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Kim: Factors Influencing Mothers' Acceptance of Human Papillomavirus Vaccination to Prevent Cervical Cancer in their Daughters
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2011; 17(2): 137-147.

Published online: 30 June 2011

DOI: https://doi.org/10.4069/kjwhn.2011.17.2.137

Factors Influencing Mothers' Acceptance of Human Papillomavirus Vaccination to Prevent Cervical Cancer in their Daughters

Hae Won Kim

Professor, Department of Nursing, Kwandong University, Korea.

Address reprint requests to: Kim, Hae Won, Department of Nursing, Kwandong University, 522 Naegok-dong, Gangreung 210-701, Korea. Tel: 82-33-649-7613, Fax: 82-33-649-7620, hwkim@kd.ac.kr

Received 16 May 2011       Accepted 31 May 2011

Copyright © 2011 Korean Academy of Women's Health Nursing

Abstract

Purpose

This study was done to examine mothers' acceptance and its influencing factors in daughters' human papillomavirus (HPV) vaccination to prevent cervical cancer.

Methods

From July 20 to August 31, 2010, 220 mothers of unmarried daughters responded to self-administered questionnaires about their acceptance of HPV vaccination for their daughters and the optimal age for HPV vaccination. Descriptive statistics, univariate logistic and multiple logistic regression were used for data analysis with SPSS/WIN 12.0.

Results

Mothers indicating their willingness to pay for their daughters to receive HPV vaccination accounted for 61.8%, and willingness with health insurance coverage, 84.5%. Mean optimal age for HPV vaccination was 19.78±3.96) years. With self-payment the factor influencing mothers willingness was necessity of HPV vaccination (OR=30.45, 95% CI=10.33~89.15). With health insurance coverage, income (OR=3.02, 95% CI: 1.19~7.62), necessity of HPV vaccination (OR=15.05, 95% CI=4.15~54.64), concern about HPV vaccine safety (OR=2.99, 95% CI=1.15~7.76), and experience of Pap test (OR=3.16, 95% CI=1.24~8.05) were factors influencing mothers willingness. Other influencing factors were optimal age for HPV vaccination, knowing about HPV (OR=7.66, 95% CI=2.19~26.82), and age of youngest daughter (OR=3.95, 95% CI=1.34~11.68).

Conclusion

Financial support is anticipated for low income families in a primary approach to increase HPV vaccination. And focusing on earlier age and concerns about vaccination are necessary to gain mothers' acceptance.

Keywords: Papillomavirus vaccines, Cervix cancer, Mothers, Attitude

Figures and Tables

Table 1
Socio-demographic Characteristics of Mothers (N=220)
kjwhn-17-137-i001

HPV=human papillomavirus.

Table 2
Mothers' Acceptance of HPV Vaccination for Daughters to Prevent Cervical Cancer (N=220)
kjwhn-17-137-i002

HPV=human papillomavirus.

Table 3
Correlations of Continuous Variables with Mothers' Acceptance
kjwhn-17-137-i003

HPV=human papillomavirus.

Table 4
Odds Ratio of Explanatory Variables related Mothers' Acceptance in Daughters' HPV Vaccination to Prevent Cervical Cancer
kjwhn-17-137-i004

NA=not applicable; HPV=human papillomavirus; OR=odds ratio; CI=confidence interval.

†Age group: through 10~≤17 yr versus>17 yr.

*p<.05; **p<.01; ***p<.001.

Table 5
Adjusted Odds Ratios of Influencing Factors related Mothers' Acceptance in Daughters' HPV Vaccination to Prevent Cervical Cancer
kjwhn-17-137-i005

NA=not applicable; HPV=human papillomavirus; OR=odds ratio; CI=confidence interval.

†Age group; through 10~≤17 yr versus>17 yr.

*p<.05; **p<.01; ***p<.001.

Notes

This research was supported by Basic Science Research Program through the National Research Foundation funded by the Ministry of Education, Science & Technology (No; 2009-0071483).

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