Kim Hae Won
The Research Institute of Nursing Science, College of Nursing, Seoul National University, Taehakro 103, Jongro-Gu, Seoul, South Korea, 110-799.
BMC Int Health Hum Rights. 2015 Feb 21;15:4. doi: 10.1186/s12914-015-0042-2.
This study aimed to determine the awareness among fifth-grade girls and boys of sexually transmitted diseases (STDs), cancer, and human papillomavirus (HPV), and to determine the factors associated with intention to obtain the HPV vaccination.
A quasi experimental design was employed with Korean fifth-grade students as the subjects for this study (n=117). Prior to providing HPV education, the awareness and health beliefs regarding STDs and cancer prevention were assessed according to gender. After 2 hours of HPV education, gender comparisons were made with respect to the awareness and health beliefs, HPV knowledge, and intention to obtain the HPV vaccination, and the factors associated with that intention.
Prior to the 2hours education session, only two boys knew that HPV is a virus. There were significant gender differences with respect to responses to the statements "STD is preventable" (χ(2)=8.76, p=0.013) and "cancer is preventable" (χ(2)=6.37, p=0.041), and concerns about the pain associated with vaccine injection (z=-2.44, p=0.015). After HPV education, there were no significant gender differences in HPV knowledge and intention to obtain the HPV vaccination. Awareness that "HPV vaccine can prevent cervical cancer" was significantly related to intention to obtain the HPV vaccine among both boys and girls.
Increased HPV knowledge could positively influence the intention to obtain the HPV vaccination among youth. Thus, HPV education at elementary school would be helpful to make students aware of HPV and the importance of HPV prevention.
本研究旨在确定五年级女生和男生对性传播疾病(STD)、癌症和人乳头瘤病毒(HPV)的认知,并确定与HPV疫苗接种意愿相关的因素。
采用准实验设计,以韩国五年级学生为研究对象(n = 117)。在提供HPV教育之前,根据性别评估对STD和癌症预防的认知及健康信念。经过2小时的HPV教育后,对性别在认知、健康信念、HPV知识以及HPV疫苗接种意愿和与之相关的因素方面进行比较。
在2小时教育课程之前,只有两名男生知道HPV是一种病毒。在对“性传播疾病是可预防的”(χ(2)=8.76,p = 0.013)和“癌症是可预防的”(χ(2)=6.37,p = 0.041)的陈述回答以及对疫苗注射疼痛的担忧方面(z = -2.44,p = 0.015)存在显著性别差异。HPV教育后,在HPV知识和HPV疫苗接种意愿方面不存在显著性别差异。“HPV疫苗可预防宫颈癌”这一认知在男生和女生中均与HPV疫苗接种意愿显著相关。
增加HPV知识可对青少年的HPV疫苗接种意愿产生积极影响。因此,小学阶段的HPV教育有助于让学生了解HPV及其预防的重要性。