Human Papillomavirus Infection and Vaccination: Awareness and Knowledge of HPV and Acceptability of HPV Vaccine among Mothers of Teenage Daughters in Weihai, Shandong, China

Yu, Yang; Xu, Mingyuan; Sun, Jiandong; Li, Ruiying; Li, Meilan; Wang, Jianguang; Zhang, Dongfeng; Xu, Aiqiang

doi:10.1371/journal.pone.0146741

Cited by 69 publications

(103 citation statements)

References 23 publications

(63 reference statements)

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“…Ezenwa et al (19) in Nigeria also reported the majority of respondents to have no awareness of HPV or HPV vaccines; only 27.9% of mothers had heard of HPV, and only 21% knew of relationship between cervical cancer and HPV. Yu et al (20) in China also reported that a mere 19% of mothers had heard of HPV before the investigation, and that there was no significant difference in HPV awareness based on the mothers’ age group, education level or employment status. Considering these reviews, the knowledge of mothers in Korea concerning HPV is not low, although it was found to be below 60%.…”

Section: Discussionmentioning

confidence: 97%

“…Recent studies have demonstrated that, although parents support HPV vaccinations for their daughters, the rates of vaccination vary across populations with different sociocultural levels and knowledge of HPV (181920). In one review, Seven et al (18) in Turkey reported that only 26.9% of mothers knew about HPV infections, and only 24.5% about HPV vaccines.…”

Section: Discussionmentioning

confidence: 99%

“…In Nigeria, for example, the most common reason (51.5%) was mothers not knowing where or how to access the vaccine (19), while in China it was mothers believing their daughter too young to be at risk of cervical cancer (31%) (20), and in Turkey it was low awareness concerning HPV (67.2%) (18). Our data showed the most common reasons for negative attitudes in Korea to be concerned about possible side effects (49%), followed by low awareness about HPV (44%).…”

Section: Discussionmentioning

confidence: 99%

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Attitudes Regarding HPV Vaccinations of Children among Mothers with Adolescent Daughters in Korea

et al. 2017

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The aim of this study, carried out before the beginning of human papillomavirus (HPV) vaccinations as a National Immunization Program (NIP) in Korea in 2016, is to assess the ranges of perceptions and personal experience and their influences on attitudes regarding HPV vaccinations of children, among mothers of adolescent (9–14 years of age) daughters in Korea. From November 2015 to February 2016, we distributed a written questionnaire to mothers who had daughters aged 9–14 years. The questionnaire consisted of several questions, related to knowledge of HPV, personal experiences of HPV vaccination, and attitudes toward HPV vaccinations of their adolescent daughters. Of the 260 questionnaires distributed, 140 participants returned answered ones. And although only 51% of participants were aware that cervical cancer is highly related with HPV infection, 70% said they were willing to vaccinate their daughters, showing that awareness does not coincide with intention to vaccinate. Among the participants showing negative attitudes, 50% were concerned about the vaccination side effects. The more the participants’ pre-knowledge about HPV infection, and about the relationship of HPV to cervical cancer, the more positive their attitudes (P = 0.002, P < 0.001). Our study showed that, as the level of education rose, the proportion of mothers with negative attitudes toward vaccinating their adolescent daughters rose as well. Thus, the provision of correct education by health care providers and accurate information through active advertising may play an important role in increasing the vaccination rate among adolescent girls in Korea.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Attitudes Regarding HPV Vaccinations of Children among Mothers with Adolescent Daughters in Korea

et al. 2017

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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%

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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“…Vaccine confidence is an increasingly important global public health issue, with decreases in confidence leading to well-documented cases of disease outbreaks, setbacks to global polio eradication as well as other immunization goals, and contentious political debates in high and low-income countries alike (Brown et al, 2010, Hanley et al, 2015, Khetsuriani et al, 2010, Larson et al, 2011, Yu et al, 2016). The World Health Organization's (WHO) Strategic Advisory Group of Experts (SAGE) on Immunization (WHO, 2014) as well as national immunization programmes (US Dept.…”

Section: Introductionmentioning

confidence: 99%

The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey

et al. 2016

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BackgroundPublic trust in immunization is an increasingly important global health issue. Losses in confidence in vaccines and immunization programmes can lead to vaccine reluctance and refusal, risking disease outbreaks and challenging immunization goals in high- and low-income settings. National and international immunization stakeholders have called for better monitoring of vaccine confidence to identify emerging concerns before they evolve into vaccine confidence crises.MethodsWe perform a large-scale, data-driven study on worldwide attitudes to immunizations. This survey – which we believe represents the largest survey on confidence in immunization to date – examines perceptions of vaccine importance, safety, effectiveness, and religious compatibility among 65,819 individuals across 67 countries. Hierarchical models are employed to probe relationships between individual- and country-level socio-economic factors and vaccine attitudes obtained through the four-question, Likert-scale survey.FindingsOverall sentiment towards vaccinations is positive across all 67 countries, however there is wide variability between countries and across world regions. Vaccine-safety related sentiment is particularly negative in the European region, which has seven of the ten least confident countries, with 41% of respondents in France and 36% of respondents in Bosnia & Herzegovina reporting that they disagree that vaccines are safe (compared to a global average of 13%). The oldest age group (65+) and Roman Catholics (amongst all faiths surveyed) are associated with positive views on vaccine sentiment, while the Western Pacific region reported the highest level of religious incompatibility with vaccines. Countries with high levels of schooling and good access to health services are associated with lower rates of positive sentiment, pointing to an emerging inverse relationship between vaccine sentiments and socio-economic status.ConclusionsRegular monitoring of vaccine attitudes – coupled with monitoring of local immunization rates – at the national and sub-national levels can identify populations with declining confidence and acceptance. These populations should be prioritized to further investigate the drivers of negative sentiment and to inform appropriate interventions to prevent adverse public health outcomes.

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Human Papillomavirus Infection and Vaccination: Awareness and Knowledge of HPV and Acceptability of HPV Vaccine among Mothers of Teenage Daughters in Weihai, Shandong, China

Cited by 69 publications

References 23 publications

Attitudes Regarding HPV Vaccinations of Children among Mothers with Adolescent Daughters in Korea

Attitudes Regarding HPV Vaccinations of Children among Mothers with Adolescent Daughters in Korea

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

The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey

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