title: Focus Group Study of Chinese International Students' Knowledge and Beliefs About HPV Vaccination, Before and After Reading an Informational Pamphlet About Gardasil(®).
abstract: An increasing need for Human Papillomavirus (HPV) vaccines in China remains unmet in the mainland and the knowledge and intentions of Chinese youth regarding vaccination is unknown. In the fall of 2013, 44 Chinese international students (CIS) attending a university in the United States Midwest participated in 10 focus group discussions (five female and five male). Result showed that participants have limited awareness and knowledge about HPV infection and vaccination, participants erroneously believed that the causes of cervical cancer are abortion and miscarriage. Participants rely heavily on informal sources such as Chinese-based social media platforms and personal social networks for information on sexually transmitted infections. Sexual cultures and behaviors are perceived differently between CIS born in the 1990s and 1980s. Interestingly, participants' perceived stigma about HPV infection decreased with improving knowledge level during group discussions. In conclusion, HPV vaccine should be further promoted alongside sex education among CIS.
authors.affiliation: Health and Exercise Science, University of Oklahoma, 1401 Asp Avenue, Norman, OK, 73019-6081, USA. gao@ou.edu.
authors.forename: Haijuan
authors.initials: H
authors.lastname: Gao
authors.affiliation: Africana Studies, SUNY Binghamton University, 4400 Vestal Parkway East, Binghamton, NY, 13902, USA.
authors.forename: Titilayo A
authors.initials: TA
authors.lastname: Okoror
authors.affiliation: Health and Kinesiology, Purdue University, 800 West Stadium Avenue, West Lafayette, IN, 47907-2046, USA.
authors.forename: Gerald C
authors.initials: GC
authors.lastname: Hyner
mesh_terms: D000328:Adult; D001213:Asian / Q000523:psychology*; D002681:China / Q000208:ethnology; D003218:Condylomata Acuminata / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D000068857:Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010174:Pamphlets; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D010465:Perception; D012725:Sexual Behavior / Q000208:ethnology; D057545:Social Stigma; D014481:United States / Q000453:epidemiology; D014495:Universities; D002583:Uterine Cervical Neoplasms / Q000208:ethnology
chemical_list: D000068857:Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18
keywords: Cervical cancer; Chinese international students; HPV infection; HPV vaccination
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