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Awareness of and Attitudes toward Human Papillomavirus Vaccination among Adults in Korea: 9-Year Changes in Nationwide Surveys
Jin-Kyoung Oh, Bo Yoon Jeong, E Hwa Yun, Min Kyung Lim
Cancer Res Treat. 2018;50(2):436-444.   Published online May 10, 2017
DOI: https://doi.org/10.4143/crt.2017.174
AbstractAbstract PDFPubReaderePub
Purpose
Human papillomavirus (HPV) vaccination has been included in the National Immunization Program in Korea since 2016. We aimed to evaluate changes in the awareness of and attitudes toward HPV vaccination, among adults in Korea since the first introduction of the vaccines in 2007.
Materials and Methods
A nationwide population-based survey was conducted in 2016 for 1,200 nationally representative Korean men and women; the data obtained were compared with the data from the nationwide survey conducted in 2007.
Results
A significant increase in the awareness of HPV infection (35.8%) and vaccination (36.9%) was observed in 2016 from 13.3% and 8.6% in 2007, respectively. Willingness to be vaccinated against HPV decreased from 55.0% in 2007 to 25.8% in 2016, and the proportion of respondents expressing uncertainty increased from 28.3% in 2007 to 43.3% in 2016. Only 12.1% of men and 22.0% of women knew about the free national HPV vaccination program for girls, launched in June 2016. Younger women, with higher income level, awareness of the HPV vaccine, and perception of the seriousness of infections had a higher willingness to be vaccinated. A high education level, awareness of HPV infection and vaccination, and perception of the seriousness of infection were positively associated with the willingness of respondents to vaccinate their daughters.
Conclusion
Raising the awareness of HPV infection and vaccination with appropriate knowledge is necessary for the successful implementation of the national HPV vaccination program.

Citations

Citations to this article as recorded by  
  • An investigation into the human papilloma virus (HPV) vaccination among undergraduate medical students (A prospective cross-sectional KAP survey)
    Remah M Kamel, Aseel Alomari, Abeer Ismail, Rogayah Alballa, A’laa Almowallad, Laila Alsankari, Mona Sabsabi
    Obstetrics & Gynecology International Journal.2024; 15(5): 194.     CrossRef
  • Parental Factors Affecting Decision to Vaccinate Their Daughters against Human Papillomavirus
    Yoon Park, Moran Ki, Hyunju Lee, Jae-Kwan Lee, Jin-Kyoung Oh
    Cancer Prevention Research.2023; 16(3): 133.     CrossRef
  • Parental intention to vaccinate daughters with the human papillomavirus vaccine in Korea: a nationwide cross-sectional survey
    Yejin Ha, Kyeongmin Lee, Bomi Park, Mina Suh, Jae Kwan Jun, Kui Son Choi
    Epidemiology and Health.2023; 45: e2023076.     CrossRef
  • ARE WOMEN AWARE OF THE VACCINE AGAINST HUMAN PAPILLOMAVIRUS? A HOSPITAL-FOCUSED CROSS-SECTIONAL STUDY
    Ülkü Ayşe TÜRKER, Binali ÇATAK
    SDÜ Tıp Fakültesi Dergisi.2022; 29(2): 249.     CrossRef
  • Trends in cervical cancer screening rates among Korean women: results of the Korean National Cancer Screening Survey, 2005–2020
    Hye Young Shin, Yun Yeong Lee, Soo Yeon Song, Bomi Park, Mina Suh, Kui Son Choi, Jae Kwan Jun
    Journal of Gynecologic Oncology.2022;[Epub]     CrossRef
  • Perception of human papilloma virus (HPV) vaccination during the COVID-19 pandemic
    Ye Won Jung, Soo Youn Song, Won Kyo Shin, Su Min Chung, Ji Won Park, Heon Jong Yoo
    Medicine.2022; 101(43): e31389.     CrossRef
  • Awareness of and practice toward cancer prevention recommendations: results of the Korean National Cancer Prevention Awareness and Practice Survey in 2021
    Jin-Kyoung Oh, Eunjung Park, Byungmi Kim, Yoon-Jung Choi, E Hwa Yun, Min Kyung Lim, Jeong-Soo Im, Eun Young Park
    Epidemiology and Health.2022; 44: e2022068.     CrossRef
  • The emergence of oral cavity cancer and the stabilization of oropharyngeal cancer: Recent contrasting epidemics in the South Korean population
    Yuh‐Seog Jung, Jungirl Seok, Seri Hong, Chang Hwan Ryu, Junsun Ryu, Kyu‐Won Jung
    Cancer.2021; 127(10): 1638.     CrossRef
  • Enhanced disease progression due to persistent HPV-16/58 infections in Korean women: a systematic review and the Korea HPV cohort study
    Jaehyun Seong, Sangmi Ryou, JeongGyu Lee, Myeongsu Yoo, Sooyoung Hur, Byeong-Sun Choi
    Virology Journal.2021;[Epub]     CrossRef
  • Factors Associated with the HPV Vaccination among Korean Americans and Koreans: A Systematic Review
    Soojung Jo, Soo-Yeon Han, Connor A. Walters
    International Journal of Environmental Research and Public Health.2021; 19(1): 51.     CrossRef
  • Inequalities in Awareness and Attitude towards HPV and Its Vaccine between Local and Migrant Residents Who Participated in Cervical Cancer Screening in Shenzhen, China
    Wei Lin, Yueyun Wang, Zhihua Liu, Bin Chen, Shixin Yuan, Bo Wu, Lin Gong
    Cancer Research and Treatment.2020; 52(1): 207.     CrossRef
  • Multidimensional social and cultural norms influencing HPV vaccine hesitancy in Asia
    Li Ping Wong, Pooi-Fong Wong, Megat Mohamad Amirul Amzar Megat Hashim, Liyuan Han, Yulan Lin, Zhijian Hu, Qinjian Zhao, Gregory D. Zimet
    Human Vaccines & Immunotherapeutics.2020; 16(7): 1611.     CrossRef
  • Chinese Residents’ Perceptions of COVID-19 During the Pandemic: Online Cross-sectional Survey Study
    Tingting Cui, Guoping Yang, Lili Ji, Lin Zhu, Shiqi Zhen, Naiyang Shi, Yan Xu, Hui Jin
    Journal of Medical Internet Research.2020; 22(11): e21672.     CrossRef
  • Perceptions of nurses on human papillomavirus vaccinations in the Republic of Korea
    Hae Won Kim, Hyang Yuol Lee, Seong Eun Kim, Hye Young Ahn, Yeon Hee Kim, Young Jin Lee, Italo Francesco Angelillo
    PLOS ONE.2019; 14(2): e0211475.     CrossRef
  • Current knowledge of and attitudes toward human papillomavirus‐related disease prevention among Japanese: A large‐scale questionnaire study
    Yukio Suzuki, Akiko Sukegawa, Aya Nishikawa, Kazumi Kubota, Yoko Motoki, Mikiko Asai‐Sato, Yutaka Ueda, Masayuki Sekine, Takayuki Enomoto, Fumiki Hirahara, Takeharu Yamanaka, Etsuko Miyagi
    Journal of Obstetrics and Gynaecology Research.2019; 45(5): 994.     CrossRef
  • High-Risk Human Papillomavirus Infection and the Risk of Cardiovascular Disease in Korean Women
    Eun-Jeong Joo, Yoosoo Chang, Min-Jung Kwon, Ara Cho, Hae Suk Cheong, Seungho Ryu
    Circulation Research.2019; 124(5): 747.     CrossRef
  • Awareness and attitude towards human papillomavirus and its vaccine among females with and without daughter(s) who participated in cervical cancer screening in Shenzhen, China
    Wei Lin, Yueyun Wang, Zhihua Liu, Bin Chen, Shixin Yuan, Bo Wu, Lin Gong
    Tropical Medicine & International Health.2019; 24(9): 1054.     CrossRef
  • 9,250 View
  • 234 Download
  • 16 Web of Science
  • 17 Crossref
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Scientific Evidence Supporting Policy Change: A Study on Secondhand Smoke Exposure in Non-smoking Areas of PC Rooms in Korea
Soon-Yeol Hong, Min Kyung Lim, E Hwa Yun, Eun Young Park, Bo Yoon Jeong, Wonho Yang, Do-Hoon Lee
Cancer Res Treat. 2016;48(2):834-837.   Published online August 12, 2015
DOI: https://doi.org/10.4143/crt.2015.151
AbstractAbstract PDFPubReaderePub
Purpose
The objective of this study was to measure secondhand smoke (SHS) exposure in personal computer (PC) rooms with the purpose of determining the strength of scientific evidence supporting the legislative ban on smoking in PC rooms located in the Republic of Korea.
Materials and Methods
From June to September 2012, particulate matter (PM2.5) and air nicotine concentration (ANC) were measured in the smoking and non-smoking areas of PC rooms in Goyang City, Korea. In 28 randomly sampled PC rooms, field investigators completed an observational questionnaire on building characteristics, smoking policies, and evidence of smoking. The geometric means (GM) of PM2.5 and ANC in smoking and non-smoking areas were compared.
Results
Evidence of smoking was identified in both the smoking and non-smoking areas of all PC rooms. The GMs of PM2.5 and ANC in both areas were high and did not differ significantly (174.77 μg/m3 and 48.95 μg/m3 in smoking areas; 93.38 μg/m3 and 41.30 μg/m3 in non-smoking areas). Overall PM2.5 concentrations were 5.5-fold higher than those listed in the World Health Organization guidelines.
Conclusion
This study supported previous reports that a partial smoking ban did not protect individuals from SHS exposure. Furthermore, the results from our study suggest how research can support policy. Countries in which smoke-free policies are not yet comprehensive may find our results useful.
  • 11,530 View
  • 94 Download
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Consequences of Incomplete Smoke-Free Legislation in the Republic of Korea: Results from Environmental and Biochemical Monitoring: Community Based Study
Eun Young Park, E Hwa Yun, Min Kyung Lim, Do-Hoon Lee, Wonho Yang, Bo Yoon Jeong, Sang-Hyun Hwang
Cancer Res Treat. 2016;48(1):376-383.   Published online April 24, 2015
DOI: https://doi.org/10.4143/crt.2014.269
AbstractAbstract PDFPubReaderePub
Purpose
In some countries with high smoking prevalence, smoke-free legislation has only been implemented in specific public places, as opposed to a comprehensive ban on smoking in all public places. The purpose of this study was to provide valid data on second-hand smoke (SHS) exposure that reflect the consequences of incomplete smoke-free legislation, and provide a rationale for expanding this legislation.
Materials and Methods
Indoor and outdoor environmental exposure (fine particulate matter [PM2.5], air nicotine, and dust 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone [NNK]) was monitored in 35 public places where smoking is prohibited by law in Goyang, Republic of Korea. Biomarkers of SHS exposure (urinary cotinine, hair nicotine, and urinary 4-(methylnitrosamino)-1-(3-pyridyl)-1- butanol) were measured in 37 non-smoking employees. Geometric means and standard deviations were used in comparison of each measure.
Results
Considerable exposure of SHS was detected at all indoor monitoring sites (PM2.5, 95.5 μg/m3 in private educational institutions; air nicotine, 0.77 μg/m3 in large buildings; and dust NNK, 160.3 pg/mg in large buildings); environmental measures were higher in private or closed locations, such as restrooms. Outdoor measures of SHS exposure were lowest in nurseries and highest in government buildings. Biochemical measures revealed a pattern of SHS exposure by monitoring site, and were highest in private educational institutions.
Conclusion
The evidence of SHS exposure in legislative smoke-free places in Korea suggests that incomplete smoke free legislation and lack of enforcement of it might not protect people from exposure to smoke. Therefore, active steps should be taken toward a comprehensive ban on smoking in all public places and its enforcement.

Citations

Citations to this article as recorded by  
  • Environmental tobacco smoke at home and in public places prior to smoking ban enforcement: Assessment by hair analysis in a population of young adult students
    Claire Roseren, Sylvia Binck, François Faÿs, Maria Ruiz‐Castell, Hanen Samouda, Brice M. R. Appenzeller
    Drug Testing and Analysis.2023; 15(9): 962.     CrossRef
  • Thirdhand smoke exposure: Differences in smoke exposure indices and cultural norms between hotels and motels in South Korea
    Myung-Bae Park, Tae Sic Lee, Jee Eun Oh, Do Hoon Lee
    Indoor and Built Environment.2022; 31(2): 510.     CrossRef
  • Assessment of passive human exposure to tobacco smoke by environmental and biological monitoring in different public places in Wuhan, central China
    Qing Zhong, Yilin Li, Xin Mei, Junlin Li, Yuanxia Huang
    International Journal of Hygiene and Environmental Health.2022; 244: 114008.     CrossRef
  • Exposure to Secondhand Smoke: Inconsistency between Self-Response and Urine Cotinine Biomarker Based on Korean National Data during 2009–2018
    Boram Sim, Myung-Bae Park
    International Journal of Environmental Research and Public Health.2021; 18(17): 9284.     CrossRef
  • Characteristics of Non-Smokers’ Exposure Using Indirect Smoking Indicators and Time Activity Patterns
    Byung Lyul Woo, Min Kyung Lim, Eun Young Park, Jinhyeon Park, Hyeonsu Ryu, Dayoung Jung, Marcus J. Ramirez, Wonho Yang
    Sustainability.2020; 12(21): 9099.     CrossRef
  • Towards smoke-free cars in the Republic of Korea: Evidence from environmental and biochemical monitoring of thirdhand smoke exposure in taxis
    Eun Park, Min Lim, Sun Yeol Hong, Jee Oh, Bo Jeong, E Yun, Wonho Yang, Do-Hoon Lee
    Tobacco Induced Diseases.2018;[Epub]     CrossRef
  • Biomarkers of Exposure to Secondhand and Thirdhand Tobacco Smoke: Recent Advances and Future Perspectives
    Sònia Torres, Carla Merino, Beatrix Paton, Xavier Correig, Noelia Ramírez
    International Journal of Environmental Research and Public Health.2018; 15(12): 2693.     CrossRef
  • 10,513 View
  • 92 Download
  • 7 Web of Science
  • 7 Crossref
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