Korean J Women Health Nurs.  2014 Mar;20(1):105-114. 10.4069/kjwhn.2014.20.1.105.

Knowledge Level of Human Papillomavirus, Cervical Cancer and Vaccination Status among Mothers with Daughters in High School

• Yoo MS

• KMID: 2308148
• DOI: http://doi.org/10.4069/kjwhn.2014.20.1.105

Abstract

PURPOSE
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.
METHODS
A cross-sectional descriptive study was conducted with a convenience sample of 234 Korean mothers.
RESULTS
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%) and high levels of mothers' intention to get their daughters' vaccinated with HPV (85.0%). 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.
CONCLUSION
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.

Keyword

Papillomavirus vaccines; Uterine cervical neoplasms; Knowledge; Mothers

MeSH Terms

Health Personnel
Humans
Intention
Mothers*
Nuclear Family*
Papillomavirus Vaccines
Uterine Cervical Neoplasms*
Vaccination*
Papillomavirus Vaccines

Reference

1. National Cancer Information Center. Annual report of cancer statistics in Korea in 2011 [Internet]. Seoul: National Cancer Center;2013. cited 2014 January 27. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040101000000.

2. Kim MK, No JH, Song YS. Human papillomavirus vaccine. J Korean Med Assoc. 2009; 52(12):1180–1186.

3. Lee EH, Um TH, Chi HS, Hong YJ, Cha YJ. Prevalence and distribution of human papillomavirus infection in Korean women as determined by restriction fragment mass polymorphism assay. J Korean Med Sci. 2012; 27(9):1091–1097.

4. Montgomery K, Bloch JR, Bhattacharya A, Montgomery O. Human papillomavirus and cervical cancer knowledge, health beliefs, and preventative practices in older women. J Obstet Gynecol Neonatal Nurs. 2010; 39(3):238–249.

5. Korean Society of Gynecologic Oncology. A guidelines for cervical cancer preventive vaccine Gardasil [Internet]. Seoul: Korean Society of Gynecologic Oncology;2011. citied 2014 January 27. Available from: http://www.sgo.or.kr/community/pdf/book_04.pdf.

6. American Cancer Society. American cancer society guidelines for the early detection of cancer [Internet]. America: American Cancer Society;2014. cited 2014 January 27. Available from: http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer.

7. Brotherton JM, Murray SL, Hall MA, Andrewartha LK, Banks CA, Meijer D, et al. Human papillomavirus vaccine coverage among female Australian adolescents: Success of the school-based approach. Med J Aust. 2013; 199(9):614–617.

8. Publlic Health England. Annual HPV vaccine coverage in England: 2012-2013 [Internet]. England: Public Health England;2013. cited 2014 January 27. Available from: https://www.gov.uk/government/publications/annual-hpv-vaccine-coverage-2012-to-2013-by-pct-and-sha.

9. Kessels SJ, Marshall HS, Watson M, Braunack-Mayer AJ, Reuzel R, Tooher RL. Factors associated with HPV vaccine uptake in teenage girls: A systematic review. Vaccine. 2012; 30(24):3546–3556.

10. Kim HW. Factors influencing mothers' acceptance of human papillomavirus vaccination to prevent cervical cancer in their daughters. Korean J Women Health Nurs. 2011; 17(2):137–147.

11. Walhart T. Parents, adolescents, children and the human papillomavirus vaccine: A review. Int Nurs Rev. 2012; 59(3):305–311.

12. Wong LP. Knowledge and attitudes about HPV infection, HPV vaccination, and cervical cancer among rural southeast Asian women. Int J Behav Med. 2011; 18(2):105–111.

13. Yi JK, Lackey SC, Zahn MP, Castaneda J, Hwang JP. Human papillomavirus knowledge and awareness among Vietnamese mothers. J Community Health. 2013; 38(6):1003–1009.

14. Bang KS, Sung SM, Koo BY, Kim MJ, Kim YN, Kim JS, et al. Female university students' HPV-related knowledge and influencing factors on HPV vaccination. J Korean Oncol Nurs. 2011; 11(3):186–192.

15. Kim HW. Effects of prevention education on human papillomavirus linked to cervix cancer for unmarried female university students. J Korean Acad Nurs. 2009; 39(4):490–498.

16. Lee EJ, Kim HO. Effects of human papillomavirus vaccination education on college women's knowledge, health belief, and preventive behavior intention. J Korean Acad Nurs. 2011; 41(5):715–723.

17. Lee EJ, Park JS. Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university. J Korean Oncol Nurs. 2011; 11(1):65–73.

18. Kang MH. Mothers' HPV-related knowledge in an area. J Korean Oncol Nurs. 2011; 11(3):193–199.

19. Kang HS, Moneyham L. Attitudes, intentions, and perceived barriers to human papillomavirus vaccination among Korean high school girls and their mothers. Cancer Nurs. 2011; 34(3):202–208.

20. Cunningham JB, McCrum-Gardner E. Power, effect and sample size using GPower: practical issues for researchers and members of research ethics committees. Evid Based Midwifery. 2007; 5(4):132–136.

21. Kim HW, Ahn HY. Study on the knowledge of human papilloma virus in female university students. Korean J Women Health Nurs. 2007; 13(1):13–20.

22. Park SM. Factors related to continuous participation in the Pap smear screening among Korean women: Using a structural model [doctoral dissertation]. Seoul: Yonsei University;1999. 119.

23. Feng S, Xu X, Jin Y, Yao X. Women's knowledge of human papillomavirus (HPV) and their attitudes toward HPV vaccine: Preparing for HPV vaccination in China. Asia Pac J Public Health. 2012; 24(3):522–531.

24. Lee MH, Lim EJ, Yu YH, Jun JH. Clinical nurses' HPV-related knowledge and perception of cancer causes: HPV vaccinated vs. not vaccinated. Korean J Women Health Nurs. 2011; 17(1):1–9.

25. Tonguc E, Gungor T, Var T, Kavak E, Yucel M, Uzunlar O. Knowledge about HPV, relation between HPV and cervix cancer and acceptance of HPV vaccine in women in eastern region of Turkey. J Gynecol Oncol. 2013; 24(1):7–13.

26. Okoronkwo C, Sieswerda LE, Cooper R, Binette D, Todd M. Parental consent to HPV vaccination for their daughters: The effects of knowledge and attitudes. Can J Hum Sex. 2012; 21(3-4):117–126.

27. Zhang SK, Pan XF, Wang SM, Yang CX, Gao XH, Wang ZZ, et al. Perceptions and acceptability of HPV vaccination among parents of young adolescents: A multicenter national survey in China. Vaccine. 2013; 31(32):3244–3249.

28. Trim K, Nagji N, Elit L, Roy K. Parental knowledge, attitudes, and behaviors towards human papillomavirus vaccination for their children: A systematic review from 2001 to 2011. Obstet Gynecol Int. 2012; 2012:921236.

29. Choi KB, Mo HS, Kim JS. Factors associated with the intention to recommend human papillomavirus vaccination among Korean school health teachers. J Spec Pediatr Nurs. 2013; 18(4):297–310.

30. Hopkins TG, Wood N. Female human papillomavirus (HPV) vaccination: Global uptake and the impact of attitudes. Vaccine. 2013; 31(13):1673–1679.