Awareness and knowledge of human papillomavirus vaccination and their influential factors among Chinese women: a systematic review
, , , , oraz | 31 gru 2019
O artykule
Article Category: Original article
Data publikacji: 31 gru 2019
Zakres stron: 317 - 326
Otrzymano: 14 sie 2018
Przyjęty: 31 gru 2018
DOI: https://doi.org/10.2478/FON-2019-0048
Słowa kluczowe
© 2019 Gui-Dan Tang et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Figure 1
Extraction of study contents.
| Author | Results | Measures | |
|---|---|---|---|
| Awareness/attitude | Factors | ||
| Wang et al. 20158 | 30.3% of the participants had heard of HPV and 12.4% of them had heard of HPV vaccine | Concerns about safety efficacy and source of HPV vaccine Cost | vaccine safety is assured and the cost is reasonable or subsidized by the government |
| Wong et al. 20099 | 89% of the participants did not know that HPV infection could cause cervical cancer | Age Having had sexual intercourse Beliefs regarding the effectiveness of vaccination | More targeted sexual health education Solving the potential “unknown” side effects of the vaccine by health providers |
| Kwan et al. 200810 | No participant had any knowledge about HPV Over half of the participants had heard of vaccination but no one could provide any details | High monetary cost Uncertain length of vaccine effectiveness Low perceived risk of HPV infection Anticipated family disapproval Fear of the pain of injection | Providing professional information on HPV vaccination Raising perceived need to take preventive measures against HPV infection |
| Yu et al. 201611 | 19.3% of the participants had heard of HPV 26.5% of them expressed willingness to vaccination | Age Education occupation household income Knowledge level | Appropriate health education Reasonable price |
| Chiang et al. 201612 | 69.6% of the participants intended to get vaccinated | Knowledge Cost | More aggressive education and promotion activities on HPV and HPV vaccination |
| Chang et al. 201313 | 22.7% of the participants had heard of HPV | Vaccine’s safety Efficacy Limited use | Incorporation of lecture-based education initiative into a government-sponsored or school-based program |
| Kwan et al. 200914 | About 38% of the participants had heard of HPV 50% of them had heard of vaccination against cervical cancer | Misconceptions A grossly inadequate knowledge about HPV and HPV vaccination | Culturally sensitive and tailored education for the public |
| Hsu et al. 200915 | Over 50% of the participants were aware of HPV and the HPV vaccine 63% of them reported a high intention to obtain the HPV vaccine | Demographic factors Health belief factors predicted HPV vaccination | Educational campaigns focusing on the efficacy safety and benefits of the HPV vaccine |
| Li et al. 200916 | Only 15.0% of the participants had heard of HPV and this knowledge differs between rural (9.3%) and metropolitan areas (21.6%) 84.6% of the participants were willing to be vaccinated | Lack of knowledge Doubts on the source of the HPV vaccine Safety | Public health campaign Government buy-in with commitment of resources Affordable vaccines Establishment of a health infrastructure |
| Wang et al. 201617 | Half of the participants had heard of HPV 78% of the participants reported a high intention regarding HPV vaccination | Family history of gynecological tumors Awareness | Recommendations by physicians and nurses |
| Feng et al. 201218 | 39.1% of women in urban areas and 27.1% in rural areas had heard of HPV 23.7% and 15.1%, respectively, had heard of the HPV vaccine | Inadequate knowledge Misconceptions about HPV | Education campaigns targeting different populations |
| Li et al. 200819 | 30.7% of the participants had heard of HPV. 51.78% of them knew that HPV infection was related to cervical cancer | Age Educational level HPV vaccine’s safety and efficacy | Public health education |
| Yan et al. 201320 | 94.29% of the participants did not know about HPV at all but 94.23% of them would like to take HPV vaccine | Lack of perceived risk of cervical cancer | Spreading HPV and cervical cancer-related knowledge Improving quality of life essentially |
| Wang et al. 201421 | 27.6% participants had heard of HPV and 17.6% of them had heard of vaccine 82.0% of them would like to take HPV vaccine | Occupation Degree of education Family income | HPV health education especially for low level of education of farmers and workers housewives and low-income groups |
| Zhou et al. 201122 | Only 11.8% of the participants had heard of HPV 25% of them had heard of vaccine | HPV vaccine’s safety and efficacy Cost | Public health education Improving scope of effective medical insurance |
| Zhao et al. 201023 | 20.6% of the participants had heard of HPV | Low perception of HPV infection Vaccine’s limited use Source of HPV vaccine | Health education at all levels |
| Wang et al. 201524 | 46.1% of the participants had heard of HPV. 28.8% of them had heard of vaccine 66.0% of participants were willing to vaccination | Safety of HPV vaccine Vaccine’s limited use in China Price of HPV vaccine | Targeted education on HPV and HPV vaccination |
| Su et al. 201625 | 32.5% of the women had ever heard of HPV 76.0% of the participants showed willingness to accept HPV vaccination | Concerns on HPV infection Occupation Degree of education | Strengthening public health education Disseminating information about HPV vaccine |
| Ayizuoremu et al. 201526 | The awareness rates of cervical cancer HPV and HPV vaccine were 25.0% 8.0% and 4.0% among Uygur women and 35.0% 19.0% and 7.0% among Han women | Educational level | The popularization of knowledge on HPV and HPV vaccination |
Characteristics of included studies.
| Author | Study design | Age(years) | Sample size | Region in China | Acceptability (%) |
|---|---|---|---|---|---|
| Wang et al. 20158 | Cross-sectional | 35–48 | 185 | Jinan | 29.19 |
| Wong et al. 20099 | Cross-sectional | 18–20 | 992 | Hong Kong | 70.80 |
| Kwan et al. 200810 | Qualitative–quantitative | 13–20 | 64 | Hong Kong | 68.80 |
| Yu et al. 201611 | Cross-sectional | 30–56 | 1578 | Weihai | 26.49 |
| Chiang et al. 201612 | Cross-sectional | 18–25 | 234 | Hong Kong | 69.60 |
| Chang et al. 201313 | Cross-sectional | 19–47 | 1703 | the mainland | 81.00 |
| Kwan et al. 200914 | Cross-sectional | >18 | 1261 | Hong Kong | 88.00 |
| Hsu et al. 200915 | Cross-sectional | 17–36 | 845 | Taiwan | 63.00 |
| Li et al. 200916 | Cross-sectional | 14–59 | 6024 | the mainland | 84.60 |
| Wang et al. 201617 | Cross-sectional | 37–48 | 377 | Taiwan | 78.00 |
| Feng et al. 201218 | Cross-sectional | 18–50 | 1432 | Zhejiang | 65.40 |
| Li et al. 200819 | Cross-sectional | 23–45 | 1013 | Beijing | 75.91 |
| Yan et al. 201320 | Cross-sectional | 30–49 | 1681 | Gansu | 94.23 |
| Wang et al. 201421 | Cross-sectional | 23–81 | 250 | Shaanxi | 82.00 |
| Zhou et al. 201122 | Cross-sectional | 23–45 | 500 | Shanxi | 82.00 |
| Zhao et al. 201023 | Cross-sectional | 16–54 | 997 | Shanghai | 66.10 |
| Wang et al. 201524 | Cross-sectional | 21–60 | 4897 | Shenzhen | 66.00 |
| Su et al. 201625 | Cross-sectional | 21–71 | 973 | Xi’an | 76.00 |
| Ayizuoremu et al. 201526 | Cross-sectional | 16–60 | 3900 | Xinjiang | No mention |