title: Young multiethnic women's attitudes toward the HPV vaccine and HPV vaccination.
abstract: OBJECTIVE
  To investigate the acceptability of the HPV vaccine among a multiethnic sample of young women in Malaysia.
  
  
  METHODS
  A qualitative study of 40 young women aged between 13 and 27 years recruited into 7 focus groups to discuss their knowledge of HPV infection, and their attitudes toward and acceptance of the HPV vaccine. The women were divided into Malay, Chinese, and Indian groups to allow for comparison among ethnicities.
  
  
  RESULTS
  Poor knowledge about HPV did not influence the HPV vaccine's acceptability. Although participants were in favor of the vaccine, the majority preferred to delay vaccination because it is newly introduced, they did not perceive themselves to be at risk of HPV infection, or because of cost factors. Concerns were raised regarding the vaccine's safety, the potential to be perceived as promiscuous and sexually active, and whether the vaccine was halal.
  
  
  CONCLUSIONS
  Promotion of the HPV vaccine should take account of social and cultural acceptability. The findings will help develop strategies for effective vaccination initiatives in a multiethnic and multireligious Asian society.
authors.affiliation: Medical Education and Research Development Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. wonglp@ummc.edu.my
authors.forename: Li Ping
authors.initials: LP
authors.lastname: Wong