Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.
Department of Preventive Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Epidemiol Health. 2023;45:e2023076. doi: 10.4178/epih.e2023076. Epub 2023 Aug 17.
We aimed to identify and compare the characteristics and factors associated with parental intention to vaccinate daughters under 12 years old against human papillomavirus (HPV), examining data from 2016 and 2020.
Data were obtained from the Korean National Cancer Screening Survey conducted in 2016 and 2020. The present study included 3,510 parents with daughters under 12 years old. Changes in parental intention-to-vaccinate rates were calculated. To identify factors associated with parental intention to vaccinate their daughters, the chi-square test and logistic regression analysis were used.
The percentage of respondents intending to vaccinate their daughters increased from 33.4% in 2016 to 58.9% in 2020, constituting a 25.5 percentage point (%p) increase. Since 2016, the proportion of men expressing positive intention towards HPV vaccination increased by 31.5%p, while that of women demonstrated a 20.9%p increase. Logistic regression analysis indicated that parents with a strong intention to vaccinate their daughters tended to be younger, more educated, and aware of the free vaccination program available, as well as to have a history of HPV vaccination and to have undergone cervical cancer screening within 2 years, compared to those who did not intend to vaccinate. Being a mother with a history of HPV vaccination was the strongest predictor of positive intention to vaccinate a daughter.
The intention among parents to vaccinate daughters remains relatively low, although it is rising. To increase the HPV vaccination rate, strong recommendations and education should be provided to parents and the younger generation.
本研究旨在比较和识别 2016 年和 2020 年父母对 12 岁以下女儿接种人乳头瘤病毒（HPV）疫苗的意愿特征及相关因素。
数据来自于 2016 年和 2020 年进行的韩国国家癌症筛查调查。本研究共纳入了 3510 名 12 岁以下女儿的父母。计算父母接种疫苗意愿的变化率。采用卡方检验和 logistic 回归分析识别与父母接种女儿疫苗意愿相关的因素。
2016 年至 2020 年，愿意为女儿接种疫苗的父母比例从 33.4%增加到 58.9%，增加了 25.5 个百分点。自 2016 年以来，男性对 HPV 疫苗接种表示积极意愿的比例增加了 31.5%，而女性的这一比例增加了 20.9%。logistic 回归分析表明，与不打算接种疫苗的父母相比，有强烈为女儿接种疫苗意愿的父母往往更年轻、受教育程度更高、对免费接种项目有更好的了解，并且有 HPV 疫苗接种史和 2 年内进行过宫颈癌筛查。母亲有 HPV 疫苗接种史是对女儿接种疫苗有积极意愿的最强预测因素。
尽管父母为女儿接种 HPV 疫苗的意愿在逐渐上升，但仍相对较低。为了提高 HPV 疫苗接种率，应向父母和年轻一代提供强有力的建议和教育。
