本論文目的為探討國中女生家長對於女兒施打子宮頸癌疫苗之意願及其預測因素，並以健康信念模式為架構，採分層集束抽樣，取得基隆市女國中生家長413人為研究樣本，以結構式問卷調查歸納如下：
一、 研究對象之女性占大多數，年齡約在36至45歲之間，並以居中家庭社經地位者最多。其對子宮頸癌及其疫苗知識頗高；在自覺子女子宮頸癌嚴重性得分也較高。外部線索則主要來自電視及平面媒體；內部線索則為個人是否聽過子宮頸癌疫苗。
二、 研究對象關於子宮頸癌及其疫苗知識、自覺子女子宮頸癌罹患性、子宮頸癌疫苗接種行動線索、對子女接種子宮頸癌疫苗意向等變項會因為其「家庭社經地位」不同水準而有顯著差異。
三、 研究對象之子宮頸癌及其疫苗知識、子女接種子宮頸癌疫苗之健康信念、子宮頸癌疫苗接種行動線索與對子女接種子宮頸癌疫苗意向皆有顯著相關，其中自覺子宮頸癌疫苗障礙性與對子女接種意向呈顯著負相關。
四、 性別、年齡、家庭社經地位指數、子宮頸癌及其疫苗知識、對子女接種子宮頸癌疫苗之健康信念、子宮頸癌疫苗接種行動線索等可有效預測研究對象對其子女接種子宮頸癌疫苗意向，並可解釋其總變異量之36.9%，其中以「自覺子宮頸癌疫苗有效性」的解釋力最大。
根據以上結果可提供教育、衛生單位日後推展子宮頸癌疫苗接種之參考。

關鍵字：健康信念模式、子宮頸癌疫苗、國中女學生家長

This study aimed to investigate the parental intention to have daughters receive the human papillomavirus vaccine and the predicting factors of the intention. On the basis of the health belief model, the stratified cluster samplings were collected from 413 parents or guardians of female students from junior high schools in Keelung.
The findings of this study are as follows:
1. The subjects were women, aged about 36-45 years old and family with middle socioeconomic status in the majority. Therefore, the women in these families know more about the knowledge of cervical cancer and HPV vaccine in the subjects, and also got higher scores in “Perceived severity of daughters’ cervical cancer”. The external action cue of HPV vaccine was mainly from television and print media, and the internal action cue was if they had heard of the HPV vaccine.
2. Participants who answered these items, “The knowledge of cervical cancer and HPV vaccine”, “Perceived susceptibility of daughters’ cervical cancer”, “The actional cues of HPV vaccine”, “The intention of HPV vaccine” were influenced by the family socioeconomic status.
3. “The knowledge of cervical cancer and HPV vaccine”, “Health Belief scale”, “The actional cues of HPV vaccine” were positive correlated with “The intention of HPV vaccine”, and “Perceived barriers of HPV vaccine” was negative correlated with “The intention of HPV vaccine”.
4. The following factors:”Gender”, “Age”, “Family socioeconomic status”, “The knowledge of cervical cancer and HPV vaccine”, “Health Belief scale”, “The actional cues of HPV vaccine” explained 36.9% of the total variability quantity parents’ intention. Among these items, ” Perceived effectiveness of HPV vaccine” had more precise prediction.
This result of study expects will be able to offer education and health government while promoting HPV vaccine.

中文部分
台中市政府衛生局(2011)。特教班及中低收入戶青少女免費接種子宮頸疫苗【本局新聞】。2011年7月13日取自http://www.health.taichung.gov.tw/internet/main/docDetail.aspx?uid=9297&docid=80155
台北市政府衛生局(民98)。97年度台北市醫療衛生年鑑。台北市：台北市政府衛生局。
台北縣政府衛生局(2011)。臺北縣子宮頸癌疫苗免費接種正式啟動【新北市新聞】。2011年3月22日取自http://www.health.ntpc.gov.tw/web/News?command=showDetsho&postId=198409
台東縣政府衛生局(2009)。低收入青少女可免費接種子宮頸癌預防針【縣政新聞】。2009年10月13日取自http://www.taitung.gov.tw/TW/information/CountyNewsDetail.aspx?SN=17316
台灣婦產科醫學會(2007)。四價人類乳突病毒疫苗接種衛教。中華民國內膜異位症婦女協會會刊，14(2)，6-9。
行政院衛生署(2011)。九十八年度衛生統計動向死因統計【統計公布欄】。2011年3月8日取自http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11812&class_no=440&level_no=2
林生傳(2005)。教育社會學。台北：巨流。
林怡岑(2009)。應用健康信念模式探討子宮頸癌疫苗接種行為意向之研究。未出版碩士論文，國立台灣師範大學，台北市。
林敬旺(2008)。父母對於青少女接種人類乳突病毒疫苗接受度與影響因素探討。未出版碩士論文，中國醫藥大學，台中市。
金門縣政府衛生局(2011)。子宮頸疫苗公費政策成果報告。2011年7月18日取自http://www.ccd.org.tw/upload/news/396/upfile.pdf
徐瑋宏、郭平欣(2008)。子宮頸抹片篩檢「認知」與「利用」的影響因素分析─雙元普羅比模型之實證研究。台灣衛生公共雜誌，27(3)，232-242。
行政院衛生署國民健康局(2011)。100年人類乳突病毒疫苗採購及接種工作計畫之說明【主題公告】。2011年3月3日取自http://www.bhp.doh.gov.tw/BHPnet/Portal/Them_Show.aspx?Subject=201103150001&Class=0&No=201103210001
張育偉(2008)。台灣地區引進人類乳突病毒疫苗之成本效果分析。未出版碩士論文，國立成功大學，台南市。
婦癌研究委員會(2007)。婦癌臨床診療指引。苗栗縣：國家衛生研究院癌研所。
教育部統計處(2011)。國中學生數、畢業生數-按學校所在地別及性別分【性別統計指標】。2011年7月15日取自http://www.edu.tw/statistics/content.aspx?site_content_sn=8168
基隆市政府教育處全球資訊網(2011)。學校概況【國中】。2011年7月18日取自http://www.kl.edu.tw/v7/eduweb/index.php?func=sch_obj&ikey=A4
陳冠宇(2008)。預防創新產品之知識、態度、行為意向與願付價格關係之研究─以HPV基因定型晶片和子宮頸癌疫苗為例。未出版碩士論文，長庚大學，桃園縣。
童寶玲(2007)。如何預防子宮頸癌談子宮頸癌疫苗。健康世界，255，11-13。
童寶玲(2009)。子宮頸癌疫苗妳打了沒？。健康世界，285，12-14。
黃文雄、史健生、余進光(2007)。人類乳突病毒疫苗介紹。台灣兒童過敏氣喘及免疫學會通訊，8(1)，3-5。
黃宗賢(2009)。子宮頸癌的防治。聲洋防癌之聲，125，23-26。
黃素真(2006)。以健康信念模式探討大一學生對子宮頸癌預防行為及相關因素之研究─以屏東地區為例。未出版碩士論文，和美技術學院，屏東縣。
新竹市政府衛生局(2011)。完成三劑人類乳突病毒疫苗接種，給新竹市國一女生最佳保護效力【新聞中心】。2011年7月4日取自http://www.hcchb.gov.tw/news_d.php?id=2215
溫麗芬(2007)。應用健康信念模式探討青少女接種子宮頸癌疫苗意向之相關因素。未出版碩士論文，弘光科技大學，台中市。
溫麗芬、洪麗珍、張彩秀(2008)。青少女自費接種子宮頸癌疫苗意向之相關因素探討。台灣衛生公共雜誌，27(2)，133-142。
嘉義縣政府(2011)。第十七屆第一次施政報告【施政報告】。2011年7月18日取自http://www.cyhg.gov.tw/magistrate/report.html#2-3
葉樹人、陳慧祺、黃立民(2007)。子宮頸癌疫苗。台灣醫學雜誌，11(6)，649-654。
廖芷嫻(2006)。人類乳突病毒疫苗之經濟價值。未出版碩士論文，台北醫學大學，台北市。
劉士豪(2000)。預防接種的成本效益。疫情報導，16(9)，367-379。
鄭文芳(2008)。子宮頸癌四價疫苗和其接種實務。中華民國內膜異位症婦女協會會刊，15(5)，12-14。

英文部分
Australian Government Department of Health and Ageing. (2007, May 8 ). National Immunisation Program-implementation of the Human Papillomavirus Vaccination Program[Health Budget 2007-2008]. Retrieved from http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2007-hfact26.htm
Adams, M., Jasani, B., & Fiander, A. (2007). Human papilloma virus (HPV) prophylactis vaccination:Challenges for public health and implications for screeing. Vaccine, 25, 3007-3013.
Chastonay, P. (2007, Oct). HPV vaccination in Switzerland: where are we?[ Health Policy Monitor]. Retrieved from http://www.hpm.org/en/Surveys/USI_-_Switzerland/10/HPV_vaccination_in_Switzerland__where_are_we_.html
Constantine, E. A., & Jerman, P. (2007). Acceptance of Human Papillomavirus Vaccination among Californian Parents of Daughters : A Representative Statewide Analysis. Journal of Adolescent Health, 40,108-115.
Dahlstrom, L. A., Tran, T. N., Lundholm, C., Young, C., Sundstrom, K., et al. (2009). Attitudes to HPV vaccination among parents of children aged 12-15 years-a population-based survey in Sweden. Int. J. Cancer, 126, 500-507.
DiSaia, P. J., Creasman, W. T. (1997). Clinical Gynecologic Oncology(5th ed.). St. Louis: Mosby.
Do, H., Seng, P., Talbot, J., Acorda, E., Coronado, G. D., Taylor, V. M. (2009). HPV vaccine knowledge and beliefs among Cambodian American parents and community leaders. Asian Pac J Cancer Prev, 10(3), 339-344.
Frazer, I. H., & Cox, J. (2006). Finding a vaccine for human papillomavirus. Lance, 367, 2058-2059.
Franklin, R. (2007, Oct). HPV vaccination[Health Policy Monitor]. Retrieved from http://www.hpm.org/survey/nz/a10/2
Giles, M., Garland, S. M. (2006).HPV vaccines. In: Campo MS, editor. Papillomavirus biology: from natural history to vaccine and beyond. Norfolk: Caister Academic Press. pp. 341–356.
Hopkins, K. D. (1998). Educational and Psychological Measurement and Evaluation(8th ed.).Boston: Allyn and Bacon.
International Federation Gynecology & Obstetrics. (2009, Oct 7). Global Guidance For Cervical Cancer Prevention and Control[FIGO Congress News]. Retrieved from http://www.figo.org/news/figo-congress-news-figo-global-guidance-cervical-cancer-prevention-and-control-1
Jessica, R., Sandfort, B. S., Andrew, P. (2009). Knowledge, Attitudes, and Informational Behaviors of College Students in Regard to the Human Papillomavirus. Journal of American College Health, 58(2), 141-149.
Kahn, J. A., Rosenthal, S. L., Hamann, T., & Bernstein, D. I. (2003). Attitudes about human papillomavirus vaccine in young women. International Journal of STD & AIDS, 14(5), 300-306.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610.
Lenselink, C. H., Schmeink, C. E., Melchers, W. J., Massuger, L. F., Hendriks, J. C., Hamont, D.V., Bekkers, R. L. (2008). Young adults and acceptance of the human papillomavirus vaccine. Public Health, 122(12), 1295-1301.
Madhivanan, P., Krupp, K., Yashodha, M. N., Marlow, L., Klausner, J. D., Reingold, A. L. (2009). Attitudes toward HPV vaccination among parents of adolescent girls in Mysore, Vaccine, 27(38), 5203-5208.
Markowitz, L. E., Dunne, E. F., et al. (2007). Quadrivalent Human Papillomavirus Vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report Early Release, 56, 16-17.
Marshall, H., Ryan, P., Robertson, D., Baghurst, P. (2007). A cross-sectional survey to assess community attitudes to introduction of Human Papillomarvirus vaccine. Australian and New Zealand Journal of Public Health, 31(3), 235-242.
McClelland, A., & Liamputtong, P. (2006). Knowledge and acceptance of human papillomavirus vaccination: Perspectives of young Australians living in Melbourne, Australia. Sexual Health, 3(2), 95-101.
National Health Service. (2010, Sep 23). HPV vaccination programme[Overview], Retrieved from http://www.nhs.uk/Conditions/HPV-vaccination/Pages/Introduction.aspx
Noll, V. H., Scannell, D. P., & Craig, R. C. (1976). Introduction to Educational Measurement(4th ed.). Boston :Houghton Mifflin.
Nunnally, J. C. (1978). Psychometric Theory (2nd ed.). New York:McGraw-Hill.
Ogilvie, G., Anderson, M., Marra, F., McNeil, S., Pielak, K., et al. (2010). A Population-Based Evaluation of a Publicly Funded, School-Based HPV Vaccine Program in British Columbia, Canada: Parental Factors Associated with HPV Vaccine Receipt, PLoS Med, 7(5), 1371.
Renee, T., Adam, M. M. (2007, Oct). HPV Vaccine Funded in Canada[ Health Policy Monitor]. Retrieved from http://www.hpm.org/en/Surveys/CPRN_-_Canada/10/HPV_Vaccine_Funded_in_Canada.html
Sanderson, M., Coker, A. L., Eggleston, K. S., Fernandez, M. E., Arrastia, C. D., Fadden, M. K., (2009). HPV vaccine acceptance among Latina mothers by HPV status. Journal of women’s health, 18(11), 1793-1799.
Slomovitz, B. M., Sun, C. C., Frumovitz, M., Soliman, P. T., Schmeler, K. M., Pearson, H. C., et al. (2006). Are women ready for the HPV vaccine? Gynecol Oncol, 103(1), 151-154.
Villa, L. L., Costa, R. L., Petta, C. A., et al. (2005). Prophylactic quadrivalent human papillomavirus(types6,11,16,18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase Ⅱ efficacy trial. Lance Oncol, 6, 271-278.
Walboomers, J. M., Jacobs, M. V., Manos, M. M., Bosch, F. X., Kummer, J. A., Shah, K. V., Snijders, P. J., Peto, J., Meijer, C. J., Munoz, N. (1999). Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol, 189, 12-9.
Zimet, G. D. (2005). Improving adolescent health: Focus on HPV vaccine acceptance. Journal of Adolescent Health, 37(6), S17-S23.