Journal List > Korean J Women Health Nurs > v.24(1) > 1094766

Sung and Sung: Factors influencing Human Papillomavirus Vaccination intention in Female High School Students: Application of Planned Behavior Theory

Abstract

Purpose

The purpose of this study was to identify effects of attitude, subjective norm, and perceived behavior control toward Human Papillomavirus (HPV) on HPV vaccination intention in female high school students.

Methods

Subjects of this study were female students aged 16 to 17 years, the optimal age group of HPV vaccination, arbitrarily selected from three high schools in B city. A total of 140 students agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression.

Results

Attitude, subjective norm, and perceived behavior control toward HPV were factors influencing HPV vaccination intention of subjects. Perceived behavior control toward HPV vaccination was the most influential factor. These factors accounted for 49% of HPV vaccination intention.

Conclusion

These results suggest a need to increase perceived behavior control to increase HPV vaccination intention. The government needs to establish a national policy system such as financial support for HPV vaccines and free vaccinations so that students are aware that HPV vaccines can be easily inoculated.

References

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Table 1.
General and HPV-related Characteristics (N=140)
Characteristics Categories n (%) or M±SD
Age (year) 16 64 (45.7)
  17 76 (54.3)
Religion Yes 50 (35.7)
  No 90 (64.3)
Monthly pocket money <5 38 (27.1)
(10,000 won) 5∼<10 56 (40.0)
  10∼<15 26 (18.6)
  ≥15 20 (14.3)
    84.3±6.12
Menarche age (year) ≤12 76 (54.3)
  ≥13 64 (45.7)
    12.36±1.06
Sexual experience Yes 7 (5.0)
  No 133 (95.0)
Contraceptive Yes 8 (5.7)
experience No 132 (94.3)
Smoking experience Yes 18 (12.9)
  No 122 (87.1)
Alcohol experience Yes 69 (49.3)
  No 71 (50.7)
Obstetric-gynecology Yes 24 (17.1)
clinic visit No 116 (82.9)
Do you know about Yes 92 (65.7)
cervical cancer No 48 (34.3)
Family history for Yes 3 (2.1)
cervical cancer No 137 (97.9)
Do you know about HPV Yes No 18 122 (12.9) (87.1)
Do you know about Yes 26 (18.6)
HPV vaccination No 114 (81.4)

HPV=human papilloma virus.

Table 2.
The Degree of Attitudes, Subjective Norms, Perceived Behavior Control, and HPV Vaccination Intention (N=140)
Variables M±SD Min Max Range
Attitudes 1.61±1.21 –0.75 3.00 –3∼+3
Subjective norms 4.46±1.04 2.33 7.00 1∼7
Perceived behavior control 4.79±1.00 3.00 7.00 1∼7
Intention 4.50±1.26 1.33 7.00 1∼7
Table 3.
Differences in HPV Vaccination Intention by General and HPV-related Characteristics (N=140)
Characteristics Categories M±SD t or F p
Age (year) 16 4.46±1.25 –0.33 .739
  17 4.54±1.28    
Religion Yes 4.44±1.29 –0.44 .664
  No 4.54±1.25    
Monthly pocket money <5 4.31±1.13 0.47 .704
(10,000 won) 5∼<10 4.61±1.25    
  10∼<15 4.49±1.46    
Menarche age (year) ≤12 4.59±1.19 0.92 .360
  ≥13 4.40±1.34    
Sexual experience Yes 3.76±1.51 –1.61 .111
  No 4.54±1.24    
Contraceptive experience Yes 3.88±1.58 –1.46 .147
  No 4.54±1.23    
Smoking experience Yes 4.28±1.55 –0.81 .420
  No 4.54±1.22    
Alcohol experience Yes 4.57±1.38 0.58 .563
  No 4.44±1.13    
Obstetric-gynecology clinic visit Yes 4.42±1.43 –0.37 .716
  No 4.52±1.23    
Do you know about cervical cancer Yes 4.72±1.31 2.87 .005
  No 4.09±1.05    
Family history for cervical cancer Yes 4.44±0.51 –0.08 .936
  No 4.50±1.27    
Do you know about HPV Yes 5.56±1.33 4.00 <.001
  No 4.35±1.18    
Do you know about HPV vaccination Yes 5.38±1.36 4.34 <.001
  No 4.28±1.13    

HPV=human papilloma virus.

Table 4.
Correlation among Attitudes, Subjective Norms, Perceived Behavior Control, and HPV Vaccination Intention (N=140)
Variables Attitudes Subjective norms Perceived behavior control
r (p) r (p) r (p)
Attitudes 1    
Subjective norms .43 (<.001) 1  
Perceived behavior control .57 (<.001) .55 (<.001) 1
HPV vaccination intention .54 (<.001) .52 (<.001) .67 (<.001)
Table 5.
Influencing Factors on HPV Vaccination Intention (N=140)
Variables B SE β t p Adj. R2
(Constant) .48 .43   1.11 .269  
Perceived behavior control .56 .10 .45 5.58 <.001 .44
Subjective norms .22 .08 .21 2.80 .006 .48
Attitudes .22 .09 .18 2.48 .014 .49

F=46.29, p<.001

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