J Korean Med Sci.  2017 Jan;32(1):130-134. 10.3346/jkms.2017.32.1.130.

Attitudes Regarding HPV Vaccinations of Children among Mothers with Adolescent Daughters in Korea

Affiliations
  • 1Department of Obstetrics and Gynecology, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. parkst96@naver.com
  • 2Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Occupational and Environmental Medicine, Konkuk University Chungju Hospital, Chungju, Korea.

Abstract

The aim of this study, carried out before the beginning of human papillomavirus (HPV) vaccinations as a National Immunization Program (NIP) in Korea in 2016, is to assess the ranges of perceptions and personal experience and their influences on attitudes regarding HPV vaccinations of children, among mothers of adolescent (9-14 years of age) daughters in Korea. From November 2015 to February 2016, we distributed a written questionnaire to mothers who had daughters aged 9-14 years. The questionnaire consisted of several questions, related to knowledge of HPV, personal experiences of HPV vaccination, and attitudes toward HPV vaccinations of their adolescent daughters. Of the 260 questionnaires distributed, 140 participants returned answered ones. And although only 51% of participants were aware that cervical cancer is highly related with HPV infection, 70% said they were willing to vaccinate their daughters, showing that awareness does not coincide with intention to vaccinate. Among the participants showing negative attitudes, 50% were concerned about the vaccination side effects. The more the participants' pre-knowledge about HPV infection, and about the relationship of HPV to cervical cancer, the more positive their attitudes (P = 0.002, P < 0.001). Our study showed that, as the level of education rose, the proportion of mothers with negative attitudes toward vaccinating their adolescent daughters rose as well. Thus, the provision of correct education by health care providers and accurate information through active advertising may play an important role in increasing the vaccination rate among adolescent girls in Korea.

Keyword

Human Papillomavirus; Mothers' Attitude; Adolescent; Vaccination

MeSH Terms

Adolescent*
Child*
Education
Female
Health Personnel
Humans
Immunization Programs
Intention
Korea*
Mothers*
Nuclear Family*
Uterine Cervical Neoplasms
Vaccination*

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Reference

1. Lee Y, Lim MC, Kim SI, Joo J, Lee DO, Park SY. Comparison of quality of life and sexuality between cervical cancer survivors and healthy women. Cancer Res Treat. 2016; 48:1321–1329.
2. World Health Organization. Human papillomavirus vaccines: WHO position paper, October 2014. Wkly Epidemiol Rec. 2014; 89:465–491.
3. Han KT, Kim SJ, Lee SY, Park EC. Cost-effectiveness analysis of HPV vaccination: comparing the general population with socially vulnerable individuals. Asian Pac J Cancer Prev. 2014; 15:8503–8508.
4. Kelly BJ, Leader AE, Mittermaier DJ, Hornik RC, Cappella JN. The HPV vaccine and the media: how has the topic been covered and what are the effects on knowledge about the virus and cervical cancer? Patient Educ Couns. 2009; 77:308–313.
5. World Health Organization. Evidence based recommendations on human papilloma virus (HPV) vaccines schedules: background paper for SAGE discussions [Internet]. cited 10 June 2016. Available at http://www.who.int/immunization/sage/meetings/2014/april/1_HPV_Evidence_based_recommendationsWHO_with_Appendices2_3.pdf.
6. Elam-Evans LD, Yankey D, Jeyarajah J, Singleton JA, Curtis RC, MacNeil J, Hariri S; Immunization Services Division, National Center for Immunization and Respiratory Diseases. Centers for Disease Control and Prevention (CDC). National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17 years--United States, 2013. MMWR Morb Mortal Wkly Rep. 2014; 63:625–633.
7. Davis K, Dickman ED, Ferris D, Dias JK. Human papillomavirus vaccine acceptability among parents of 10- to 15-year-old adolescents. J Low Genit Tract Dis. 2004; 8:188–194.
8. 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; 30:3546–3556.
9. Laz TH, Rahman M, Berenson AB. An update on human papillomavirus vaccine uptake among 11-17 year old girls in the United States: National Health Interview Survey, 2010. Vaccine. 2012; 30:3534–3540.
10. Dahlström LA, Tran TN, Lundholm C, Young C, Sundström K, Sparén P. Attitudes to HPV vaccination among parents of children aged 12-15 years-a population-based survey in Sweden. Int J Cancer. 2010; 126:500–507.
11. Mullins TL, Griffioen AM, Glynn S, Zimet GD, Rosenthal SL, Fortenberry JD, Kahn JA. Human papillomavirus vaccine communication: perspectives of 11-12 year-old girls, mothers, and clinicians. Vaccine. 2013; 31:4894–4901.
12. Hertweck SP, LaJoie AS, Pinto MD, Flamini L, Lynch T, Logsdon MC. Health care decision making by mothers for their adolescent daughters regarding the quadrivalent HPV vaccine. J Pediatr Adolesc Gynecol. 2013; 26:96–101.
13. Reiter PL, McRee AL. Correlates of receiving recommended adolescent vaccines among youth with special health care needs: findings from a statewide survey. Vaccine. 2016; 34:3125–3131.
14. McRee AL, Gottlieb SL, Reiter PL, Dittus PJ, Tucker Halpern C, Brewer NT. Human papillomavirus vaccine discussions: an opportunity for mothers to talk with their daughters about sexual health. Sex Transm Dis. 2012; 39:394–401.
15. Gilkey MB, Magnus BE, Reiter PL, McRee AL, Dempsey AF, Brewer NT. The vaccination confidence scale: a brief measure of parents’ vaccination beliefs. Vaccine. 2014; 32:6259–6265.
16. Gilkey MB, Reiter PL, Magnus BE, McRee AL, Dempsey AF, Brewer NT. Validation of the vaccination confidence scale: a brief measure to identify parents at risk for refusing adolescent vaccines. Acad Pediatr. 2016; 16:42–49.
17. Shah PD, McRee AL, Reiter PL, Brewer NT. What parents and adolescent boys want in school vaccination programs in the United States. J Adolesc Health. 2014; 54:421–427.
18. Seven M, Güvenç G, Şahin E, Akyüz A. Attitudes to HPV vaccination among parents of children aged 10 to 13 years. J Pediatr Adolesc Gynecol. 2015; 28:382–386.
19. Ezenwa BN, Balogun MR, Okafor IP. Mothers’ human papilloma virus knowledge and willingness to vaccinate their adolescent daughters in Lagos, Nigeria. Int J Womens Health. 2013; 5:371–377.
20. Yu Y, Xu M, Sun J, Li R, Li M, Wang J, Zhang D, Xu A. Human papillomavirus infection and vaccination: awareness and knowledge of HPV and acceptability of HPV vaccine among mothers of teenage daughters in Weihai, Shandong, China. PLoS One. 2016; 11:e0146741.
21. Jaspers L, Budiningsih S, Wolterbeek R, Henderson FC, Peters AA. Parental acceptance of human papillomavirus (HPV) vaccination in Indonesia: a cross-sectional study. Vaccine. 2011; 29:7785–7793.
22. Mortensen GL. Parental attitudes towards vaccinating sons with human papillomavirus vaccine. Dan Med Bull. 2010; 57:A4230.
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