The effect of school-based cervical cancer education on perceptions towards human papillomavirus vaccination among Hong Kong Chinese adolescent girls.
OBJECTIVE
To evaluate the effects of school-based cervical cancer education on Hong Kong Chinese adolescent girls.


METHODS
Adolescent girls (n=953) in local secondary schools attended a tailored educational program on cervical cancer prevention. Self-administered questionnaires were used before and after the program to measure its effects on participants' knowledge, attitude and perceived social norms towards human papillomavirus (HPV) vaccination and their intention to be HPV vaccinated.


RESULTS
Before the program, HPV vaccine acceptance was favorable but relevant knowledge was low. After the program, participants had greater knowledge and a more positive attitude (both p<0.001), with more girls anticipating family (41.6% before vs. 58.9% after) and peer support (32.8% before vs. 56.9% after). There were 11.3% more girls who indicated an intention to accept the vaccine afterward. More knowledge, a more positive attitude and perceived support from significant others predicted a stronger intention to be HPV vaccinated.


CONCLUSIONS
The educational program had a positive impact on participants' perceptions towards HPV vaccination and their intention to be vaccinated.


CONCLUSIONS
School-based cervical cancer education is a viable means to meet the substantial educational needs of adolescents. Promotion of HPV vaccination should also include educating and influencing perceptions of families and peers.
Kwan
Tracy T C
TT
Department of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong.
Tam
Kar-fai
KF
Lee
Peter W H
PW
Chan
Karen K L
KK
Ngan
Hextan Y S
HY
D000293:Adolescent; D044466:Asian People; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006723:Hong Kong; D006801:Humans; D016015:Logistic Models; D030361:Papillomavirus Infections / Q000208:ethnology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010465:Perception; D012572:School Health Services; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control* / Q000821:virology; D014611:Vaccination
D053918:Papillomavirus Vaccines