Knowledge, attitude, and perception regarding HPV-related diseases and vaccination among the general public in Guizhou Province of China

Xie, Luhong; Ren, Ji; Min, Shaoju; Zhu, Xiaoyu; Xu, Dianqin; Qiao, Kun; Chen, Xiaowei; Liu, Min; Xiao, Ziwen; Tan, Yongtao

doi:10.1016/j.vaccine.2022.12.027

Cited by 7 publications

(4 citation statements)

References 41 publications

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“…This confirms the results of previous reports. 33 , 34 In addition, the Internet was another essential source for male students to obtain HPV vaccine information, which has also been demonstrated in many other studies. 11 , 35 , 36 Exposure to positive information through social media, TV, and other sources will increase people’s positive perceptions of HPV vaccines and their intention to be vaccinated.…”

Section: Discussionmentioning

confidence: 79%

HPV vaccine information, knowledge, attitude, and recommendation intention among male college students in China

Wu¹,

Wang

et al. 2023

Human Vaccines & Immunotherapeutics

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This study aimed to describe the status quo of human papilloma virus (HPV)-related knowledge and attitude among Chinese male college students and explore the factors influencing HPV vaccination intention. A national, cross-sectional online survey was conducted among male college students in China to investigate their HPV-related information, knowledge, attitudes, and vaccine recommendation intentions. Path analysis based on the information, knowledge, attitude, and intention model was used to assess the relationships between predictors. In total, 823 male college students participated in the survey. More than 80% of the respondents believed that the HPV vaccine was necessary for their female partners, whereas 136 (16.52%) respondents knew nothing about HPV or HPV vaccines. Information exposure was a positive predictor of HPV-related knowledge. Knowledge subsequently had a positive impact on trust in HPV vaccines, and sufficient knowledge and a positive attitude increased the intention to recommend HPV vaccination ( p < .001). Among the demographic characteristics, age and a major in medicine were positively associated with the information score ( p < .05). The male college students’ HPV-related knowledge was inadequate and negatively influenced their vaccine recommendation intentions. If we take advantage of the Internet and individual sources to increase students’ exposure to information, we will improve their HPV-related knowledge and attitudes; thus, the intention to recommend HPV vaccination will ultimately be stronger.

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Section: Discussionmentioning

confidence: 79%

HPV vaccine information, knowledge, attitude, and recommendation intention among male college students in China

Wu¹,

Wang

et al. 2023

Human Vaccines & Immunotherapeutics

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“…Studies targeting only male participants reported the greatest benefit. It may be that digital education and reminder interventions are as relevant for the unique challenges faced by male adolescents and parents of male adolescents (lower knowledge and awareness) 69 . Interventions were more effective for increasing HVU when delivered using reminder platforms (SMS, preference reminders, or electronic health record alert).…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis comparing educational and reminder digital interventions for promoting HPV vaccination uptake

Chandeying,

Thongseiratch

2023

npj Digit. Med.

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Global Human papillomavirus (HPV) vaccination rates remain low despite available WHO-approved vaccines. Digital interventions for promoting vaccination uptake offer a scalable and accessible solution to this issue. Here we report a systematic review and meta-analysis examining the efficacy of digital interventions, comparing educational and reminder approaches, for promoting HPV vaccination uptake (HVU). This study also identifies factors influencing the effectiveness of these interventions. We searched PubMed, PsycInfo, Web of Science, and the Cochrane Library from each database’s inception to January 2023. Three raters independently evaluate the studies using a systematic and blinded method for resolving disagreements. From 1929 references, 34 unique studies (281,280 unique participants) have sufficient data. Client reminder (OR, 1.41; 95% CI, 1.23–1.63; P < 0.001), provider reminder (OR, 1.39; 95% CI, 1.11–1.75; P = 0.005), provider education (OR, 1.18; 95% CI, 1.05–1.34; P = 0.007), and client education plus reminder interventions (OR, 1.29; 95% CI, 1.04–1.59; P = 0.007) increase HVU, whereas client education interventions do not (OR, 1.08; 95% CI, 0.92–1.28; P = 0.35). Digital intervention effectiveness varies based on participants’ gender and the digital platform used. Interventions targeting male or mixed-gender participants demonstrate greater benefit, and reminder platforms (SMS, preference reminders, or electronic health record alerts) are more effective in increasing HVU. Digital interventions, particularly client and provider reminders, along with provider education, prove significantly more effective than client education alone. Incorporating digital interventions into healthcare systems can effectively promote HPV vaccination uptake. Reminder interventions should be prioritized for promoting HVU.

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“…However, the acceptance obtained from pre-permission studies was still higher than this study [21,22], which is most likely related to the fact that some of the surveys at that time set many assumed preconditions, such as being provided free of charge, having no side-effects at all, or having perfect protection. Whereas, the data included in this study were only investigated based on the results of the survey respondents' answers on their knowledge of HPV and its vaccine and did not set any preconditions, so some of the survey respondents chose not to be vaccinated, taking into account factors such as the high cost, the presence of side effects, and the lack of lifelong efficacy [49,56,59]. Previous studies in China noted that individuals with more knowledge about HPV were 1.796 times more likely to receive the HPV vaccine than those with less knowledge [49]; a higher proportion of individuals who perceived themselves to be at higher risk of HPV infection were willing to receive the HPV vaccine compared to those at lower risk (97.5% vs. 80.1%) [67]; and compared to individuals without sexual intercourse history, individuals with sexual intercourse history, both male and female, were 1.558 and 1.646 times more receptive, respectively [59].…”

Section: Discussionmentioning

confidence: 99%

“…Whereas, the data included in this study were only investigated based on the results of the survey respondents' answers on their knowledge of HPV and its vaccine and did not set any preconditions, so some of the survey respondents chose not to be vaccinated, taking into account factors such as the high cost, the presence of side effects, and the lack of lifelong efficacy [49,56,59]. Previous studies in China noted that individuals with more knowledge about HPV were 1.796 times more likely to receive the HPV vaccine than those with less knowledge [49]; a higher proportion of individuals who perceived themselves to be at higher risk of HPV infection were willing to receive the HPV vaccine compared to those at lower risk (97.5% vs. 80.1%) [67]; and compared to individuals without sexual intercourse history, individuals with sexual intercourse history, both male and female, were 1.558 and 1.646 times more receptive, respectively [59]. The proportion of individuals with STD history who were willing to receive the HPV vaccine was also significantly higher than that of individuals who had not been diagnosed with an STD (92.16% vs. 81.58%) [56], which means that the survey respondents' knowledge of HPV-related diseases, HPV and HPV vaccine, the level of perceived HPV infection risk, the sexual behavior history, and the STD history all influence the individual's attitude toward the HPV vaccine.…”

Section: Discussionmentioning

confidence: 99%

HPV Infection Profiles among People Living with HIV and HPV Vaccine Acceptance among Individuals with Different HIV Infection Statuses in China: A Systematic Meta-Analysis

Yuan,

Liu,

Liu

et al. 2023

Vaccines

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To understand the HPV infection profiles among Chinese HIV/AIDS patients and the HPV vaccine acceptance among unvaccinated Chinese people with different HIV infection statuses after the HPV vaccine launch in China, this study searched Web of Science, PubMed, Cochrane Library, Embase, Scopus, CNKI, WANFANG, SinoMed, and VIP databases up to 23 June 2023, according to the registered protocol (CRD42023449913). A total of 58 studies were included. The results showed that the HPV infection rate among Chinese HIV/AIDS patients was 52.54% (95% CI: 42.11–62.86%) and higher in males than in females (74.55% vs. 41.04%); meanwhile, the rate was higher in the anus than in the cervix (69.22% vs. 41.71%). Although there was no statistical difference, the high-risk HPV infection rate (38.98%) was higher than low-risk HPV (23.86%), and single infections were more common (28.84%) than multiple infections (19.23%). HPV vaccine acceptance among the unvaccinated Chinese population was 59.19% (95% CI: 52.50–65.89%), and was slightly higher among HIV-infected rather than non-HIV-infected individuals (67.72% vs. 59.58%). There was a difference in acceptance among respondents from different regions. Although the difference in acceptance rate between males and females was not statistically significant (61.10% vs. 61.18%), MSM had a higher acceptance rate than non-MSM (84.28% vs. 59.05%). HPV infection is prevalent among HIV patients, demonstrating the need to increase the frequency of HPV screening for PLWH. The HPV vaccine acceptance rate is higher than that of non-HIV-infected individuals. Male acceptance is almost the same as female’s, with MSM acceptance higher than non-MSM, suggesting that using MSM, especially MSM in PLWH, as an entry point may be a practical avenue to explore to further expand the scope of HPV vaccination.

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Knowledge, attitude, and perception regarding HPV-related diseases and vaccination among the general public in Guizhou Province of China

Cited by 7 publications

References 41 publications

HPV vaccine information, knowledge, attitude, and recommendation intention among male college students in China

HPV vaccine information, knowledge, attitude, and recommendation intention among male college students in China

Systematic review and meta-analysis comparing educational and reminder digital interventions for promoting HPV vaccination uptake

HPV Infection Profiles among People Living with HIV and HPV Vaccine Acceptance among Individuals with Different HIV Infection Statuses in China: A Systematic Meta-Analysis

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