College of Nursing, Pusan National University, Yangsan-si, Republic of Korea.
Hum Vaccin Immunother. 2021 Nov 2;17(11):4412-4417. doi: 10.1080/21645515.2021.1965808. Epub 2021 Aug 17.
This study aimed to investigate environmental factors influencing mothers' decision-making regarding vaccination of the human papillomavirus (HPV) for their daughters.
This was a cross-sectional study, with data collected using online surveys from July to September 2018. Participants were 230 mothers of second-year female middle-school students in South Korea. The proportional stratification sampling method was used to reflect the difference in medical level between regions. Independent variables consisted of individual (demographic characteristics, HPV-related characteristics, knowledge, attitude, and subjective norms) and environmental factors (the influence of healthcare providers, school, and community environments) were examined. The potential factors influencing vaccination uptake were determined using hierarchical logistic regression.
The factors influencing mothers' decision-making about the HPV vaccine for their daughters were their attitude toward HPV vaccination (OR = 0.78 < .001), whether a healthcare provider provided HPV-vaccine-related information (OR = 2.42, = .030), and presenting positive-framed information (OR = 4.21, = .020).
To increase HPV vaccination among the target population, it is necessary to consider environmental factors identified in this study. Healthcare providers should provide accurate information regarding the vaccination. Information emphasizing the vaccination's benefits is particularly important.
本研究旨在探讨影响母亲为女儿接种人乳头瘤病毒（HPV）疫苗决策的环境因素。
这是一项横断面研究，于 2018 年 7 月至 9 月通过在线调查收集数据。参与者为韩国 230 名初二女生的母亲。采用比例分层抽样法，以反映地区间医疗水平的差异。将个体因素（人口统计学特征、HPV 相关特征、知识、态度和主观规范）和环境因素（医疗保健提供者、学校和社区环境的影响）纳入自变量。使用分层逻辑回归确定影响疫苗接种率的潜在因素。
影响母亲为女儿接种 HPV 疫苗决策的因素包括对 HPV 疫苗接种的态度（OR=0.78 <.001）、医疗保健提供者是否提供 HPV 疫苗相关信息（OR=2.42，=0.030）和提供正面框架信息（OR=4.21，=0.020）。
为了提高目标人群的 HPV 疫苗接种率，有必要考虑本研究确定的环境因素。医疗保健提供者应提供有关疫苗接种的准确信息。强调疫苗接种益处的信息尤为重要。
