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Acceptability of human papillomavirus vaccination among Chinese women: concerns and implications.
BJOG. 2009 Mar; 116(4):501-10.BJOG

Abstract

OBJECTIVE

To explore Chinese women's perceptions of human papillomavirus (HPV) vaccination and their intention to be vaccinated.

DESIGN

A cross-sectional community-based survey study.

SETTING

Thirteen community women's health centres of The Family Planning Association of Hong Kong.

SAMPLE

A total of 1450 ethnic Chinese women aged 18 or above who attended the health centres.

METHODS

Participants completed a written consent and an anonymous questionnaire onsite.

MAIN OUTCOME MEASURES

Knowledge and beliefs about HPV and HPV vaccination against cervical cancer and participants' own intention to be vaccinated.

RESULTS

About 38% of the participants (n = 527) had heard of HPV and 50% (n = 697) had heard of vaccination against cervical cancer. HPV infection was perceived to be stigmatising and detrimental to intimate, family and social relationships. Despite misconceptions and a grossly inadequate knowledge about HPV and HPV vaccination, 88% of the participants (n = 1219) indicated that they would likely be vaccinated. Majority of the participants believed that sexually experienced women should be vaccinated, while 27% opposed vaccinating sexually naive women. Younger age women who perceived a disruptive impact of HPV infection on intimate relationship and their partners' approval were significantly associated with a positive intention to be HPV vaccinated.

CONCLUSIONS

The easy acceptability of HPV vaccination among the mostly sexually experienced Chinese participants and their knowledge deficit on the subject may implicate potential misuse of the vaccines and a false sense of security against cervical cancer. There is a dire need for culturally sensitive and tailored education for the public, women of different ages and their partners about HPV and HPV vaccination. Emphasis must be placed on the prophylactic nature of the current vaccines, the uncertain effects when given to sexually experienced women, the importance of adolescent vaccination and the need for continued cervical screening whether vaccinated or not.

Authors+Show Affiliations

Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19250361

Citation

Kwan, T T C., et al. "Acceptability of Human Papillomavirus Vaccination Among Chinese Women: Concerns and Implications." BJOG : an International Journal of Obstetrics and Gynaecology, vol. 116, no. 4, 2009, pp. 501-10.
Kwan TT, Chan KK, Yip AM, et al. Acceptability of human papillomavirus vaccination among Chinese women: concerns and implications. BJOG. 2009;116(4):501-10.
Kwan, T. T., Chan, K. K., Yip, A. M., Tam, K. F., Cheung, A. N., Lo, S. S., Lee, P. W., & Ngan, H. Y. (2009). Acceptability of human papillomavirus vaccination among Chinese women: concerns and implications. BJOG : an International Journal of Obstetrics and Gynaecology, 116(4), 501-10. https://doi.org/10.1111/j.1471-0528.2008.01988.x
Kwan TT, et al. Acceptability of Human Papillomavirus Vaccination Among Chinese Women: Concerns and Implications. BJOG. 2009;116(4):501-10. PubMed PMID: 19250361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acceptability of human papillomavirus vaccination among Chinese women: concerns and implications. AU - Kwan,T T C, AU - Chan,K K L, AU - Yip,A M W, AU - Tam,K F, AU - Cheung,A N Y, AU - Lo,S S T, AU - Lee,P W H, AU - Ngan,H Y S, PY - 2009/3/3/entrez PY - 2009/3/3/pubmed PY - 2009/5/7/medline SP - 501 EP - 10 JF - BJOG : an international journal of obstetrics and gynaecology JO - BJOG VL - 116 IS - 4 N2 - OBJECTIVE: To explore Chinese women's perceptions of human papillomavirus (HPV) vaccination and their intention to be vaccinated. DESIGN: A cross-sectional community-based survey study. SETTING: Thirteen community women's health centres of The Family Planning Association of Hong Kong. SAMPLE: A total of 1450 ethnic Chinese women aged 18 or above who attended the health centres. METHODS: Participants completed a written consent and an anonymous questionnaire onsite. MAIN OUTCOME MEASURES: Knowledge and beliefs about HPV and HPV vaccination against cervical cancer and participants' own intention to be vaccinated. RESULTS: About 38% of the participants (n = 527) had heard of HPV and 50% (n = 697) had heard of vaccination against cervical cancer. HPV infection was perceived to be stigmatising and detrimental to intimate, family and social relationships. Despite misconceptions and a grossly inadequate knowledge about HPV and HPV vaccination, 88% of the participants (n = 1219) indicated that they would likely be vaccinated. Majority of the participants believed that sexually experienced women should be vaccinated, while 27% opposed vaccinating sexually naive women. Younger age women who perceived a disruptive impact of HPV infection on intimate relationship and their partners' approval were significantly associated with a positive intention to be HPV vaccinated. CONCLUSIONS: The easy acceptability of HPV vaccination among the mostly sexually experienced Chinese participants and their knowledge deficit on the subject may implicate potential misuse of the vaccines and a false sense of security against cervical cancer. There is a dire need for culturally sensitive and tailored education for the public, women of different ages and their partners about HPV and HPV vaccination. Emphasis must be placed on the prophylactic nature of the current vaccines, the uncertain effects when given to sexually experienced women, the importance of adolescent vaccination and the need for continued cervical screening whether vaccinated or not. SN - 1471-0528 UR - https://www.unboundmedicine.com/medline/citation/19250361/Acceptability_of_human_papillomavirus_vaccination_among_Chinese_women:_concerns_and_implications_ L2 - https://doi.org/10.1111/j.1471-0528.2008.01988.x DB - PRIME DP - Unbound Medicine ER -