Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 5/2016

01-10-2016 | Original Paper

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

Authors: Haijuan Gao, Titilayo A. Okoror, Gerald C. Hyner

Published in: Journal of Immigrant and Minority Health | Issue 5/2016

Login to get access

Abstract

An increasing need for Human Papillomavirus (HPV) vaccines in China remains unmet in the mainland and the knowledge and intentions of Chinese youth regarding vaccination is unknown. In the fall of 2013, 44 Chinese international students (CIS) attending a university in the United States Midwest participated in 10 focus group discussions (five female and five male). Result showed that participants have limited awareness and knowledge about HPV infection and vaccination, participants erroneously believed that the causes of cervical cancer are abortion and miscarriage. Participants rely heavily on informal sources such as Chinese-based social media platforms and personal social networks for information on sexually transmitted infections. Sexual cultures and behaviors are perceived differently between CIS born in the 1990s and 1980s. Interestingly, participants’ perceived stigma about HPV infection decreased with improving knowledge level during group discussions. In conclusion, HPV vaccine should be further promoted alongside sex education among CIS.
Literature
1.
Hu SY, Hong Y, Zhao FH, Lewkowitz AK, Chen F, Zhang WH, Pan QJ, Zhang X, Fei C, Li H, Qiao YL. Prevalence of HPV infection and cervical intraepithelial neoplasia and attitudes towards HPV vaccination among Chinese women aged 18–25 in Jiangsu Province. Chin J Cancer Res. 2011;23(1):25–32.PubMedPubMedCentral
2.
Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55:74–108.PubMed
3.
Zhao FH, Tiggelaar SM, Hu SY, Xu LN, Hong Y, Niyazi M, Gao XH, Ju LR, Zhang LQ, Feng XX, Duan XZ, Song XL, Wang J, Yang Y, Li CQ, Liu JH, Liu JH, Lu YB, Li L, Zhou Q, Liu JF, Zhao N, Schmidt JE, Qiao YL. A multi-center survey of age of sexual debut and sexual behavior in Chinese women: suggestions for optimal age of human papillomavirus vaccination in China. Cancer Epidemiol. 2012;36(4):384–90.PubMedPubMedCentral
4.
Agosti JM, Goldie SJ. Introducing HPV vaccine in the developing countries: key challenges and issues. N Engl J Med. 2007;356(19):1908–10.PubMed
5.
Gu C, Chan CWH, Twinn S. How sexual history and knowledge of cervical cancer and screening influence Chinese women’s screening behavior in mainland China. Cancer Nurs. 2010;33(6):445–53.PubMed
6.
Zhao FH, Hu SY, Zhang SW, Chen WQ, Qiao YL. Cervical cancer mortality in 2004–2005 and changes during last 30 years in China. Zhonghua Yu Fang Yi Xue Za Zhi. 2010;44(5):408–12.PubMed
7.
8.
Keam SJ, Harper DM. Human papillomavirus types 16 and 18 vaccine (recombinant, AS04 adjuvanted, adsorbed) [Cervarix]: profile report. BioDrugs. 2008;22(3):205–8.PubMed
9.
10.
Li J, Li LK, Ma JF, Wei LH, Niyazi M, Li CQ, Xu AD, Wang JB, Liang H, Belinson J, Qiao YL. Knowledge and attitudes about human papillomavirus (HPV) and HPV vaccines among women living in metropolitan and rural regions of China. Vaccine. 2009;27(8):1210–5.PubMed
11.
Hsu YY, Fetzer SJ, Hsu KF, Chang YY, Huang CP, Chou CY. Intention to obtain human papillomavirus vaccination among Taiwanese undergraduate women. Sex Transm Dis. 2009;36(11):686–92.PubMed
12.
Kwan TT, Chan KK, Yip AM, Tam KF, Cheung AN, Lo SS, Lee PW, Ngan HY. Acceptability of human papillomavirus vaccination among Chinese women: concerns and implications. BJOG. 2009;2–9116(4):501–10.
13.
Lee PW, Kwan TT, Tam KF, Chan KK, Young PM, Lo SS, Cheung AN, Ngan HY. Beliefs about cervical cancer and human papillomavirus (HPV) and acceptability of HPV vaccination among Chinese women in Hong Kong. Prev Med. 2007;45(2–3):130–4.PubMed
14.
Nguyen GT, Chen B, Chan M. Pap testing, awareness, and acceptability of a human papillomavirus (HPV) vaccine among Chinese American women. J Immigr Minor Health. 2012;14(5):803–8.PubMed
15.
Jeng CJ, Lin H, Wang LR. The effect of HPV infection on a couple’s relationship: a qualitative study in Taiwan. Taiwan J Obstet Gynecol. 2010;49(4):407–12.PubMed
16.
Lin H, Jeng CJ, Wang LR. Psychological responses of women infected with cervical human papillomavirus: a qualitative study in Taiwan. Taiwan J Obstet Gynecol. 2011;50(2):154–8.PubMed
17.
18.
Wang DC, Mallinckrodt B. Acculturation, attachment, and psychosocial adjustment of Chinese/Taiwanese international students. J Couns Psychol. 2006;53(4):422–33.
19.
Wei M, Heppner PP, Mallen MJ, Ku TY, Liao KYH, Wu TF. Acculturative stress, perfectionism, years in the United States, and depression among Chinese international students. J Couns Psychol. 2007;54(4):385–94.
20.
Ye J. Traditional and online support networks in the cross-cultural adaptation of Chinese international students in the United States. J Comput-Mediat Commun. 2006;11(3):863–76.
21.
Yeh CJ, Inose M. International students’ reported English fluency, social support satisfaction, and social connectedness as predictors of acculturative stress. Couns Psychol Q. 2003;16(1):15–28.
22.
Tung WC, Lu M, Cook DM. HIV/AIDS knowledge and attitudes among Chinese college students in the US. J Immigr Minor Health. 2012;15(4):788–95.
23.
Huang K, Uba L. Premarital sexual behavior among Chinese college students in the United States. Arch Sex Behav. 1992;21(3):227–40.PubMed
24.
Chan CY, Lam CH, Lam DY, Lee LY, Ng KK, Wong ML. A qualitative study on HPV vaccination from a nursing perspective in HongKong. Asian Pac J Cancer Prev. 2011;12(10):2539–45.PubMed
25.
Kwan TT, Chan KK, Yip AM, Tam KF, Cheung AN, Young PM, Lee PW, Ngan HY. Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: a qualitative-quantitative study. Sex Transm Infect. 2008;84(3):227–32.PubMed
26.
Hsu YY, Hsu KF, Cheng YM, Fetzer SJ, Chou CY. Health beliefs of Taiwanese women seeking HPV vaccination. Vaccine. 2010;28(25):4224–8.PubMed
27.
Marlow LA, Waller J, Evans RE, Wardle J. Predictors of interest in HPV vaccination: a study of British adolescents. Vaccine. 2009;27(18):2483–8.PubMed
28.
Marlow LAV, Waller J, Wardle J. Parental attitudes to pre-pubertal HPV vaccination. Vaccine. 2007;25(11):1945–52.PubMed
29.
Olshen E, Woods ER, Austin SB, Luskin M, Bauchner H. Parental acceptance of the human papillomavirus vaccine. J Adolesc Health. 2005;37(3):248–51.PubMed
30.
Zimet GD. Improving adolescent health: focus on HPV vaccine acceptance. J Adolesc Health. 2005;37(6):S17–23.PubMed
31.
Higgins LT, Sun C. Gender, social background and sexual attitudes among Chinese students. Cult Health Sex. 2007;9(1):31–42.PubMed
Metadata
Title
Focus Group Study of Chinese International Students’ Knowledge and Beliefs About HPV Vaccination, Before and After Reading an Informational Pamphlet About Gardasil®
Authors
Haijuan Gao
Titilayo A. Okoror
Gerald C. Hyner
Publication date
01-10-2016
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2016
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0349-7

Other articles of this Issue 5/2016

Journal of Immigrant and Minority Health 5/2016 Go to the issue

Original Paper

Food Insecurity Increases the Odds of Obesity Among Young Hispanic Children

Original Paper

Psychometric Properties of the DASS-21 Among Latina/o College Students by the US-Mexico Border

Letter to the Editor

Importance of Interprofessional Healthcare for Vulnerable Refugee Populations

Original Paper

“It’s Every Family’s Dream”: Choice of a Medical Career Among the Arab Minority in Israel

Original Paper

Attitudes and Beliefs of African Immigrant Mothers Living in the US Towards Providing Comprehensive Sex Education to Daughters Aged 12–17 Years: A Pilot Study

Original Paper

Application of the Transtheoretical Model to Cervical Cancer Screening in Latina Women