Awareness and knowledge of human papillomavirus vaccination and their influential factors among Chinese women: a systematic review

Abstract

Objectives To systematically review the knowledge attitudes and the influential factors on human papillomavirus (HPV) vaccination among Chinese women. Methods Published studies on knowledge and attitudes of HPV vaccination for preventing cervical cancer among Chinese female population were retrieved using the major Chinese and English databases. Meanwhile, handwork retrieval was also conducted and the references including in the literature were retrieved. The quality of the literature was rigorously evaluated and extracted independently by two researchers and the data were analyzed and described by review manager 5.3 (RevMan5.3) software. Results In all, 19 articles including 8 articles in Chinese and 11 in English were chosen. A total of 30,176 participants were included and the sample size ranged from 64 to 6,024. The overall awareness of HPV and HPV vaccine among Chinese women was at a low level. Chinese women generally showed poor knowledge about HPV and HPV vaccine. Acceptance of HPV vaccination among Chinese women was at a high level. Vaccination intentions were influenced by the theory of planned behavior (TPB) and measured by attitudes subjective norms and perceived behavioral control. Conclusions The health authorities may evaluate and develop TPB-based interventions to increase HPV vaccination intentions of Chinese women. HPV vaccination programs should focus on carrying out multi-level and targeted health education and developing effective public health strategies after balancing the cost and benefit of HPV vaccine program. Medical staff should play the positive role in promoting the use of HPV vaccines in China. Integration of policy and community perspectives and multi-level interventions are essential to maximize the public health benefits of HPV vaccination.

Factors Influencing the Popularity of a Health-Related Answer on a Chinese Question-and-Answer Website: Case Study

“…Votes and comments are thus regarded as reciprocal behavior from the users who have successfully had their information and psychological needs addressed by the rich and vivid answers. As the awareness of people of an HPV vaccine has been reported to be low in China [ 55 ], this study highlights the need to include helpful and concrete messages with appropriate visual illustrations to promote relevant health knowledge sharing in the social Q&A context.…”

Knowledge, attitude, preventive practices and utilization of cervical cancer screening among women in Nepal: a community-based cross-sectional study

“…Age at first marriage is often used as a proxy measure for AFSI, and those who engage in early sexual intercourse may consequently become pregnant at an early age (Bosch et al, 2002) Persistent HPV infection is recognized as a necessary precondition for the development of cervical cancer (zur Hausen, 2002;Tang et al, 2019). Systematic reviews from China and Iran, along with cross-sectional studies from Bahrain, India and Thailand report low level of knowledge of HPV infection among women (Charakorn et al, 2011;Hussain et al, 2014;Husain et al, 2019;Taebi et al, 2019;Tang et al, 2019). Similar findings were reported in our study with only 1.4% of women, who had heard about HPV.…”

“…Age at first marriage is often used as a proxy measure for AFSI, and those who engage in early sexual intercourse may consequently become pregnant at an early age (Bosch et al, 2002) Persistent HPV infection is recognized as a necessary precondition for the development of cervical cancer (zur Hausen, 2002;Tang et al, 2019). Systematic reviews from China and Iran, along with cross-sectional studies from Bahrain, India and Thailand report low level of knowledge of HPV infection among women (Charakorn et al, 2011;Hussain et al, 2014;Husain et al, 2019;Taebi et al, 2019;Tang et al, 2019).…”