Factors Related to Chinese Parents' HPV Vaccination Intention for Children

Zhu, Lin; Zhai, Shumenghui; Siu, Philip; Xia, Helen Y; Lai, Sarah; Zambrano, Cristina; Grace, X.

doi:10.5993/ajhb.43.5.10

Cited by 21 publications

(25 citation statements)

References 37 publications

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“…Parents’ attitudes were found to be strongly influenced by the favorable opinion of the physician also in a study recently conducted by Facciolà et al . [ 81 ] and other similar studies [ 83 - 86 ].…”

Section: Discussionmentioning

confidence: 66%

Burden and Prevention of HPV. Knowledge, Practices and Attitude Assessment Among Pre-Adolescents and their Parents in Italy

Icardi

Costantino

Guido

et al. 2020

CPD

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Despite infections due to HPV nowadays represent the most common sexually transmitted diseases worldwide with recognized effective and safe preventive strategies, knowledge, attitudes; however, awareness on HPV is considerably low. The present study has two main objectives: 1. To conduct a literature review to analyze the evolution of preventive tools, the complexity of the vaccine choice process, and the challenges posed by HPV vaccine hesitancy and refusal among pre-adolescents and their parents; 2. To assess knowledge, practices and attitudes toward HPV infection and vaccination in a sample of Italian pre-adolescents and their parents. The observational study was carried out through the use of two anonymous and self-administered pre- and postintervention questionnaires dedicated to the target populations. Between the administrations of the pre- and postintervention questionnaires, an educational intervention on HPV infection and related diseases, and prevention strategies was conducted. All participants demonstrated suboptimal knowledge and positive attitudes in the preintervention questionnaire. Higher levels of knowledge and attitudes were observed among pre-adolescents thatused social networks and had heard of sexually transmitted diseases at home/school/physician and from parents and also who had heard of HPV from General Practitioners, Gynecologists, family members and newspapers. A significant increase in HPV vaccination awareness was observed among pre-adolescents after the educational sessions. Health education programs aimed at increasing knowledge, attitudes and awareness on HPV are needed to implement the outcomes of HPV immunization programs, especially if supported by the physicians involved in counselling and recommendation processes.

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Section: Discussionmentioning

confidence: 66%

Burden and Prevention of HPV. Knowledge, Practices and Attitude Assessment Among Pre-Adolescents and their Parents in Italy

Icardi

Costantino

Guido

et al. 2020

CPD

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“…Previous studies have identified factors associated with parents' intention toward and update of HPV vaccine, including parent gender, income, education, and HPVrelated knowledge and children's health insurance coverage. For example, previous studies have identified lack of HPVrelated knowledge as a factor inhibiting parents from making informed decisions on HPV vaccination for their children [10,11,[13][14][15][16]. Researchers also found that higher family income [15] and higher parental education [15,17] are associated with higher HPV-related knowledge and vaccine initiation and completion rates.…”

Section: Introductionmentioning

confidence: 99%

A Multilevel Intervention to Increase HPV Vaccination among Asian American Adolescents

Zhu

Tan

et al. 2021

J Community Health

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Human papillomavirus (HPV) is the most common sexually transmitted infection in the US. HPV vaccine is a viable source of prevention against high-risk strains that are likely to cause cancer. However, particularly among racial and ethnic minorities such as Chinese Americans, HPV vaccination rates are suboptimal. The goal of this study was to evaluate the effect of a culturally tailored intervention on HPV vaccine uptake in Chinese Americans. We designed and implemented a multilevel longitudinal pilot study to examine the efficacy of the HPV intervention among Chinese American parents/guardians. We recruited 180 participants from federally qualified health center and community-based clinics that serve predominantly low-income Chinese Americans in Philadelphia. Participants were randomized into an intervention group (n = 110) or a control group (n = 70). The intervention group received an HPV specific intervention, while the control group received a general health intervention. The primary outcome was medical record-confirmed receipt of first shot and completion of HPV vaccine within six months of receiving the interventions. Repeated measure ANOVA was utilized to examine the intervention effect on knowledge between intervention and control groups. Knowledge differed significantly, with participants in the intervention group demonstrating the greatest improvement following the intervention. A multivariable logistic regression was used to examine the association between HPV vaccine initiation and study group assignment. There was a significant effect of provider recommendation, parent’s gender, and health insurance status on HPV vaccine uptake. This study demonstrated positive impact of a culturally tailored intervention on HPV vaccination uptake among Chinese Americans.

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“…Our findings also indicate that information from and discussions with family members about HPV were strongly associated with high AI and significantly influenced HPV vaccination behaviors. Parental attitudes and positive perceptions about HPV have already been associated with successful HPV vaccine uptake (Tung et al, 2020;Zhu et al, 2019). Lack of knowledge and misconceptions about HPV and HPV vaccination among Chinese American parents may hinder their ability to initiate conversations with their children (Zhu et al, 2019).…”

Section: Influence Of Acculturation On Hpv Information Sources and Co...mentioning

confidence: 99%

HPV vaccination, information sources, and acculturation among Chinese college students aged 18–26 in the United States

Tung

Lin

Chao

et al. 2021

Research in Nursing & Health

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Human papillomavirus (HPV) vaccination behaviors among Chinese college students (CCS) in the United States are affected by social determinants of health. Using a selfreport questionnaire and a snowball sampling technique, this cross-sectional study investigated (a) HPV vaccination practices; (b) primary social networking platforms and preferred means of receiving HPV information; and (c) the influence of acculturation on HPV vaccination, HPV information sources, and social networking use among 213 CCS aged 18-26 in the United States. About half (50.7%) had received one to three doses of an HPV vaccine, and 91.7% had received their first dose. The most popular social networking platforms were WeChat (69.5%), Instagram (58.7%), text messaging (55.4%), and Facebook (47.4%). Preferred means of receiving future HPV information included the internet, online social networking, and health professionals. Participants with high Asian identification (AI) were less likely to receive the HPV vaccine than those with high Western identification. Participants with high AI were more likely to use WeChat for their social networking but less likely to use US-based social media platforms. Acculturation, preferred social networking platforms, and sources and communication of HPV (i.e., health professionals, family members, schoolteachers, friends) influenced participants' HPV vaccination. To promote equity of access to health messages and increase HPV vaccination, future efforts should pay attention to CCS with high AI and incorporate their cultural beliefs and practices. Given that nonprofessionals (e.g., family, friends) were influential factors in HPV vaccination, it is critical to tailor interventions for CCS to the recipients and their social circles.

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Factors Related to Chinese Parents' HPV Vaccination Intention for Children

Cited by 21 publications

References 37 publications

Burden and Prevention of HPV. Knowledge, Practices and Attitude Assessment Among Pre-Adolescents and their Parents in Italy

Burden and Prevention of HPV. Knowledge, Practices and Attitude Assessment Among Pre-Adolescents and their Parents in Italy

A Multilevel Intervention to Increase HPV Vaccination among Asian American Adolescents

HPV vaccination, information sources, and acculturation among Chinese college students aged 18–26 in the United States

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