HPV vaccination in Hong Kong: Uptake and reasons for non-vaccination amongst Chinese adolescent girls

Li, Sophia Ling; Lau, Yu Lung; Lam, Tai Hing; Yip, Paul S. F.; Fan, Susan; Ip, Patrick

doi:10.1016/j.vaccine.2013.10.027

Cited by 37 publications

(57 citation statements)

References 13 publications

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“…A bivalent HPV vaccine was approved by the China Food and Drug Administration in late 2016, but it is not available on the market yet. 10 Similar reasons, coupled with health beliefs and cultural factors, were identified in Chinese, Korean and other overseas studies. 10 The major reasons for this low uptake at 2013 were the lack of relevant knowledge, inaccessibility, high cost, concerns about efficacy and safety and being too young.…”

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confidence: 57%

“…10 Previous studies showed that doctors play a key role in the successful implementation of mass vaccination campaigns because patients tend to trust their doctors' recommendations. Interestingly, medical student's attitude towards HPV vaccination was more important than HPV-related knowledge.…”

Section: Determinants Of Intention To Recommend Hpv Vaccination Amongmentioning

confidence: 99%

“…[4][5][6][7] Hong Kong is the first place in China to license an HPV vaccine, but a universal vaccination programme has yet to be implemented. 10 The major reasons for this low uptake at 2013 were the lack of relevant knowledge, inaccessibility, high cost, concerns about efficacy and safety and being too young. 8,9 The vaccine is currently only available in private medical clinics of Hong Kong and costs around $100 USD per dose with a very low uptake rate (7.2%) among adolescent girls.…”

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confidence: 99%

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Chinese medical students’ knowledge, attitude and practice towards human papillomavirus vaccination and their intention to recommend the vaccine

Liu

Chan

et al. 2017

J Paediatrics Child Health

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confidence: 57%

Section: Determinants Of Intention To Recommend Hpv Vaccination Amongmentioning

confidence: 99%

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confidence: 99%

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Chinese medical students’ knowledge, attitude and practice towards human papillomavirus vaccination and their intention to recommend the vaccine

Liu

Chan

et al. 2017

J Paediatrics Child Health

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“…Cost is also a barrier to HPV vaccination uptake (Choi et al, 2013;Wang et al, 2014). A recently published survey revealed potential social disparities in HPV vaccination with Hong Kong adolescent girls who are socio-economically advantaged (locally born, mothers educated to tertiary level or above) being more likely to be vaccinated (Li et al, 2013). Therefore, making cervical screening and HPV vaccination accessible and affordable would significantly reduce disparities in cervical cancer risk and women's health among new immigrants and potential other low SES groups in Hong Kong.…”

Section: Discussionmentioning

confidence: 99%

Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

Wang

Lam²,

Wu³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: This study aimed to seek insights into Chinese women's lay beliefs about cervical cancer causal attributions and prevention. Materials and Methods: Twenty-three new immigrant adult women from Mainland China and thirty-five Hong Kong adult women underwent semi-structured in-depth interviews. Interviews were audio taped, transcribed and analyzed using a Grounded Theory approach. Results: This study generated three foci: causal beliefs about cervical cancer, perceived risk of cervical cancer, and beliefs about cervical cancer prevention. Personal risky practices, contaminated food and environment pollution were perceived as the primary causes of cervical cancer. New immigrant women more likely attributed cervical cancer to external factors. Most participants perceived cervical cancer as an important common fatal female cancer with increased risk/prevalence. Many participants, particularly new immigrant women participants, expressed helplessness about cervical cancer prevention due to lack of knowledge of prevention, it being perceived as beyond individual control. Many new immigrant participants had never undergone regular cervical screening while almost all Hong Kong participants had done so. Conclusions: Some Chinese women hold pessimistic beliefs about cervical cancer prevention with inadequate knowledge about risk factors. Future cervical cancer prevention programs should provide more information and include capacity building to increase Chinese women's knowledge and self-efficacy towards cervical cancer prevention.

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“…Vaccination decisions for adolescent girls generally devolve to parents. By 2012, only ~7–9% of Hong Kong teenage girls had received HPV vaccination , a low rate compared with many western countries where uptakes range from 17% to 81% . It is necessary to better understand HPV vaccination decision‐making among parents to increase vaccination uptake.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial determinants of Chinese parental HPV vaccination intention for adolescent girls: preventing cervical cancer

Wang

Lam

et al. 2015

Psycho-Oncology

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Background: Intention is an important precursor of decisions to undergo vaccination. Using an extensively modified theory of planned behaviour, we explored psychosocial determinants of vaccination intention against human papillomavirus (HPV) among Hong Kong Chinese parents.Methods: A random sample of 368 (response rate 54.6%) Chinese parents who had at least one daughter aged 12-17 years, had heard of HPV vaccine before but had not vaccinated daughters against HPV and had completed telephone interviews between February and April 2014. Hierarchical multiple regression analysis examined the additive effect of theoretical constructs. Stepwise multiple regression analysis determined which variables contributed the most to the prediction of vaccination intention.Results: Principal determinants of parental HPV vaccination intention were anticipated worry if not vaccinated (β = 0.23, p = 0.001), anticipated anxiety reduction after HPV vaccination (β = 0.19, p = 0.005), proneness to peer influence (β = 0.17, p = 0.002), private health insurance for children (β = 0.14, p = 0.009), perceiving daughter's susceptibility to cervical cancer (β = 0.17, p = 0.003), number of daughters (β = À0.13, p = 0.011), descriptive norms of HPV vaccination (β = 0.13, p = 0.021), perceiving cervical cancer as behaviour-preventable disease (β = À0.11, p = 0.031) and anticipated regret if not vaccinated (β = 0.14, p = 0.046). Cervical cancer-related worry/anxiety explained 32.8% of the variance in parental HPV vaccination intention.Conclusions: Results suggest that cervical cancer-related worry/anxiety is the most important predictor of parental HPV vaccination intention in Hong Kong Chinese and possibly other populations. Social influences also play an important role affecting parental vaccination intention, particularly peer influence and descriptive norm beliefs. Implications of these results are discussed in terms of future HPV vaccination promotion and cervical cancer prevention programme.

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HPV vaccination in Hong Kong: Uptake and reasons for non-vaccination amongst Chinese adolescent girls

Cited by 37 publications

References 13 publications

Chinese medical students’ knowledge, attitude and practice towards human papillomavirus vaccination and their intention to recommend the vaccine

Chinese medical students’ knowledge, attitude and practice towards human papillomavirus vaccination and their intention to recommend the vaccine

Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

Psychosocial determinants of Chinese parental HPV vaccination intention for adolescent girls: preventing cervical cancer

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