Kim Hae Won
Department of Nursing, Kwandong University, Korea.
Korean J Women Health Nurs. 2011 Dec;17(4):415-425. doi: 10.4069/kjwhn.2011.17.4.415.
This study was done to identify and compare factors associated with intention to receive Human Papillomavirus (HPV) vaccine between male and female undergraduate students.
In the fall of 2010, 479 students responded to self-administered questionnaires about their intention to receive HPV vaccine, HPV knowledges, HPV related involvements and optimistic bias, subject's characteristics including opinion about HPV vaccine. Mann-Whitney U test, uni-variate and multi-variate logistic regression were used for data analysis with SPSS/WIN.
Intention to receive vaccine were 22.0% of men and 25.0% of women. There were significantly different in HPV knowledge (Z=-2.74, p=.006), optimistic bias (Z=-4.60, p<.001), vaccine is necessary for women (Z=-4,30, p<.001), vaccine is necessary for men (Z=-4.37, p<.001), vaccine is necessary if only symptom exist (Z=-4.52, p<.001), but there were not different in intention to receive vaccine, involvement between men and women. Concern about vaccine safety (OR=3.19, 95% CI 1.63~6.23) was determinant of intention to receive HPV vaccine for men.
This study showed gender differences in HPV knowledge, HPV related optimistic bias and opinion about HPV vaccine, which would be assessed and well managed in tailored HPV education for enhancing HPV vaccine acceptance.
本研究旨在识别并比较与本科男女学生接种人乳头瘤病毒(HPV)疫苗意愿相关的因素。
2010年秋季,479名学生对关于其接种HPV疫苗意愿、HPV知识、HPV相关经历及乐观偏差的自填问卷进行了回应,调查对象的特征包括对HPV疫苗的看法。使用SPSS/WIN软件,通过曼-惠特尼U检验、单变量和多变量逻辑回归进行数据分析。
男性接种疫苗的意愿为22.0%,女性为25.0%。在HPV知识(Z=-2.74,p=0.006)、乐观偏差(Z=-4.60,p<0.001)、女性需要接种疫苗(Z=-4.30,p<0.001)、男性需要接种疫苗(Z=-4.37,p<0.001)、仅在出现症状时需要接种疫苗(Z=-4.52,p<0.001)方面存在显著差异,但男女在接种疫苗意愿、经历方面无差异。对疫苗安全性的担忧(OR=3.19,95%CI 1.63~6.23)是男性接种HPV疫苗意愿的决定因素。
本研究表明,在HPV知识、HPV相关乐观偏差及对HPV疫苗的看法上存在性别差异,在针对性的HPV教育中应对此进行评估和妥善管理,以提高HPV疫苗的接受度。