HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study

Background Adolescents are the primary target population for human papillomavirus (HPV) vaccination. The objective of this study is to explore the acceptability of HPV vaccines and evaluate factors related to willingness to be vaccinated among Chinese adolescents. Methods A nation-wide survey was co...

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Main Authors: Xi Zhang, Zengzhen Wang, Zefang Ren, Zhifang Li, Wei Ma, Xiaohong Gao, Rong Zhang, Youlin Qiao, Jing Li
Format: Article
Language:English
Published: Taylor & Francis Group 2021-04-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2020.1812314
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author Xi Zhang
Zengzhen Wang
Zefang Ren
Zhifang Li
Wei Ma
Xiaohong Gao
Rong Zhang
Youlin Qiao
Jing Li
author_facet Xi Zhang
Zengzhen Wang
Zefang Ren
Zhifang Li
Wei Ma
Xiaohong Gao
Rong Zhang
Youlin Qiao
Jing Li
author_sort Xi Zhang
collection DOAJ
description Background Adolescents are the primary target population for human papillomavirus (HPV) vaccination. The objective of this study is to explore the acceptability of HPV vaccines and evaluate factors related to willingness to be vaccinated among Chinese adolescents. Methods A nation-wide survey was conducted across 14 schools in mainland China. The questionnaire consisted of questions relating to socio-demographic characteristics, knowledge of adolescent sexual health, cervical cancer, HPV and HPV-related disease, and students’ willingness to be vaccinated. Chi-square tests and multivariable logistic regression were conducted in the data analysis. Results A total of 4,062 students participated in this study. Among them, only 17.1% of students reported having heard of HPV vaccines; however, 67.3% were willing to receive the HPV vaccine. Multivariable regression analysis showed that students who were from rural areas, have received sexual health education, have heard of cervical cancer or HPV vaccine, have a positive attitude toward vaccination, reported they were at the risk of developing cervical cancer, and those who value their parents’ and teachers’ opinions were more willing to receive HPV vaccination. Conclusions Awareness about the HPV vaccine is low among Chinese adolescents. The factors that most related to willingness to vaccinate among Chinese adolescents were school location, education about vaccination, HPV, and HPV vaccines. Integrating health education on HPV vaccination into existing school-based sexual health curricula may be an effective way to increase HPV vaccination coverage in mainland China.
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spelling doaj.art-52360947bd714742b00b0fcc25730c552023-09-22T08:51:51ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-04-011741025103210.1080/21645515.2020.18123141812314HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide studyXi Zhang0Zengzhen Wang1Zefang Ren2Zhifang Li3Wei Ma4Xiaohong Gao5Rong Zhang6Youlin Qiao7Jing Li8Beijing Office for Cancer Prevention and Control, Peking University Cancer Hospital & InstituteSchool of Public Health, Tongji Medical College of Huazhong University of Science and TechnologySchool of Public Health, Sun Yat-sen UniversityChangzhi Medical CollegeSchool of Public Health, Shandong UniversitySchool of Public Health, Dalian Medical UniversityXinjiang Uygur Autonomous Region Center for Disease Control and PreventionCancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College School of population medicine & public health, Beijing, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan UniversityBackground Adolescents are the primary target population for human papillomavirus (HPV) vaccination. The objective of this study is to explore the acceptability of HPV vaccines and evaluate factors related to willingness to be vaccinated among Chinese adolescents. Methods A nation-wide survey was conducted across 14 schools in mainland China. The questionnaire consisted of questions relating to socio-demographic characteristics, knowledge of adolescent sexual health, cervical cancer, HPV and HPV-related disease, and students’ willingness to be vaccinated. Chi-square tests and multivariable logistic regression were conducted in the data analysis. Results A total of 4,062 students participated in this study. Among them, only 17.1% of students reported having heard of HPV vaccines; however, 67.3% were willing to receive the HPV vaccine. Multivariable regression analysis showed that students who were from rural areas, have received sexual health education, have heard of cervical cancer or HPV vaccine, have a positive attitude toward vaccination, reported they were at the risk of developing cervical cancer, and those who value their parents’ and teachers’ opinions were more willing to receive HPV vaccination. Conclusions Awareness about the HPV vaccine is low among Chinese adolescents. The factors that most related to willingness to vaccinate among Chinese adolescents were school location, education about vaccination, HPV, and HPV vaccines. Integrating health education on HPV vaccination into existing school-based sexual health curricula may be an effective way to increase HPV vaccination coverage in mainland China.http://dx.doi.org/10.1080/21645515.2020.1812314hpv vaccinewillingness to receiveassociated factorsadolescentschina
spellingShingle Xi Zhang
Zengzhen Wang
Zefang Ren
Zhifang Li
Wei Ma
Xiaohong Gao
Rong Zhang
Youlin Qiao
Jing Li
HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study
Human Vaccines & Immunotherapeutics
hpv vaccine
willingness to receive
associated factors
adolescents
china
title HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study
title_full HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study
title_fullStr HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study
title_full_unstemmed HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study
title_short HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study
title_sort hpv vaccine acceptability and willingness related factors among chinese adolescents a nation wide study
topic hpv vaccine
willingness to receive
associated factors
adolescents
china
url http://dx.doi.org/10.1080/21645515.2020.1812314
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