Korean J Women Health Nurs.  2020 Mar;26(1):37-48. 10.4069/kjwhn.2020.03.07.

Factors influencing mothers’ intention to vaccinate their elementary school sons against human papillomavirus

• Park EY
• Kim TI

• KMID: 2501575
• DOI: http://doi.org/10.4069/kjwhn.2020.03.07

Abstract

Purpose
The purpose of this study was to identify the factors influencing mothers’ intention to vaccinate their elementary-school sons against human papillomavirus (HPV).
Methods
The participants were 151 mothers of fourth- to sixth-grade boys at three elementary schools in Daejeon, Korea. The data were analyzed using SPSS for Windows version 25.0. Descriptive statistics, the independent t-test, one-way analysis of variance, the Mann–Whitney U test, Pearson correlation coefficients, and multiple regression analysis were used.
Results
The mothers’ score for intention to vaccinate their sons against HPV was 5.04 out of 7. Self-efficacy (β=.60, p<.001) and subjective norms towards HPV vaccination (β=.30, p<.001) were significant factors influencing mothers’ intention to vaccinate their elementary-school sons against HPV. These factors accounted for 81.0% of HPV vaccination intention among mothers (F=160.84, p<.001).
Conclusion
The results of this study suggest that to increase the HPV vaccination rate for elementary-school boys, it is necessary to develop intervention strategies to improve mothers’ self-efficacy and subjective norms towards HPV vaccination and to verify the effects of those strategies. This research provides a foundation for designing interventions to increase the HPV vaccination rate of elementary-school boys.

Keyword

Papillomaviridae; Papillomavirus vaccines; Mothers; Intention; 인유두종바이러스; 인유두종바이러스 백신; 어머니; 의도

Reference

References

1. World Health Organization. Weekly Epidemiological Record (WER). 465 Human papillomavirus vaccines: WHO position paper [Internet]. Geneva: Author;2014. [cited 2020 Jan 21]. Available from: https://www.who.int/wer/2014/wer8943/en/.

2. de Martel C, Plummer M, Vignat J, Franceschi S. Worldwide burden of cancer attributable to HPV by site, country and HPV type. Int J Cancer. 2017; 141(4):664–670.

3. Kim HH, Choi IS, Bae SJ. Clinical significance and safety of HPV vaccine. J Korean Acad Soc Manag Care Pharm. 2019; 7(1):26–38.

4. Kim BG. Update of human papillomavirus vaccination. J Korean Med Assoc. 2015; 58(4):313–318.

5. Korea Centers for Disease Control and Prevention. An overview of immunization and efficacy of human papillomavirus vaccines [Internet]. Cheongju: Author;2014. [cited 2020 Jan 21]. Available from: http://www.cdc.go.kr/CDC/cms/content/mobile/45/61045_view.html.

6. Meites E, Kempe A, Markowitz LE. Use of a 2-dose schedule for human papillomavirus vaccination-updated recommendations of the Advisory Committee on Immunization Practices. MMWR Morb Mortal Wkly Rep. 2016; 65(49):1405–1408.

7. Johnson KL, Lin MY, Cabral H, Kazis LE, Katz IT. Variation in human papillomavirus vaccine uptake and acceptability between female and male adolescents and their caregivers. J Community Health. 2017; 42(3):522–532.

8. Caso D, Carfora V, Starace C, Conner M. Key factors influencing Italian mothers’ intention to vaccinate sons against HPV: the influence of trust in health authorities, anticipated regret and past behaviour. Sustainability. 2019; 11(23):6879.

9. Kim HW, Kim SE, Ahn HY, Lee EJ, Lee JL, Kang SY, et al. Association of the perceived severity of the human papillomavirus with the preventive intention of HPV infection in male adolescents: a cross-sectional survey. J Men’s Health. 2019; 15(2):e40–e50.

10. Walker TY, Elam-Evans LD, Singleton JA, Yankey D, Markowitz LE, Fredua B, et al. National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17 years - United States, 2016. MMWR Morb Mortal Wkly Rep. 2017 25; 66(33):874–882.

11. Korea Centers for Disease Control and Prevention. The 15th youth health behavior online survey statistics [Internet]. Cheongju: Author;2018. [cited 2020 Jan 21]. Available from: http://www.cdc.go.kr/yhs/yhshmpg/result/yhsresult/statsBookList.do.

12. Perez S, Tatar O, Shapiro GK, Dubé E, Ogilvie G, Guichon J, et al. Psychosocial determinants of parental human papillomavirus (HPV) vaccine decision-making for sons: methodological challenges and initial results of a pan-Canadian longitudinal study. BMC Public Health. 2016; 16(1):1223.

13. Askelson NM, Campo S, Lowe JB, Smith S, Dennis LK, Andsager J. Using the theory of planned behavior to predict mothers’ intentions to vaccinate their daughters against HPV. J Sch Nurs. 2010; 26(3):194–202.

14. Gerend MA, Shepherd JE. Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior. Ann Behav Med. 2012; 44(2):171–180.

15. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50(2):179–211.

16. Kang EH. Factors associated with parental intention to vaccinate elementary school boys against HPV: based on the theory of planned behavior [master’s thesis]. Suwon: Ajou University;2019. 80.

17. Mansfield LN, Onsomu EO, Merwin E, Hall NM, Harper-Harrison A. Association between parental HPV knowledge and intentions to have their daughters vaccinated. West J Nurs Res. 2018; 40(4):481–501.

18. Sherman SM, Nailer E. Attitudes towards and knowledge about human papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK. PLoS One. 2018; 13(4):e0195801.

19. Moon H. Factors affecting HPV vaccination rates of daughters aged 12 years. J Korean Biol Nurs Sci. 2018; 20(2):114–121.

20. Radisic G, Chapman J, Flight I, Wilson C. Factors associated with parents’ attitudes to the HPV vaccination of their adolescent sons: a systematic review. Prev Med. 2017; 95:26–37.

21. Park HS. Factors associated with parental intention to vaccinate adolescent daughters against HPV [master’s thesis]. Seoul: Seoul National University;2019. 106.

22. Shim JI, Ha YJ. Factors influencing intention for human papillomavirus vaccination among parents with elementary school girls. J Korean Acad Soc Nurs Educ. 2017; 23(4):367–377.

23. Kim HW, Ahn HY. Study on the knowledge of human papilloma virus in female university students. Korean J Women Health Nurs. 2007; 13(1):13–20.

24. Kim SY. Factors influencing the human papilloma virus vaccination using the theory of planned behavior in college students [master’s thesis]. Seoul: Chung-Ang University;2018. 56.

25. Hong S, Chung Y. Predictors of human papillomavirus vaccination of female adolescent mothers. J Digit Converg. 2019; 17(4):149–157.

26. Bird Y, Obidiya O, Mahmood R, Nwankwo C, Moraros J. Human papillomavirus vaccination uptake in Canada: a systematic review and meta-analysis. Int J Prev Med. 2017; 8(1):71.

27. Park HM, Oh HE. Factors associated with the intention of human papillomavirus vaccination among mothers of junior high school daughters. J Korea Contents Assoc. 2014; 14(8):307–318.

28. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Educ Q. 1988; 15(2):175–183.

29. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191–215.

30. Lu PJ, Yankey D, Fredua B, O’Halloran AC, Williams C, Markowitz LE, et al. Association of provider recommendation and human papillomavirus vaccination initiation among male adolescents aged 13-17 years-United States. J Pediatr. 2019; 206:33–41. e1.