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

Min Hee Sung; Mi-Hae Sung

doi:10.4069/kjwhn.2018.24.1.71

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

Orginal Article

Korean J Women Health Nurs 2018;24(1):71-79.

Published online: 20 March 2018

DOI: https://doi.org/10.4069/kjwhn.2018.24.1.71

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

Min Hee Sung¹, Mi-Hae Sung^2,

¹Dong-Eui Medical Center, Busan, Korea

²Department of Nursing, College of Medicine ․ Institute for Health Science Research, Inje University, Busan, Korea

Corresponding author: Sung, Mi-Hae Department of Nursing, College of Medicine, Inje University, 75 bokji-ro, Busanjin-gu, Busan 47392, Korea. Tel: +82-51-890-6825, Fax: +82-51-896-9840, E-mail: nursmh@inje.ac.kr

Received 17 January 20181 March 2018 Accepted 6 March 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Human papillomavirus vaccines, Attitude, Subjective norm, Behavior controls, Intention

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
Variables	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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