Focus Group Study of Chinese International Students’ Knowledge and Beliefs About HPV Vaccination, Before and After Reading an Informational Pamphlet About Gardasil®
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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.
KeywordsHPV vaccination Chinese international students Cervical cancer HPV infection
The Judy K. Black Scholarship from the Department of Health and Kinesiology, Purdue University, funded the data collection of this study.
Compliance with Ethical Standards
Conflict of interest
The first author declares that he/she has no conflict of interest. The second author declares that he/she has no conflict of interest. The third author declares that he/she has no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
All individual participants included in the study provided informed consent.
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