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博碩士論文 etd-1112116-151535 詳細資訊
Title page for etd-1112116-151535
論文名稱
Title
探討女性對於施打子宮頸癌疫苗的知識、態度與行為
The Knowledge, Attitude and Behavior of Human Papilloma Virus (HPV) Vaccine among Females.
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
87
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2016-12-08
繳交日期
Date of Submission
2016-12-12
關鍵字
Keywords
知識、態度、行為、子宮頸癌疫苗、子宮頸癌
Cervical Cancer, HPV Vaccine, Behavior, Attitude, Knowledge
統計
Statistics
本論文已被瀏覽 5708 次,被下載 34
The thesis/dissertation has been browsed 5708 times, has been downloaded 34 times.
中文摘要
目的:
本研究主要在於探討女性對於施打子宮頸癌疫苗的知識、態度、行為,並且了解子宮頸癌疫苗的接種率。
研究方法:
本研究以女性的網路使用者為研究對象,採用網路問卷進行調查,問卷內容以KAB模型為基礎所擬定,經過專家效度以及前測反覆修正後,正式發放,問卷收集共355份,扣除無效問卷12份,共獲得333份有效問卷,以SPSS21.0進行分析,包含單因子變異數分析、獨立樣本t檢定、皮爾森相關係數以及多元迴歸分析。
研究結果:
受測者主要年齡層在於21-25歲(佔45.3%),教育程度以大專院校佔大多數(73.6%)。二、疫苗的施打率為20.4%(68人施打過),明顯偏低。三、施打子宮頸癌疫苗知識,平均分數34.3(總分50分),表示民眾對於子宮頸癌普遍有正確的知識觀念;施打子宮頸癌疫苗的態度,平均分數19.325分(總分25分),表示民眾多持正面態度;施打子宮頸癌疫苗行為,平均分數19.467分(總分25分),表示大多數人願意去去施打疫苗,但行為會受政策、傳播媒體等影響。
結論:
施打子宮頸癌疫苗的知識、態度、行為有顯著的正相關,因此政府的政策、宣導,都會影響民眾施打的意願,若要提高子宮頸癌疫苗的施打率,可以從醫療院所提供民眾概念,並且利用網路等媒體宣傳,讓更多年輕族群瞭解子宮頸癌疫苗的重要性,以提升施打率。
Abstract
The research tried to understand the knowledge, attitude and behavior of female for HPV vaccine, and the vaccination rate of HPV vaccine. The data have been collected from the female internet user. A total of 355 questionnaires were collected, and 333 questionnaires were valid. The data collected were analyzed with descriptive statistics, Cronbach’s α, independent sample t test, one-way ANOVA, Pearson correlation analysis and multiple linear regression analysis. The main findings were as fellows:(1) The main age group was 21-25 years old (45.3%). The education level
Universities group was the majority (73.6%). (2) The HPV vaccination rate was 20.4% (68 people were vaccinated), which is significantly low. (3) The mean score of knowledge was 34.3 (total score was 50) . This means general female’s knowledge toward HPV vaccine was correct. The mean score of attitude was19.325 (total score was 25), it shows general female’s attitude toward HPV vaccine was positive. The mean score of behavior was 19.467 (total score was 25), which means most people are willing to seek vaccination, but the behavior will be affected by the policy and the media. There was a significant positive correlation between the knowledge, attitude and behavior. As a result, the government’s policy and propaganda will affect the people’ s willingness to vaccination. If the government want to improve the rate of vaccination, it can provide people concept from medical institutions and use the Internet or media to promote HPV vaccine letting more young generation understand the important of being vaccinated and enhance the rate of vaccination.
目次 Table of Contents
論文審定書 i
致謝 ii
中文摘要 iii
Abstract iv
目錄 v
圖次 vi
表次 vii
第壹章 緒論 1
第一節 研究背景 1
第二節 研究目的 3
第三節 研究流程 3
第貳章 文獻探討 5
第一節 知識態度行為理論 5
第二節 人類乳突病毒與子宮頸癌的定義 8
第三節 目前子宮頸癌疫苗的接種現況 11
第四節 文獻整理 15
第五節 文獻探討小節 18
第叁章 研究方法 19
第一節 研究流程架構與假說 19
第二節 研究對象與資料來源 20
第三節 研究變相操作型定義 21
第四節 問卷設計 23
第五節 問卷預試分析 25
第六節 資料處理分析 27
第四章 研究結果 28
第一節 個人基本資料分布 28
第二節 描述性統計分析 30
第三節 問卷因素分析 37
第四節 個人基本資料與施打子宮頸癌疫苗知識、態度行為之差異性 42
第五節 施打子宮頸癌疫苗的知識態度行為相關係數分析 47
第六節 對於施打子宮頸癌疫苗的知識態度行為之多元線性迴歸分析 49
第伍章 研究討論 54
第一節 問卷回收情形及樣本代表性 54
第二節 研究結果討論 55
第陸章 結論與建議 59
第一節 結論 59
第二節 研究限制 60
第三節 未來建議 61
參考文獻 62
附錄一 專家效度評定問卷 68
附錄二 前測問卷題目 72
附錄三 正式問卷題目 75
參考文獻 References
潘豐泉(Frank F. C. Pan) ; 黃俊英 (Jyun-Ying Huang) ; 蘇惠甘 (Hui-Kan Su) (2012). 家長特質對自費子宮頸癌疫苗接種之行為意圖影響效果. 寶建醫護與管理雜誌, 10(2).
溫麗芬(Li-Fen Wen);洪麗珍(Li-Chen Hung);張彩秀(Tsai-Hsiu Chang). (2008). 青少女自費接種子宮頸癌疫苗意向之相關因素探討. 臺灣公共衛生雜誌,, 27(2).
陳慧主(Hui-Chu Chen) ;陳啓煌(Chi-Huang Chen) (2010). 施打子宮頸癌疫苗應有的認識. 長庚護理, 21卷2期.
宋丕錕. (2006). 癌症的預防與篩檢. 聲洋防癌之聲.
李名揚. (2007). 子宮頸癌剋星﹣伊安.佛雷塞. 科學人雜誌, 第71期1月號.
李耀泰. (2003). 子宮頸癌的最大元兇-認識人類乳突病毒.
取自 http://www.kgh.com.tw/health/04-117.html 105年10月26日
林惠珊. (2014). 臺灣外食族對食品標示知識、態度及行為暨與BMI關係之研究. 成功大學.
邱宜令;蘇娜鴻;戴鳳琴;吳素華;鍾舒芸;李玉霞;蘇斌光. (2013). 婦女對子宮頸癌認知及子宮頸抹片態度之相關性-以屏東縣東港地區為例. 助產雜誌, (55), 46-56.
財團法人台灣癌症基金會. (2006). 台灣女性『子宮頸癌認知調查』公佈(2006).
梁慧敏. (2007). 淺談子宮頸癌疫苗.
取自 http://www.mmh.org.tw/MackayInfo2/article/B292/71.htm 105年10月31日
陳依琪 ; 李弘暉 ; 林宜柏 ; 林雅雯 ; 羅雅齡 ; 呂怡佩 ; 柯虹茜 ; 鍾怡君 (2008). 影響婦女進行子宮頸抹片檢查之因素探討-以三重新莊地區為例. 亞東學報.
GARDASIL9 Human Papillomavirus 9-valent Vaccine, Recombinant. (2016). 取自 https://www.gardasil9.com/ 105年11月23日
Mark Jit mathematical modeller, Ruth Chapman mathematical modeller, Owain Hughes clinical research fellow , Yoon Hong Choi mathematical modeller (2011). Comparing bivalent and quadrivalent human papillomavirus vaccines: economic evaluation based on transmission model. The BMJ 2011. doi: 10.1136
Aishwarya Navalpakam , Mohammed Dany , & Hussein, I. H. (2016). Behavioral Perceptions of Oakland University Female College Students towards Human Papillomavirus Vaccination. PLoS ONE, 11(5).
Alex Gomez-Marin, Joseph J Paton, Adam R Kampff, & Mainen, R. M. C. Z. F. (2014). Big behavioral data: psychology, ethology and the foundations of neuroscience. Nature Neuroscience, 17, 1455–1462 doi: 10.1038/nn.3812
Arda Borlu, Osman Gunay*, Elcin Balcı, & Sagıroglu, M. (2016). Knowledge and Attitudes of Medical and Non-Medical Turkish University Students about Cervical Cancer and HPV Vaccination. Asian Pacific Journal of Cancer Prevention, 17.
JACINTA BOWLER. (2016). The HPV vaccine has cut infections by up to 90% in the past 10 years. 取自http://www.sciencealert.com/the-hpv-vaccine-has-halved-cervical-cancer-rates-in-the-past-10-years
CDC. (2014). Basic Information About Cervical Cancer.
取自 http://www.cdc.gov/cancer/cervical/basic_info/ 105年10月29日
CDC. (2015). HPV Vaccine Information For Young Women.
取自 http://www.cdc.gov/std/hpv/stdfact-hpv-vaccine-young-women.htm 105年10月31日
CDC. (2016). HPV Vaccines: Vaccinating Your Preteen or Teen.
取自 http://www.cdc.gov/hpv/parents/vaccine.html 105年11月23日
CDC. (2016). Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. Some health effects caused by HPV can be prevented with vaccines.
取自 http://www.cdc.gov/std/hpv/stdfact-hpv.htm 105年10月26日
The FUTURE I/II Study Group (2010). Four year efficacy of prophylactic human papillomavirus quadrivalent vaccine against low grade cervical, vulvar, and vaginal intraepithelial neoplasia and anogenital warts: randomised controlled trial. The BMJ. doi: 0.1136
Kwan TT1, Chan KK, Yip AM, Tam KF, Cheung AN, Lo SS, Lee PW,Ngan HY (2009). Acceptability of human papillomavirus vaccination among Chinese women: concerns and implications. BJOG, 116:501–510.
Mari Kannan Maharajan, Kingston Rajiah, Kelly Sze Fang Num, & Yong, N. J. (2015). Knowledge of Human Papillomavirus Infection, Cervical Cancer and Willingness to pay for Cervical Cancer Vaccination among Ethnically Diverse Medical Students in Malaysia. Asian Pacific journal of cancer prevention, 16.
Mark A. Kane, Jacqueline Sherris, Pierre Coursaget, Teresa Aguado, Felicity Cutts (2006). HPV vaccine use in the developing world. Vaccine, 24S3 (2006) S3/132–S3/139
Mark Jit, Marc Brisson*, Allison Portnoy*, Raymond Hutubessy (2014). Cost-effectiveness of female human papillomavirus vaccination in 179 countries: a PRIME modelling study.
取自 http://www.thelancet.com/journals/langlo/article/PIIS2214-109X(14)70237-2/abstract?rss=yes 105年11月17日
Saul McLeod (2014). Attitudes and Behavior.
取自 http://www.simplypsychology.org/attitudes.html 105年9月22日
NCCC. (2016). Cervical Cancer Overview.
取自 http://www.nccc-online.org/hpvcervical-cancer/cervical-cancer-overview/ 105年10月29日
Schwartz NE. (1975 Jan). Nutritional knowledge, attitudes, and practices of high school graduates. Journal of the American Dietetic Association, 66(1), 28-31.
Ng Beng Kwang, Choy Mun Yee, Lim Pei SHan, Chew Kah Teik, Kampan Nirmala Chandralega, Kadir, A. K. A., & Hatta, M. D. A. Z. (2014). Knowledge, Perception and Attitude Towards HumanPapillomavirus among Pre-university Students in Malaysia. Asian Pacific Journal of Cancer Prevention, 15.
P.G. Schrader, P., and Kimberly A. Lawless, PhD. (2004). The knowledge, attitudes, & behaviors approach how to evaluate performance and learning in complex environments.
取自 http://onlinelibrary.wiley.com/doi/10.1002/pfi.4140430905/abstract 105年11月17日
Patel H, A.-S. K., Sherman SM, Tincello D, Moss EL. (2016). Knowledge, attitudes and practices regarding human papillomavirus vaccination among young women attending a tertiary institution in Singapore. Journal of Public Health (Oxford), 57(6): 329-333.
Selda Yörük*, Açıkgöz, A., & Ergör, G. (2016). Determination of knowledge levels, attitude and behaviors of female university students concerning cervical cancer, human papiloma virus and its vaccine. Yörük et al. BMC Women's Health, 16:51.
Siraporn Kruiroongroj, Usa Chaikledkaew, & Thavorncharoensap, M. (2014). Knowledge, Acceptance, and Willingness to Pay for Human Papilloma Virus (HPV) Vaccination among Female Parents in Thailand. Asian Pacific Journal of Cancer Prevention, 15.
American Cancer Society (2014). Signs and symptoms of cervical cancer. 取自http://www.cancer.org/cancer/cervicalcancer/moreinformation/cervicalcancerpreventionandearlydetection/cervical-cancer-prevention-and-early-detection-cervical-cancer-signs-and-symptoms 105年10月31日
Songthap A, Pitisuttithum P, Kaewkungwal J, Fungladda W, & V., B. (2012). Knowledge, attitudes, and acceptability of a human papilloma virus vaccine among students, parents and teachers in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 43(2).
Swarnapriya K, Kavitha D, & GM., R. (2015). Knowledge, Attitude and Practices Regarding HPV Vaccination Among Medical and Para Medical in Students, India a Cross Sectional Study. Asian Pacific Journal of Cancer Prevention, 16 (18).
Dr. CJ Tseng (2010). TAIWAN HPV WEB.
取自 http://www.csh.org.tw/dr.tcj/Teaching/HPV web/Vaccine.html 105年9月30日
Tung, I. L., Machalek, D. A., & Garland, S. M. (2016). Attitudes, Knowledge and Factors Associated with Human Papillomavirus (HPV) Vaccine Uptake in Adolescent Girls and Young Women in Victoria, Australia. PLoS ONE, 11(8), e0161846. doi: 10.1371/journal.pone.0161846
Venezuela, R. F., Monetti, M. S., Kiguen, A. X., Frutos, M. C., Mosmann, J. P., & Cuffini, C. G. (2016). Knowledge of the General Community in Cordoba, Argentina, on Human Papilloma Virus Infection and its Prevention. Asian Pacific Journal of Cancer Prevention, 17(5), 2689-2694.
Vico Chung Lim Chiang , Ho Ting Wong, Pui Chun Au Yeung, Yuk Ki Choi, Michelle Sum Yue Fok, Oi In Mak, . . . Wong, E. Y. Y. (2016). Attitude, Acceptability and Knowledge of HPV Vaccination among Local University Students in Hong Kong. International Journal of Environmental Research and Public Health, 13(5): 486.
Wayne C. Miller, P. (2010). Helping the Obese Patient Find Success.
取自https://www.westernschools.com/Portals/0/html/N1253/X73Fsj.html 105年11月17日
WHO. (2014). Weekly epidemiological record. 43(Human papillomavirus vaccines: WHO position paper, October 2014).
取自 http://www.who.int/wer/2014/wer8943/en/ 105年11月17日
WHO. (2016). Human papillomavirus (HPV) and cervical cancer.
取自 http://www.who.int/mediacentre/factsheets/fs380/en/ 105年10月28日
Yang Yu, Minglei Xu, Jiandong Sun, Ruiying Li, Meilan Li, Jianguang Wang, . . . Xu, A. (2016). 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. doi: 10.1371
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