• Asian Pac. J. Cancer Prev. · Jan 2014

    Multicenter Study

    Human papillomavirus vaccine awareness, acceptability, and decision-making factors among Chinese college students.

    • Shao-Ming Wang, Shao-Kai Zhang, Xiong-Fei Pan, Ze-Fang Ren, Chun-Xia Yang, Zeng-Zhen Wang, Xiao-Hong Gao, Man Li, Quan-Qing Zheng, Wei Ma, Fang-Hui Zhao, You-Lin Qiao, and Priya Sivasubramaniam.
    • Cancer Institute/ Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China E-mail : zhaofangh@cicams.ac.cn, qiaoy@cicams.ac.cn.
    • Asian Pac. J. Cancer Prev. 2014 Jan 1; 15 (7): 3239-45.

    BackgroundCollege students are recommended as the target groups for catch-up human papillomavirus (HPV) vaccination. Systematical exploration of awareness, acceptability, and decision-making factors of HPV vaccination among Chinese college students has been limited.Materials And MethodsA multi-center survey was conducted in mainland China between November 2011 and May 2012. College students aged 18-22 years were stratified by their grade, gender, and major for sampling. Socio-demographic and HPV-related information such as knowledge, perceptions, acceptability, and attitudes were collected through a questionnaire.ResultsA total of 3,497 undergraduates completed the questionnaire, among which 1,686 were males. The acceptability of the HPV vaccine was high (70.8%). Undergraduates from high-level universities, at lower grade, or with greater prior knowledge of HPV vaccines showed higher acceptability of HPV vaccination (ptrend <0.001). Additionally, undergraduates with vaccination experience outside the National Expanded Program on Immunization (OR=1.29; 95%CI: 1.10-1.51) or fear of HPV-related diseases (OR=2.79; 95%CI: 2.28-3.41) were more willing to accept HPV vaccination. General knowledge of HPV vaccine was low among undergraduates, and safety was a major concern (71.05%). The majority of students wished to pay less than 300RMB for HPV vaccine and chose the Chinese Center for Disease Control and Prevention as the most appropriate venue for vaccination.ConclusionsAlthough most undergraduates demonstrate positive attitudes towards HPV vaccination, challenges pertaining to introduction exist in China. Corresponding proactive education and governmental subsidy to do so are urgently needed by this age-group population. Suggestions and potential strategies indicated may help shape the future HPV vaccination program in China.

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