title: Pap testing, awareness, and acceptability of a human papillomavirus (HPV) vaccine among Chinese American women.
abstract: Little is known about the knowledge and opinions of human papillomavirus (HPV) vaccine among Chinese immigrants, nor the impact of framing HPV as a sexually transmitted infection in this population. A cross-sectional survey was conducted focusing on knowledge and experience with HPV, HPV vaccine, cervical cancer and Pap testing, and attitudes toward HPV vaccine in response to different message frames. Chinese American women were recruited in a community setting (n = 162). Only 19 % had heard of HPV and 38 % had had a Pap test in the last 3 years. Multivariate logistic regression showed that English proficiency was associated with vaccination acceptance and insurance status was associated with HPV awareness; there was no observed correlation with message framing. Chinese American women with limited English proficiency have low HPV awareness. Community-based, culturally appropriate education about cervical cancer and HPV vaccine should be directed toward limited-English proficient Chinese American women.
authors.affiliation: Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA 19104, USA. nguyeng@uphs.upenn.edu
authors.forename: Giang T
authors.initials: GT
authors.lastname: Nguyen
authors.forename: Bei
authors.initials: B
authors.lastname: Chen
authors.forename: Melvin
authors.initials: M
authors.lastname: Chan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D001364:Awareness; D002681:China / Q000208:ethnology; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health; D007802:Language; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000150:complications / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control / Q000821:virology; D014611:Vaccination / Q000706:statistics & numerical data; D014626:Vaginal Smears; D016387:Women's Health; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines