Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: a qualitative-quantitative study

Kwan, Tze-Hoi; Ky, Chan; Yip, Amber; Tam, Kar-Fai; Cheung, Annie N.Y.; Young, Phyllis; Lee, Peter Wh; Ngan, Hextan Y.S.

doi:10.1136/sti.2007.029363

Cited by 82 publications

(123 citation statements)

References 12 publications

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“…Barriers to Pap tests include anxiety, embarrassment, and pain (Al-Naggar et al, 2010). Barriers to HPV vaccination include the high cost of the vaccine, anxiety about the vaccine's side effects, and pain (Kwan et al, 2008;Waller et al, 2009). Participants in this study identified the cost of HPV vaccine as a major barrier to intention to accept HPV vaccines.…”

Section: Discussionmentioning

confidence: 95%

Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention

Mo¹,

Choi²,

Kim

2013

Korean J Adult Nurs

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Purpose: The purpose of this study was to evaluate the effectiveness of a peer cervical cancer prevention education program on Korean female college students' knowledge, attitude, self-efficacy, and intention. Methods: A quasi-experimental pretest-posttest design with a non-equivalent control group was used. The participants were 58 female college students in a metropolitan city in Korea. The sample consisted of an intervention group (n=28) that participated in a peer education program and a control group (n=30). Data were measured using self-administered questionnaires at two time points: prior to the intervention and after the intervention. Results: Compared to the control group, the experimental group reported significantly positive changes for knowledge, attitude, self-efficacy, and intent to practice cervical cancer prevention behaviors. Conclusion: The findings of this study indicated that a peer education program developed for Korean female college students was a useful and effective intervention strategy to promote cervical cancer prevention behaviors in Korean sociocultural contexts.

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Section: Discussionmentioning

confidence: 95%

Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention

Mo¹,

Choi²,

Kim

2013

Korean J Adult Nurs

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“…Previous studies of Chinese women found misconceptions and knowledge deficits to be common regarding cervical cancer, HPV infection and HPV vaccination (Chan et al, 2007;Lee et al, 2007;Kwan et al, 2008;Li et al, 2012;Zhao et al, 2012;Choi et al, 2013). Most studies indicate a positive relationship between individuals' cancer-related risk perceptions and their attitudes, intentions, and actions regarding health protective and cancer preventive behaviors: if people consider cancer as controllable/preventable by their efforts they are more likely to seek medical care promptly, undergo cancer screening tests, or adopt healthy behaviors (Figueiras and Alves, 2007;Cameron, 2008;Sullivan et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

Wang

Lam²,

Wu³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: This study aimed to seek insights into Chinese women's lay beliefs about cervical cancer causal attributions and prevention. Materials and Methods: Twenty-three new immigrant adult women from Mainland China and thirty-five Hong Kong adult women underwent semi-structured in-depth interviews. Interviews were audio taped, transcribed and analyzed using a Grounded Theory approach. Results: This study generated three foci: causal beliefs about cervical cancer, perceived risk of cervical cancer, and beliefs about cervical cancer prevention. Personal risky practices, contaminated food and environment pollution were perceived as the primary causes of cervical cancer. New immigrant women more likely attributed cervical cancer to external factors. Most participants perceived cervical cancer as an important common fatal female cancer with increased risk/prevalence. Many participants, particularly new immigrant women participants, expressed helplessness about cervical cancer prevention due to lack of knowledge of prevention, it being perceived as beyond individual control. Many new immigrant participants had never undergone regular cervical screening while almost all Hong Kong participants had done so. Conclusions: Some Chinese women hold pessimistic beliefs about cervical cancer prevention with inadequate knowledge about risk factors. Future cervical cancer prevention programs should provide more information and include capacity building to increase Chinese women's knowledge and self-efficacy towards cervical cancer prevention.

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“…3 These include the fear of needles (needle phobia) and fear of experiencing pain. 3,5 Fear of the pain of injection has been shown to be a factor associated with the acceptability of vaccines for both adults and children 2,3 and distress with injections has been found to be positively correlated with a recent bad experience with a needle or reaction at the injection site. 5 Parents have articulated their desire for limiting vaccine injections due to the pain and distress of the procedure and the sequelae.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] While many fears about vaccines are clearly rooted in myth, 4 others appear to be based on personal experiences and the experiences of others. 3 These include the fear of needles (needle phobia) and fear of experiencing pain.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with reported pain on injection and reactogenicity to an OMV meningococcal B vaccine in children and adolescents

Petousis‐Harris

Jackson

Stewart

et al. 2015

Human Vaccines & Immunotherapeutics

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Pain on vaccine injection and subsequent site reactions of pain and swelling may influence confidence in vaccines and their uptake. This study aimed to identify factors associated with reported pain on injection and reactogenicity following administration of a strain specific meningococcal B outer membrane vesicle vaccine. A retrospective analysis of data was conducted from a phase II single center randomized observer-blind study that evaluated the safety, reactogenicity and immunogenicity of this vaccine in 2 cohorts of healthy 8 to 12 y old children. Vaccine administration technique was observed by an unblinded team member and the vaccine administrator instructed on standardized administration. Participants kept a daily diary to record local reactions (erythema, induration and swelling) and pain for 7 d following receipt of the vaccine. Explanatory variables were cohort, vaccine, age, gender, ethnicity, body mass index, atopic history, history of frequent infections, history of drug reactions, pain on injection, vaccinator, school population socioeconomic status, serum bactericidal antibody titer against the vaccine strain NZ98/254, and total IgG. Univariate and multivariable analyses were conducted using ordinal logistic regression for factors relating to pain on injection and reactogenicity. Perceived pain on injection was related to vaccine formulation, vaccine administrator and ethnicity. Reactogenicity outcomes varied with ethnicity and vaccine administrator. Maintaining community and parental confidence in vaccine safety without drawing attention to differences between individuals and groups is likely to become increasingly difficult. Vaccine administration technique alone has the potential to significantly reduce pain experienced on injection and local vaccine reactions.

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Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: a qualitative-quantitative study

Abstract: Participants favoured HPV vaccination despite not feeling an immediate need to be vaccinated. Interventions could focus on providing professional information on HPV vaccination and raising adolescents' perceived need to take preventive measures against HPV infection.

Cited by 82 publications

References 12 publications

Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention

Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention

Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

Factors associated with reported pain on injection and reactogenicity to an OMV meningococcal B vaccine in children and adolescents

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