Acceptability of human papillomavirus vaccine among parents of junior middle school students in Jinan, China

Wang, Wei; Ma, Yuanyuan; Wang, Xia; Zou, Huachun; Zhao, Fen; Wang, Shaoming; Zhang, Shaokai; Zhao, Yong; Marley, Gifty; Ma, Wei

doi:10.1016/j.vaccine.2015.04.010

Cited by 38 publications

(44 citation statements)

References 34 publications

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“…Women in Shenzhen were more willing to have their daughter(s) vaccinated than women in other cities in China and in developed countries . A multicentre survey in China had reported that mothers are more reluctant than fathers to accept vaccination for their children and that they are more suspicious of newly developed vaccines .…”

Section: Discussionmentioning

confidence: 99%

“…Possible explanations might be that mothers would pay more attention to HPV vaccination if they had daughter(s), leading to a better understanding of HPV and its vaccine, which furthered the intention to have both themselves and their daughter (s) vaccinated. Women in Shenzhen were more willing to have their daughter(s) vaccinated than women in other cities in China [10,[29][30][31] and in developed countries [15,32]. A multicentre survey in China had reported that mothers are more reluctant than fathers to accept vaccination for their children and that they are more suspicious of newly developed vaccines [31].…”

Section: Discussionmentioning

confidence: 99%

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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

Lin

Wang

Liu

et al. 2019

Tropical Med Int Health

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Objectives To evaluate the awareness of HPV and HPV vaccine, and willingness to be vaccinated against HPV, among women with and without daughter(s) in Shenzhen, China. Methods Cross‐sectional survey in January and June 2015 by means of a self‐administered questionnaire to collect information. Multivariate logistic regression was used to explore the factors associated with awareness of HPV and its vaccine and the willingness to be vaccinated. Results A total of 9855 women (mean age 37.09 years, SD 7.48) were included in the analysis. Although only 42.3% had heard of HPV and 21.0% of HPV vaccine, 63.3% were willing to be vaccinated. 73.9% of the 5799 women with daughter(s) were willing have their daughter(s) vaccinated. Women with daughter(s) did not have a higher awareness of HPV (43.2% vs. 41.5%, P = 0.109) and HPV vaccine (21.1% vs. 20.9%, P = 0.854) than women without daughter(s), but did tend to be more willing to be vaccinated themselves (66.3% vs. 59.9%, P < 0.001). Women's awareness of HPV and specific knowledge of HPV vaccine were predictors of the willingness to have both themselves and their daughters vaccinated. These associations may be modified by residency status, education and monthly income. Conclusions Although awareness of HPV and HPV vaccine among women in Shenzhen was low, willingness to have themselves and their daughter(s) vaccinated was relatively high, especially among mothers. High awareness of HPV and its vaccine will help improve the acceptability of HPV vaccination according to residency status, education and monthly income.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Lin

Wang

Liu

et al. 2019

Tropical Med Int Health

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“…Recommendations from healthcare providers may have a positive influence on decision making. 21,42 As healthcare providers must be at the forefront of education and advocacy for HPV vaccination, they need to be trained to communicate about HPV and the vaccine more effectively. It is noteworthy that even junior middle school students were willing to be vaccinated, they will not certainly get vaccinated in the future, because the social structure in China will not permit vaccination of this age-group without parental approval.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20] In China, researchers have investigated college students and parents for their awareness of the HPV vaccine and future vaccine uptake. [21][22][23][24] As the HPV vaccine has only been recently introduced in China, studies exploring willingness to be vaccinated among the target population are necessary. They are important to make policies on how the HPV vaccination should be applied to the cervical cancer control program.…”

Section: Introductionmentioning

confidence: 99%

Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China

Xue

Zhang

et al. 2017

Human Vaccines & Immunotherapeutics

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“…The literature shows that some ethnicities are correlated with having less knowledge and information on HPV and vaccination, such as Hispanic girls in the US [29, 30] or Chinese women [31]. However, when surveyed and after being informed, most of these women were in favor of vaccination, had a high level of trust in their physicians and were willing to be vaccinated if recommended by their physicians [31, 32]. Therefore, physicians, and general practitioners more specifically, play a pivotal role in shaping vaccination behavior.…”

Section: Discussionmentioning

confidence: 99%

Determinants of geographic inequalities in HPV vaccination in the most populated region of France

Héquet

Rouzier

2017

PLoS ONE

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BackgroundIn France, there are recommendations and reimbursements for human papillomavirus (HPV) vaccination but no HPV vaccination programs. Therefore, vaccination is largely determined by parents’ initiative, which can lead to inequalities. The objective of this study was to determine the factors associated with poorer vaccination coverage rates in the most populated region of France.MethodsThe data of this study were obtained from the National Health Insurance between 2011 and 2013. Correlations between vaccination initiation rate (at least 1 dose reimbursed) and socio-demographic/cultural factors were assessed using Pearson’s product-moment correlation coefficient. Multivariate analyses were performed using logistic regression.ResultsIn total, 121,636 girls received at least one HPV vaccine dose. The vaccination rate for girls born from 1996 to 1999 was 18.7%. Disparities in vaccination coverage rates were observed between the 8 departments of the region, ranging from 12.9% to 22.6%. At the department level, unemployment, proportion of immigrants and foreigners, and coverage by CMU health insurance (“Couverture Maladie Universelle”, a health insurance plan for those who are not otherwise covered through business or employment and who have a low income) were significantly inversely correlated with vaccination rates, whereas urban residence, medical density, income and use of medical services were not related to coverage. In the multivariate model, only the percentage of foreigners remained independently associated with lower vaccination coverage. At the individual level, the use of medical services was a strong driver of HPV vaccination initiation.ConclusionWe observed geographic disparities in HPV vaccination initiation coverage. Even if no clear factor was identified as a vaccination determinant, we observed a failure of vaccination only based on parents’ initiative. Therefore, an organized policy on HPV vaccination, such as school-based programs, can help improve coverage rates.

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Acceptability of human papillomavirus vaccine among parents of junior middle school students in Jinan, China

Cited by 38 publications

References 34 publications

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

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

Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China

Determinants of geographic inequalities in HPV vaccination in the most populated region of France

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