Beliefs about cervical cancer and human papillomavirus (HPV) and acceptability of HPV vaccination among Chinese women in Hong Kong

Lee, Peter W. H.; Kwan, Tze-Hoi; Tam, Kwok-kan; Ky, Chan; Young, Phyllis; Lo, Stephen T.H.; Cheung, Annie N.Y.; Ngan, Hextan Y.S.

doi:10.1016/j.ypmed.2007.07.013

Cited by 96 publications

(118 citation statements)

References 9 publications

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“…In addition, we found that most Chinese young women trusted the recommendations of health workers, agreeing with a Hong-Kong-based study that concluded women viewed doctors as important sources of information on cervical cancer [25] . This finding indicates the importance of educating health workers about cervical cancer, HPV and HPV vaccine.…”

Section: Discussionsupporting

confidence: 82%

Prevalence of HPV infection and cervical intraepithelial neoplasia and attitudes towards HPV vaccination among Chinese women aged 18–25 in Jiangsu Province

Hong

Zhao

et al. 2011

Chin. J. Cancer Res.

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Objective: Few data are available on the epidemiology of HPV and cervical cancer among Chinese women younger than 25 years old. This study aimed to estimate the HPV infection rate and the prevalence of cervical intraepithelial neoplasia (CIN) in women aged 18-25, as well as their knowledge of and attitudes towards HPV vaccination.Methods: A population-based cervical cancer screening study was conducted on women aged 18-25 in Jiangsu province in 2008. Participants provided socio-demographic, reproductive and behavioral information and completed a survey about their knowledge of and attitudes towards HPV vaccination. Women then underwent a gynecologic exam to provide two cervical exfoliated cell samples for high risk HPV DNA testing and liquid-based cytology (LBC) as well as visual inspection with acetic acid (VIA). Women testing positive for any test were referred to colposcopy and biopsy. The gold standard for diagnosis of cervical lesions was directed or random biopsies.Results: Within the sample of 316 women, 3.4% of them were diagnosed with CIN grade 2 or worse lesions and 17.1% were found to be positive for HPV DNA. Among these young women, extra-marital sexual behavior of them (OR=2.0, 95%CI: 1.1-3.8) or their husbands (OR=2.6, 95%: 1.4-4.7) were associated with an increased risk of HPV positivity. Although overall HPV awareness was low, after a brief educational intervention, 98.4% reported they would electively receive HPV vaccination and would also recommend that their daughters be vaccinated. However, most urban and rural women reported their ideal maximum out-of-pocket contribution for HPV vaccination to be less than 500 RMB and 50-100 RMB, respectively. Conclusion: Our study indicates cervical disease burden is relatively high among sampled Chinese women aged 18-25. Appropriate educational interventions for female adolescents and strategies to subsidize vaccine costs are definitely needed to ensure the effectiveness of vaccination campaigns in China.

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Section: Discussionsupporting

confidence: 82%

Prevalence of HPV infection and cervical intraepithelial neoplasia and attitudes towards HPV vaccination among Chinese women aged 18–25 in Jiangsu Province

Hong

Zhao

et al. 2011

Chin. J. Cancer Res.

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“…The relevant studies from Portugal (Medeirosa and Ramadab, 2011), the Unites States of America (Allen et al, 2009a), Malaysia (Wong and Sam, 2010) and Poland (Kamzol et al, 2013) were conducted with university students and reported that knowledge level of the university students were low. In the community-based studies from United Kingdom (Marlow et al, 2007), Germany (Klug et al, 2008), China (Li et al, 2009;Lee et al, 2007), Holland (Lenselink et al, 2008), Korea (Kim, 2012) and Japan (Hanley et al, 2014) and United Arab Emirates (Ortashi et al, 2013) it was found out that community knowledge levels and awareness about HPV and cervical cancer was low whereas it was high in the United States of America (Jain et al, 2009) and Belgium (Donder et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Beliefs about Cervical Cancer and Human Papilloma Virus Vaccination with Related Factors in Turkish University Students

Yılmazel¹,

Duman²

2014

Asian Pacific Journal of Cancer Prevention

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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%

“…However, most of previous studies were quantitative, which limited their ability to explore the spectrum of women's lay beliefs about causes and prevention of cervical cancer. The only qualitative study among Chinese non-patient adult women (Lee et al, 2007) found a diverse range of perceived causes of cervical cancer, commonly including genetic, psychological, environmental, and lifestyle factors, however, through focus group discussion and subjects were mainly recruited from a local health clinic. The nature of focus group study design and data collection methods limit deeply exploring individual's beliefs given the potential sensitive topic like cervical cancer, so findings may not apply to other women not attending health clinics with different health awareness.…”

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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Beliefs about cervical cancer and human papillomavirus (HPV) and acceptability of HPV vaccination among Chinese women in Hong Kong

Cited by 96 publications

References 9 publications

Prevalence of HPV infection and cervical intraepithelial neoplasia and attitudes towards HPV vaccination among Chinese women aged 18–25 in Jiangsu Province

Prevalence of HPV infection and cervical intraepithelial neoplasia and attitudes towards HPV vaccination among Chinese women aged 18–25 in Jiangsu Province

Knowledge, Attitudes and Beliefs about Cervical Cancer and Human Papilloma Virus Vaccination with Related Factors in Turkish University Students

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

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