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J Korean Acad Nurs Vol.41 No.

5, 715-723
Journal of Nursing Article 41 No. 5, 2011 October

Effectiveness of HPV vaccination conducted training for
female students
YieunjiOne· Gimhyeonok2
Yonsei University doctoral student, 2Chonbuk National University College of Nursing Professor

Effects of Human Papillomavirus Vaccination Education on College
Women's Knowledge, Health Belief, and Preventive Behavior Intention
Lee, Eun-Jee·Kim, Hyeon-Ok
Doctoral Student, Yonsei University, Seoul
Professor, College of Nursing, Chonbuk National University, Jeonju, Korea

Purpose: This study was done to evaluated the effects of Human Papillomavirus (HPV) vaccination education on
college women's knowledge of HPV, health beliefs (perceived severity and perceived susceptibility), and
preventive behavior inten- tion. Methods: A nonequivalent control group pretest-posttest design with repeated
measures was used. Participants were 125 female college students in one university, assigned to an
experimental group (72 students) and control group (53 students). Results: Two weeks after the intervention, the
experimental group reported higher scores of knowledge, perceived severity, perceived susceptibility, and
preventive behavior intention than the control group. All follow-up scores except intention mea-sured at 5 weeks
after the intervention from the experimental group remained still higher than those from the control group.
Conclusion: The results suggest that the variable of preventive behavior intention which is believed to be the
closest predictor of real vaccination rate could be affected by the education, but did not remain at the same level
at 5 weeks. Therefore, addi- tional interventions may need to be provided before the educational effect on
preventive behavior intention is greatly diminished.

Key words: Papillomavirus vaccines, Education, Knowledge, Health behavior, Intention

Introduction It takes to the death or hysterectomy for essentially removing the tumor
1. The need for research As a result is said to bring spiritual damage as loss of identity
and beauty of women, bodily damage, depression (Jeong,
Cervical cancer is caused Korean female cancer Ranking second 1988). It is therefore very important to prevent this.
was that cervical cancer occurs up to 3616 people in 2007, Recently HPV (Human Papilloma Virus) is a cervical cancer It has
resulting in the deaths reaches 900 people per year (National been cited as the main cause. If cervical cancer is caused by
Cancer Information Center [NCIC], 2010; The Ko- rean Society persistent high-risk HPV infection in 120 species of 20 species
of Infectious Disease [KSID], 2007) . Also in women under 45 of the entire human papilloma virus (KSID, 2007). In Korea,
years worldwide second about 50 million new cases each year women appear as a precancerous uterine cervix and HPV part
in the most common cancer in women due to the death of 27 is positive in 91% of patients with cervical cancer, HPV is a
million people which (Korean Associa- tion of Obstetricians & necessary condition without HPV infection and cervical cancer,
Gynecologists [KAOG], 2009). Cervical Cancer cervical cancer incidence occurs almost

Key words: HPV vaccination, education, knowledge, intent
* This paper is written will modify based on the thesis of the first author yieunji.
* This article is a revision of the first author's master's thesis from Chonbuk National University.
Address reprint requests to: Kim, Hyeon-Ok
Professor, College of Nursing, Chonbuk National University, San 2-20 Geumam-dong, Duckjin-gu, Jeonju 561-
180, Korea Tel: + 82-63-270-3120 Fax: + 82-63-270-3127 E-mail:
Contribution day: 15th March 2011 commissioned review: 3 May 31, 2011, scheduling verifications Posted: 10

kan. 2011 © 2011 Korean Society of Nursing Science www.or.May | ISSN 2005-3673 .


Waller. became Gynecologic students before and after the 20-year-old knowledge Oncology call POSCO Blood Institute (Kim. In the I effectively increase the coverage area Preventive US. knowledge in the implementation of health promoting The prevention of genital HPV infection (KSID. Evans. ie. such as vaccination Bond is not enough to (2010). In addition to necessary increases of cancerous lesions. perceived susceptibility and disease.4040/jkan. 2009. http://dx. pre.. Korea in 2007. Meijer. this group of researchers Academy of Pediatrics issued a guideline Bar HPV virus for conducted a six HPV-related education of female vaccination (Laurie. et al. 2007). Muñoz. 2007). Current HPV vaccines to prevent cervical cancer Most receive a certain way attention among professionals.kan. 2009). immunization targeted at women around the age of KSID. 2007. This study was also selected to act as the leading cause of health-promoting behaviors implemented as a theoretical study of the health belief model framework as a key variable.doi. 2007). 2007. Kim & Park. HPV You can not do (Bosch.2011. Lorincz. 2007). 2010). Korea's only 20 years before and after the women's first sexual experience increases starting and HPV infection rate is also the highest (Kim. KH. so (Han et al. 2007 .5. 2009) earlier in order to increase the coverage to other HPV prevention interventions are considered time education is most needed. Rosenstock (1966) is knowledge exerts a direct and indirect impact on the behavior. In particular. Kim. Therefore. the introduction and for Academy of Pediatrics Infection Committee (Kim. this 16-26-year-old woman.. it is necessary to increase the level of knowledge through education to improve the health behaviors performed (Sabates & Feinstein. behaviors.716 Kim Hyun- yieunjijade low.. how severe Results and feel that can cause. & Shah.41. Kim & Ahn . Thus. respectively HPV vaccination guidelines It was announced. 20Education about the species It is necessary to find out HPV vaccine is the occurrence of carcinoma in situ formation. that is. increased knowledge through education is the extent to which perception that he is a high risk for the disease. CJ et al. 2009. 2007) for about HPV vaccination. & Wardle. but a very low level of knowledge about kernel oil two kinds of virus and vaccination of the general public (Choi et al.. et al.. Therefore.715 . BG. the effect. given the impact on the perceived seriousness of yihaengryul was planning to increase the health promoting behavior..or. Han et al. 2002. Marlow. knowledge level is very www. according to the results of induce one educational interventions alone as a health study of 18. in 2010 the US Centers necessary to provide retraining and additional for Disease Control and Prevention and the American interventions.000 patients who received the HPV vaccination promoting behaviors increased. HPV vaccine was licensed in 2006. 2006). subjects lacking this knowledge. the initial HPV vaccine group has abnormal cervical smear results than training is provided after the need to provide a brighter the control group significantly less virus vaccination It time of the Hebrews is not appropriate to add mediation appeared to be effective in preventing cervical cancer. MuñozEt al.

Hypothesis 3. and 2.4040/jkan. There will be changes in the amount of phase difference between the perceived sensitivity of the female students and female students who did not receive the HPV vaccination for HPV education. intent on immunization The duration of the training effects reported ah know the 2.2011. perceived susceptibility. perceived seriousness. Study Design This research and training related to HPV vaccination for college. Research targets impact will be evaluated. Hypothesis Hypothesis 1. There will be changes in the amount of phase difference between the perceived severity of HPV to female students and female students who did not receive the HPV vaccination education. perceived severity.715 www. two kinds of kernel oil intended vaccination. Research Methods HPV vaccination college education and college student did not receive HPV knowledge of the changes of the scores received will be different. Hypothesis 2. Hypothesis 4. Purpose the early and mid 20 Korean population is close in April 2010 University attending the university at the time of the current J The purpose of this study was to investigate the impact of HPV vaccination on the college education of HPV-related knowledge.College conducted a training of HPV vaccination effect five weeksIt was ignore.kan. preliminary research immediately after the only group on HPV vaccination of 40 minutes groups and he was educated. 717 Perceived severity. we investigated the perceived sensitivity and kernel oil two kinds of vaccination intentions. Target population of the study subjects were women.41.doi. Experimental and control groups for both general characteristics as a prior investigation. After two weeks of training one thread each primary and secondary research post after http://dx.5.or. HPV vaccination college education and college student did not receive HPV vaccination intention of changing patterns will be receiving the primary teeth. . and similar experimental studies before and after non equivalence controls to determine their effectiveness. which papilloma virus- related knowledge. perceived susceptibility.

after determining the initial sample size considering talrakryul in the follow-up survey after training five weeks and found to as experimental and control groups over 80 persons each J 5 were expressing any lessons.2) program.. Detailed 1) General Characteristics of the subjects selection criteria of the subjects did not have kernel oil The general characteristics of the subjects appeared to affect the two kinds of vaccination as attending non-medical usual two kinds of anti-virus kernel oil coverage through a literature family and no experience received relevant training.80 the power of the http://dx.20.05. the effect size to the . 20 www. was calculated significance level α = .1.2011.5. It was because CJ et al..20 coming. 2004). Calculation results of sample 1 was not subject groups need two groups of 84 people with a minimum of 42 people required. The selection of subjects in collegeThe first reason is that questions HPV knowledge.or. 53 people were total of 125 data are used to analyze the recovery rate is 66%. and human papilloma virus HPV education to understand the purposes of this study.doi. religion.41. development The degree of freedom of the molecule 2. HPV vaccination intention 4 questions.718 Kim Hyun- yieunjijade The Saint. in writing. tools (version 3. .kan. examined the prevalence of cervical was the person who agreed to participate in the study cancer that self so training conducted for 40 minutes once the sample size was calculated. In the university at the time of the study design is preliminary research. review of previous studies That the persons who have never heard there is no physical or mental problems involved in about the idea. Calculate the appropriate sample size to evaluate the effect of the mutual interaction between 2) HPV knowledge the groups and the time was using the G-power Kim and Ahn (2007) the four HPV knowledge. (Kim.78 yieoteuna This training was conducted over a four- week total of 10 times. the whole 190 people were selected to take the girls being taught in person 96 people research groups. HPV infection is highest when it is 20-24 years old (Joo et al. education Two weeks later. The results of previous research in the education of Kim (2009) Calculate the effect size on the intended papillomavirus vaccination results 0. nine in the open set to lead a small effect size of 0. and the domestic women consists of a total of 35 items of perceived susceptibility three The average age of sexual intercourse were 21 longitudinal research questions. perceived severity 3 questions. it vaccination for health.715 .4040/jkan. 2007). 3. Research Tools Research tools are generally Characteristics 5 questions. The questionnaire was written all of the data collected were 72 people investigated all three times or did not participate except falsely created 66 groups and a control group. the control group was 94 people.

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data via a beam projector.715 . focused on the 1) Data collection methods potential severity and prevention of cervical cancer. the dependent variable of HPV- conducted training for cervical cancer and cervical cancer related knowledge for the test and for the perceived severity.2011. a paired t-test was performed to evaluate the change of each section of each variable per test subjects the purpose was being http://dx. All study chair and research characteristics of the person and the dependent variable was assistants were involuntarily whether any group is the performed t-test. written consent to students who Cron. religion. Black homogeneity of the general responsible for all the survey. Fisher's exact test.or.bach's alpha and KR-20. prevention. development (30 minutes). Duration of the questionnaire 1. Training lectures were determined to cooperate with an explanation of materials were revised this study is the advice to advisors the need for and the course of study. and more training were given in Table 1. and human papilloma virus Are you heard about the vaccination. The homogeneity of the general characteristics and the responses was 10-15 minutes after a questionnaire in order to dependent variable black improve the recovery rate of recovery was created shortly after the end of completing the questionnaire and provided gifts to the students who participated in the survey. The reliability of the measurement tool was calculated compensation or no risk.4040/jkan. vaccination intent of this study 40 minutes. Data analysis dates in the control group. agree to study participation after explaining that the right not to respond to the study in accordance with the free will to complete the questionnaire by following the instructions on Results the question how to write . direct group. research assistant was the one was analyzed. If the experimental group and the control group was training study is installed suffice if only the home of the old form were protocols this study researchers have determined to promote black with Repeated Measures ANOVA univariate analysis.0 statistical program following It of experimental education. 20 early high sensitivity of HPV in women. Data collection period was from April 27. education on HPV vaccination target groups per perceived susceptibility. Summary of the Education Program: Contents and Methodologies Components Contents Methodologies www.720 Kim Hyun- yieunjijade 4. no commercial interests related to the experimental group were selected girls being taken of the remaining three start 5. In addition. In addition. clean up confirming any expression not treat HPV negative about the (5 min). 2010 to June 8 characters Education was the lecture method was presented to the PPT go by stocking questionnaire and collected data. this training and Information. it was 2) HPV vaccination HPV vaccination training HPV whether the cervical cancer research around the experimental prevention education is back That the transfer of knowledge and control groups did not show statistically significant associated with new vaccination refers to the group differences.doi.kan. The researchers were responsible only for HPV vaccination The collected data using SPSS 17. Chi square test. In addition. create educational content through a review of is what pharmaceutical companies and even the girls the literature was distributed in print for training when described being taken of two start dates after that there are subjects. General characteristics Perceived Health Status. Training program consists of When J After a five lectures a professor at the university introducing (5 minutes). Research the proceedings Provide basic knowledge about the arch cancer and HPV vaccination.5. education party Table 1. it the consistency of survey methods and procedures for does not meet the statistical value of a multivariate analysis research assistant research assistant is of the study to the was used.

betweenprevalence. medical cervical cancer http://dx.41. method.715 www.College conducted Introduction a training of HPV vaccinationIntroduction (5 min) effect of lecturer Lecture 721 Allotted time and power point proceedings Uterus: Anatomical position and function of uterus Development (30 min) Cervicalrelationship Causal cancer: Definition. characteristics. HPV prognosis Lecture Principle of cervical cancer prevention power point HPV: definition.5.or.kan. infection . adverse effect of HPV vaccination Summary (5 min) Summary Q&A HPV = Human Papillomavirus. symptom HPV infection rate of women in 20s Introduction of HPV vaccination Effect.4040/jkan.2011.

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Kim. Kim.ics and Gynecology. Effects of prevention education on human papillomavi. Seoul. 50. Kim. Kim. Body image and depression in post-hysterectomy patients. BG. interventions are needed to improve.0000245915. CJ. YT. YM. KV (2002). Gerend. JK. 259-283. REFERENCES Amy. 28-34. SW (2009).lomavirus in female university students. NT. Part. A study on the knowledge of human papillomavirus and cervi-cal cancer in nurses.The development College of a variety conducted a training of other educational of HPV vaccination effect Korean Academic Society of Nursing Edu. Kim. JE (2007). 19. Preventive Medicine. Kim.1097 / 01. Kim. 15. SY. JH. Predictors of human pap. 15. CJ. Journal of Clinical Pathology. 309-316. Ji. Journal of http://dx.ypmed. KS. Kim.1016 / j. MK (2009).logic Oncology and Colposcopy. Unpublished master's thesis. Korean Journal of Obstetir. 34. et al. Korean Journal of Gyneco. BG. Kim. Kim. Sex.1040 / jkan / 2009. Kim.2007. SR. (2007). YJ. & Shah. Jeong. (2007).5. & Shepherd. Predictors of HPV vaccine accept. Suh.05. College women's knowledge. CJ. Kang. 107-114. 468-471. SC. GH (1988). 225- 725 231. Sexual behavior of Korean young women: Preliminary study for the introducing of HPV prophylactic vaccine. 39. & Shin.doi. EJ. Unpublished master's thesis.490 Kim. Lee. Kim. NW. 490-498.41. Lee.39. HJ. American Journal of Health Studies. MA. Gangneung. Kim. 13. SN.kan. Prevalence of human papillomavirus infecton in Korean women: Risk of abnormal pap smear and cervical neoplasia. 1090-1099. Knowledge of Human papillomavirus infection and acceptability of vaccination among adult women in Korea. doi: 10. FX. Bosch. (2004). HW (2009).olq.715 . Korean Journal of Women Health Nursing. YM. and preventive behaviors regarding human papillomavirus infection and cervical can- cer.ture acceptance of vaccination among girls in their late teens in Korea.. 244-265. 18.cation. (2007). et al. 18. NH. Kwandong University. JH. perceptions. MK.013 Choi. JH.illomavirus vaccination acceptability among underserved women. linked to cervix cancer for unmarried female university students. 209- 218. Kim. Korean Journal of Gynecologic Oncology and Colposcopy. KI (2007).ogy and Colposcopy for quadrivalent human papillomavirus vaccine. Knowledge regarding cervical cancer. et al. DS. 51. et al. & Ahn. Kim. HW. YM. Korean Journal of Obstetrics and Gynecology. 13-20. (2004). Journal of Korean Academy of Nursing. 55. systematic review. The causal relation between human papillomavirus and cervical cancer. 617-623. Kim. Study on the knowledge of cervical cancer and human papillomavirus and preventive behavior intention of female university students.2011. Lee. doi: 10. Kim. & Fazekasa. Liu. Ewha Womans University.or. B. Kim. KA. Korean Journal of Gyne. HY (2007). 38315. SC. Joo. DY. A.. & Han. SC.ually Transmitted Diseases. HR (2008). YT. Meijer.4. Study on the knowledge of human papil. Kim. Muñoz. 45. SH. doi: 10.4040/jkan. Lorincz. Kim. Brewer.cologic Oncology and Colposcopy.ability: A theory-informed. human papillomavirus and fu. Recommendation guideline of Korean Society of Gynecologic Oncol. WD. Lee. N.

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