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<article xml:lang="KO" article-type="research-article">

<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Korean J Women Health Nurs</journal-id>
<journal-id journal-id-type="publisher-id">KJWHN</journal-id>
<journal-title-group>
<journal-title>Korean Journal of Women Health Nursing</journal-title>
</journal-title-group>
<issn pub-type="ppub">2287-1640</issn>
<issn pub-type="epub">2093-7695</issn>
<publisher>
<publisher-name>Korean Society of Women Health Nursing</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.4069/kjwhn.2014.20.1.105</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Knowledge Level of Human Papillomavirus, Cervical Cancer and Vaccination Status among Mothers with Daughters in High School</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yoo</surname>
<given-names>Myung-Sook</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>

</contrib-group>

<aff id="A1">College of Nursing, Catholic University of Daegu, Daegu, Korea.</aff>

<author-notes>
<corresp>Corresponding author: Yoo, Myung-Sook. College of Nursing, Catholic University of Daegu, 3056-6 Daemyung 4-dong, Nam-gu, Daegu 705-718, Korea. Tel: +82-10-2560-4824, Fax: +82-53-650-4392, <email>sryoo7@cu.ac.kr</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>03</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>03</month>
<year>2014</year>
</pub-date>
<volume>20</volume>
<issue>1</issue>
<fpage>105</fpage>
<lpage>114</lpage>

<history>
<date date-type="received">
<day>11</day>
<month>02</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>11</day>
<month>03</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>03</month>
<year>2014</year>
</date>
</history>

<permissions>
<copyright-statement>&#x00A9; 2014 Korean Society of Women Health Nursing</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>The goal of this study was to examine knowledge level of human papillomavirus (HPV), cervical cancer, and vaccination status among Korean mothers' with a daughter in high school.</p>
</sec>
<sec>
<title>Methods</title>
<p>A cross-sectional descriptive study was conducted with a convenience sample of 234 Korean mothers.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean score of HPV knowledge level was 4.21 out of 20, and cervical cancer knowledge was 3.88 out of 7. There were low levels of daughters' who received HPV vaccination (3.8&#x0025;) and high levels of mothers' intention to get their daughters' vaccinated with HPV (85.0&#x0025;). The major barrier to HPV vaccination was the concern for side effect from the vaccination. The most effective recommendation for HPV vaccination came from health care providers.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>HPV educational programs targeting mothers of daughters in high school is needed. Future studies need to determine actual HPV vaccination rates and factors related to high uptake using a larger sample from various socioeconomic background.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Papillomavirus vaccines</kwd>
<kwd>Uterine cervical neoplasms</kwd>
<kwd>Knowledge</kwd>
<kwd>Mothers</kwd>
</kwd-group>


<funding-group>
<award-group>
<funding-source country="KR">Catholic University of Daegu in 2011</funding-source>
</award-group>
</funding-group>

</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="supported-by">
  <p>This work was supported by research grants from the Catholic University of Daegu in 2011.</p>
</fn>
</fn-group>

<sec>
<title>Summary Statement</title>
<boxed-text>
<p>&#x25AA; What is already known about this topic?</p>

<p>Mother's knowledge and intention toward HPV and cervical cancer may be an important factor affecting a daughter's receiving HPV vaccination.</p>

<p>&#x25AA; What this paper adds?</p>

<p>Levels of knowledge level on HPV and cervical cancer in Korean mothers of high school girls' were very low, along with low vaccincation rates for their daughters.</p>

<p>&#x25AA; Implications for practice, education and/or policy</p>

<p>It would be useful to develop clinic, community, and school-based educational programs on HPV related cervical cancer and on prevention in order to increase mothers' knowledge and their daughters' vaccination rates.</p>
</boxed-text>
</sec>

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</back>

<floats-group>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <p>General and Gynecological Characteristics (<italic>N</italic>=234)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-20-105-i001"></graphic>
<table-wrap-foot>
<fn>
  <p>HPV=human papillomavirus; Pap test=papanicolau test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <p>Level of Knowledge about Human Papillomavirus (HPV) and Cervical Cancer (<italic>N</italic>=234)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-20-105-i002"></graphic>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
<p>Differences in Knowledge of Human Papillomavirus (HPV) and Cervical Cancer by General and Gynecological Characteristics (<italic>N</italic>=234)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-20-105-i003"></graphic>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <p>Differences in Human Papillomavirus (HPV) Vaccination Status by General and HPV related Characteristics (<italic>N</italic>=234)</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjwhn-20-105-i004"></graphic>
</table-wrap>

</floats-group>

</article>