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Article: Factors influencing adolescent girls' decision in initiation for human papillomavirus vaccination: A cross-sectional study in Hong Kong

TitleFactors influencing adolescent girls' decision in initiation for human papillomavirus vaccination: A cross-sectional study in Hong Kong
Authors
KeywordsCancer prevention
Cervical cancer
Community health education
Chinese girls
Human papillomavirus (HPV) vaccine
School health education
Issue Date2014
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/
Citation
BMC Public Health, 2014, v. 14 n. 1, p. Article no. 925 How to Cite?
AbstractBackground: Cervical cancer is one of the common cancers among women worldwide. Despite HPV vaccination being one of the effective preventive measures, it is not included in government vaccination programme in Hong Kong. This study aimed to assess the knowledge of and attitude towards cervical cancer prevention among Chinese adolescent girls in Hong Kong, and to identify factors influencing the initiation of HPV vaccination. Methods: This was a cross-sectional study conducted in Hong Kong during the period of October 2010 to November 2010. A self-administered questionnaire was used, with 1,416 girls from 8 secondary schools completing the questionnaire. Knowledge scores were composited and initiation of HPV vaccination was staged based on stage of change. Analyses were conducted to identify the association of initiation of HPV vaccination with participant's personal and family factors as well as their knowledge and attitude towards cervical cancer prevention. Results: The uptake rate of HPV vaccination was low (7%) with 58% respondents in pre-contemplation and contemplation stage. The survey identified a significant gap in knowledge on cervical cancer prevention. The main channels of information were from media and very few from schools or parents. However, 70% expressed their wishes to have more information on cancer prevention, and 78% stated that they were willing to change their lifestyles if they knew the ways of prevention. Multivariate analysis identified three independent significant factors for initiation of vaccination (action and intention): perceived cancer as terrifying disease, school should provide more information on cancer prevention, and comments from relatives and friends having received the vaccine. The cost of vaccination and socio-economic background were not found to be significant. Conclusions: Public education on cervical cancer needs to be well penetrated into the community for more sharing among friends and relatives. School as setting to provide source of information would facilitate uptake rate of HPV vaccine as students have expressed their wishes that school should provide more information on prevention of cancer. School and community education on cancer prevention would help adolescents to have better understanding of the seriousness of cancer. © 2014 Lee et al.; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/237350
ISSN
2021 Impact Factor: 4.135
2020 SCImago Journal Rankings: 1.230
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, A-
dc.contributor.authorHo, MM-
dc.contributor.authorCheung, CKM-
dc.contributor.authorKeung, VMW-
dc.date.accessioned2017-01-03T07:44:15Z-
dc.date.available2017-01-03T07:44:15Z-
dc.date.issued2014-
dc.identifier.citationBMC Public Health, 2014, v. 14 n. 1, p. Article no. 925-
dc.identifier.issn1471-2458-
dc.identifier.urihttp://hdl.handle.net/10722/237350-
dc.description.abstractBackground: Cervical cancer is one of the common cancers among women worldwide. Despite HPV vaccination being one of the effective preventive measures, it is not included in government vaccination programme in Hong Kong. This study aimed to assess the knowledge of and attitude towards cervical cancer prevention among Chinese adolescent girls in Hong Kong, and to identify factors influencing the initiation of HPV vaccination. Methods: This was a cross-sectional study conducted in Hong Kong during the period of October 2010 to November 2010. A self-administered questionnaire was used, with 1,416 girls from 8 secondary schools completing the questionnaire. Knowledge scores were composited and initiation of HPV vaccination was staged based on stage of change. Analyses were conducted to identify the association of initiation of HPV vaccination with participant's personal and family factors as well as their knowledge and attitude towards cervical cancer prevention. Results: The uptake rate of HPV vaccination was low (7%) with 58% respondents in pre-contemplation and contemplation stage. The survey identified a significant gap in knowledge on cervical cancer prevention. The main channels of information were from media and very few from schools or parents. However, 70% expressed their wishes to have more information on cancer prevention, and 78% stated that they were willing to change their lifestyles if they knew the ways of prevention. Multivariate analysis identified three independent significant factors for initiation of vaccination (action and intention): perceived cancer as terrifying disease, school should provide more information on cancer prevention, and comments from relatives and friends having received the vaccine. The cost of vaccination and socio-economic background were not found to be significant. Conclusions: Public education on cervical cancer needs to be well penetrated into the community for more sharing among friends and relatives. School as setting to provide source of information would facilitate uptake rate of HPV vaccine as students have expressed their wishes that school should provide more information on prevention of cancer. School and community education on cancer prevention would help adolescents to have better understanding of the seriousness of cancer. © 2014 Lee et al.; licensee BioMed Central Ltd.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/-
dc.relation.ispartofBMC Public Health-
dc.rightsBMC Public Health. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectCancer prevention-
dc.subjectCervical cancer-
dc.subjectCommunity health education-
dc.subjectChinese girls-
dc.subjectHuman papillomavirus (HPV) vaccine-
dc.subjectSchool health education-
dc.titleFactors influencing adolescent girls' decision in initiation for human papillomavirus vaccination: A cross-sectional study in Hong Kong-
dc.typeArticle-
dc.identifier.emailHo, MM: mandyho1@hku.hk-
dc.identifier.authorityHo, MM=rp02226-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/1471-2458-14-925-
dc.identifier.pmid25195604-
dc.identifier.scopuseid_2-s2.0-84908461226-
dc.identifier.volume14-
dc.identifier.issue1-
dc.identifier.spageArticle no. 925-
dc.identifier.epageArticle no. 925-
dc.identifier.isiWOS:000341839400001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1471-2458-

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