• 참고문헌 26
• ABSTRACT 29