Focus Group Study of Chinese International Students’ Knowledge and Beliefs About HPV Vaccination, Before and After Reading an Informational Pamphlet About Gardasil®

Gao, Haijuan; Okoror, Titilayo A.; Hyner, Gerald C.

doi:10.1007/s10903-016-0349-7

Cited by 22 publications

(24 citation statements)

References 26 publications

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“…Similar to another study among Chinese students [27], our study also found that students who received sexual education/knowledge, considered menstruation/spermatorrhea as a normal physiological phenomenon and hoped to learn more adolescent sexual health were more likely to accept HPV vaccination. This finding indicates that correct sexual health knowledge is positively related to the attitudes towards HPV vaccination, and it highly suggests that the HPV related knowledge should be integrated into the routine school-based sexual education to effectively increase the acceptability towards HPV vaccines among adolescents.…”

Section: Discussionsupporting

confidence: 87%

Effect of an educational intervention on HPV knowledge and attitudes towards HPV and its vaccines among junior middle school students in Chengdu, China

Liu

Hao

et al. 2019

BMC Public Health

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Background Little is known about the knowledge and attitudes towards human papillomavirus (HPV) and its vaccines among adolescents in mainland China. Also, limited information has been available on how to improve their knowledge and willingness towards HPV and its vaccines to ensure a successful vaccination program in the future. Methods This was a school-based interventional follow-up study. One urban and one rural junior middle school in Chengdu were selected by convenience sampling. At baseline, half of the grade one students were randomly selected as controls and the rest were interventions. A set of self-administered questionnaires on HPV and its vaccines were completed by both groups at baseline. After that, only the intervention group received a PowerPoint-oriented health education and finished the post-education questionnaires. One year later, both groups completed the same questionnaires as the follow-up survey. Results In total, 1675 students finished the pre-intervention questionnaires; 751 were from the control group and 924 were from the intervention group. Among them, only 34.3% had heard of cervical cancer/genital warts, while only 15.1% of them had ever heard of HPV. However, 55.2% of students showed their willingness to be vaccinated even before any intervention. Seven variables were found to be associated with the willingness to be vaccinated at baseline. Immediately after the intervention, 88.4% of students were willing to vaccinate themselves. After 1 year, the effectiveness of intervention remained but decreased. Compared with the control group, the intervention group was more aware about cervical cancer, HPV and its vaccines with statistical significance. However, the level of HPV knowledge and willingness to be vaccinated among the intervention group had significantly decreased compared with that immediately after the intervention ( P < 0.001). Conclusions The baseline level of knowledge on HPV, its vaccines, and cervical cancer was very low among junior middle school students in Chengdu, China. However, the willingness to be vaccinated seemed positive. School-based health education is effective and appropriate in increasing the awareness of HPV and willingness towards its vaccines. Regular health education on HPV and cervical cancer prevention at a shorter interval should be guaranteed to ensure continuous effectiveness.

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Section: Discussionsupporting

confidence: 87%

Effect of an educational intervention on HPV knowledge and attitudes towards HPV and its vaccines among junior middle school students in Chengdu, China

Liu

Hao

et al. 2019

BMC Public Health

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“…A study conducted among Chinese international students suggested that the HPV vaccine should be further promoted alongside sex education. 34 Participants in that study felt resistant to HPV vaccination and linked HPV infection to promiscuous sexual behavior and infidelity when they knew that HPV is transmitted by sexual contact, however further in depth knowledge could reduce stigmas related to HPV infection. Hence HPV vaccination programs should not only cover knowledge about HPV but also pay more attention to sex education to eliminate misconceptions.…”

Section: Discussionmentioning

confidence: 99%

Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China

Xue

Zhang

et al. 2017

Human Vaccines & Immunotherapeutics

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“…30 Language can be a barrier because some sexual health terms do not translate easily from English into Chinese. 15 Some international students may have privacy concerns if they are seen attending a sexual health service 8,31 or social events that promote sexual health. 29 It is essential to give all students the opportunity to access culturally relevant resources and services to enable them to make informed decisions about their sexual health.…”

Section: Discussionmentioning

confidence: 99%

“…cervix, human papillomavirus [HPV]). 15 Capturing data on sexual health outcomes from Chinese international students in Chinese is essential to inform appropriate sexual health promotion. This study aims to describe key sexual health knowledge and behaviour indicators of Chinese international students and compare with those of domestic students.…”

Section: Introductionmentioning

confidence: 99%

Comparing sexual behaviours and knowledge between domestic students and Chinese international students in Australia: findings from two cross-sectional studies

et al. 2020

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Few studies investigate sexual health among Chinese international students in Australia. We recruited domestic (n = 623) and Chinese international (n = 500) students for separate online surveys on sexual behaviours and knowledge. Samples were compared using Chi square, Fisher’s exact and equality of medians tests. Domestic students were more likely than international students to have ever touched a partner’s genitals (81% vs. 53%, p < 0.01), had oral sex (76% vs. 44%, p < 0.01), vaginal intercourse (67% vs. 41%, p < 0.01) and anal intercourse (31% vs. 6%, p < 0.01). Domestic students were younger when they first touched a partner’s genitals (16 vs. 18 years, p < 0.01), had oral sex (17 vs. 18 years, p < 0.01) and vaginal intercourse (17 vs. 18 years, p < 0.01). Domestic students were less likely than Chinese international students to report only one lifetime partner for touching genitals (22% vs. 50%, p < 0.01), oral sex (25% vs. 55%, p < 0.01), vaginal intercourse (30% vs. 58%, p < 0.01) and anal intercourse (54% vs. 88%, p < 0.01). Domestic students were more likely than Chinese international students to use the oral contraceptive pill (48% vs. 16%, p < 0.01) and long-acting reversible contraceptives (19% vs. 1%, p < 0.01). Domestic students scored higher than international students on a contraception and chlamydia quiz (4/5 vs. 2/5, p < 0.01). Domestic and Chinese international students differed in sexual behaviours and knowledge highlighting the need for relevant sexual health promotion for both groups.

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Focus Group Study of Chinese International Students’ Knowledge and Beliefs About HPV Vaccination, Before and After Reading an Informational Pamphlet About Gardasil®

Cited by 22 publications

References 26 publications

Effect of an educational intervention on HPV knowledge and attitudes towards HPV and its vaccines among junior middle school students in Chengdu, China

Effect of an educational intervention on HPV knowledge and attitudes towards HPV and its vaccines among junior middle school students in Chengdu, China

Awareness of and willingness to be vaccinated by human papillomavirus vaccine among junior middle school students in Jinan, China

Comparing sexual behaviours and knowledge between domestic students and Chinese international students in Australia: findings from two cross-sectional studies

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