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Article: Acceptability of human papillomavirus vaccination among Chinese women: Concerns and implications

TitleAcceptability of human papillomavirus vaccination among Chinese women: Concerns and implications
Authors
KeywordsBeliefs
Cervical cancer
Chinese women
HPV vaccination
Knowledge
Issue Date2009
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BJOG
Citation
Bjog: An International Journal Of Obstetrics And Gynaecology, 2009, v. 116 n. 4, p. 501-510 How to Cite?
AbstractObjective: 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. © 2009 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/60350
ISSN
2014 Impact Factor: 3.448
2014 SCImago Journal Rankings: 1.736
ISI Accession Number ID
Funding AgencyGrant Number
The Wong Check She Charitable Foundation
The University of Hong Kong
Funding Information:

This study was jointly funded by The Wong Check She Charitable Foundation and The Research Fund from the Department of Obstetrics and Gynaecology, The University of Hong Kong.

References

 

DC FieldValueLanguage
dc.contributor.authorKwan, TTCen_HK
dc.contributor.authorChan, KKLen_HK
dc.contributor.authorYip, AMWen_HK
dc.contributor.authorTam, KFen_HK
dc.contributor.authorCheung, ANYen_HK
dc.contributor.authorLo, SSTen_HK
dc.contributor.authorLee, PWHen_HK
dc.contributor.authorNgan, HYSen_HK
dc.date.accessioned2010-05-31T04:08:53Z-
dc.date.available2010-05-31T04:08:53Z-
dc.date.issued2009en_HK
dc.identifier.citationBjog: An International Journal Of Obstetrics And Gynaecology, 2009, v. 116 n. 4, p. 501-510en_HK
dc.identifier.issn1470-0328en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60350-
dc.description.abstractObjective: 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. © 2009 The Authors.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BJOGen_HK
dc.relation.ispartofBJOG: An International Journal of Obstetrics and Gynaecologyen_HK
dc.subjectBeliefsen_HK
dc.subjectCervical canceren_HK
dc.subjectChinese womenen_HK
dc.subjectHPV vaccinationen_HK
dc.subjectKnowledgeen_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshCross-Sectional Studiesen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPapillomavirus Infections - ethnology - prevention & control - psychologyen_HK
dc.subject.meshPapillomavirus Vaccinesen_HK
dc.subject.meshPatient Satisfaction - ethnologyen_HK
dc.subject.meshQuestionnairesen_HK
dc.subject.meshUterine Cervical Neoplasms - ethnology - virologyen_HK
dc.subject.meshYoung Adulten_HK
dc.titleAcceptability of human papillomavirus vaccination among Chinese women: Concerns and implicationsen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, KKL:kklchan@hkucc.hku.hken_HK
dc.identifier.emailCheung, ANY:anycheun@hkucc.hku.hken_HK
dc.identifier.emailNgan, HYS:hysngan@hkucc.hku.hken_HK
dc.identifier.authorityChan, KKL=rp00499en_HK
dc.identifier.authorityCheung, ANY=rp00542en_HK
dc.identifier.authorityNgan, HYS=rp00346en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1471-0528.2008.01988.xen_HK
dc.identifier.pmid19250361en_HK
dc.identifier.scopuseid_2-s2.0-60449093571en_HK
dc.identifier.hkuros155768en_HK
dc.identifier.hkuros167539-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-60449093571&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume116en_HK
dc.identifier.issue4en_HK
dc.identifier.spage501en_HK
dc.identifier.epage510en_HK
dc.identifier.isiWOS:000263449400006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridKwan, TTC=16063821800en_HK
dc.identifier.scopusauthoridChan, KKL=8655666700en_HK
dc.identifier.scopusauthoridYip, AMW=19838748300en_HK
dc.identifier.scopusauthoridTam, KF=7201692816en_HK
dc.identifier.scopusauthoridCheung, ANY=54927484100en_HK
dc.identifier.scopusauthoridLo, SST=8718876900en_HK
dc.identifier.scopusauthoridLee, PWH=7406120357en_HK
dc.identifier.scopusauthoridNgan, HYS=34571944100en_HK
dc.identifier.citeulike4090043-

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