title: Human Papillomavirus Infection and Vaccination: Awareness and Knowledge of HPV and Acceptability of HPV Vaccine among Mothers of Teenage Daughters in Weihai, Shandong, China.
abstract: In preparation for the introduction of human papillomavirus (HPV) vaccine, we investigated awareness and knowledge of HPV/HPV vaccine and potential acceptability to HPV vaccine among mothers with a teenage daughter in Weihai, Shandong, China. A cross-sectional survey was conducted in 2013 with a sample of 1850 mothers who had a daughter (aged 9-17 years) attending primary, junior and senior high schools. In the final sample (N = 1578, response rate 85.30%), awareness of HPV was reported by 305 (19.32%) mothers. Awareness varied significantly by daughter's age (P<0.01), mother's education level (P<0.01), mother's occupation (P<0.01), household income (P<0.01) and residence type (P<0.01). Knowledge about HPV/HPV vaccine was poor with a mean total score of 3.56 (SD = 2.40) out of a possible score of 13. Mothers with a higher education level reported higher levels of knowledge (P = 0.02). Slightly more than one-fourth (26.49%) of mothers expressed their potential acceptability of HPV vaccine for their daughters. Acceptability increased along with increased daughters' age (P<0.01), household income (P<0.01) and knowledge level (P<0.01). House wives and unemployed mothers had the highest acceptability (P<0.01). The most common reasons for not accepting HPV vaccination were "My daughter is too young to have risk of cervical cancer (30.95%)", "The vaccine has not been widely used, and the decision will be made after it is widely used (24.91%)", "Worry about the safety of the vaccine (22.85%)". Awareness and knowledge of HPV/HPV vaccines are poor and HPV vaccine acceptability is low among these Chinese mothers. These results may help inform appropriate health education programs in this population.
authors.affiliation: Weihai Center for Disease Control and Prevention, Weihai, Shandong, PR China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Yu
authors.affiliation: Medical College, Qingdao University, Qingdao, Shandong, PR China.
authors.forename: Minglei
authors.initials: M
authors.lastname: Xu
authors.affiliation: Queensland University of Technology, Brisbane, Queensland, Australia.
authors.forename: Jiandong
authors.initials: J
authors.lastname: Sun
authors.affiliation: Weihai Center for Disease Control and Prevention, Weihai, Shandong, PR China.
authors.forename: Ruiying
authors.initials: R
authors.lastname: Li
authors.affiliation: Weihai Center for Disease Control and Prevention, Weihai, Shandong, PR China.
authors.forename: Meilan
authors.initials: M
authors.lastname: Li
authors.affiliation: Weihai Center for Disease Control and Prevention, Weihai, Shandong, PR China.
authors.forename: Jianguang
authors.initials: J
authors.lastname: Wang
authors.affiliation: Medical College, Qingdao University, Qingdao, Shandong, PR China.
authors.forename: Dongfeng
authors.initials: D
authors.lastname: Zhang
authors.affiliation: Academy of Preventive Medicine, Shandong University, Jinan, Shandong, PR China.|Shandong Provincial Key Laboratory of Infectious Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan, Shandong, PR China.
authors.forename: Aiqiang
authors.initials: A
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D002648:Child; D002681:China; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009035:Mothers / Q000523:psychology*; D030361:Papillomavirus Infections / Q000517:prevention & control / Q000523:psychology*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*
chemical_list: D053918:Papillomavirus Vaccines