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 JBM  Vol.7 No.5 , May 2019
The Perceptions for Hong Kong Male Students Refusing HPV Vaccination: An Exploratory Study
Abstract:
Background: Human papillomavirus (HPV) is a group of common viruses that can cause a sexually transmitted infection (STI). People with HPV infection can be susceptible to cervical cancer, anogenital warts, and another HPV-related disease. Although the HPV infection can be prevented by HPV vaccination, the vaccination rate in Hong Kong is relatively low particular in males comparing to other countries. Study design: An exploratory qualitative approach was adopted. Aim: This study attempted to explore the perceptions of male college students refusing HPV vaccination in Hong Kong. Methods: A total of 20 male college students participated in the unstructured interview with audio-tape recording and field-notes done to explore their perceptions refusing HPV vaccination. Content analysis was utilized to extract significant themes and sub-themes. Results: Six major themes were identified including a lack of perceived risk, knowledge deficit, inadequate promotion, a high price of the HPV vaccine, inconvenience to receive the HPV vaccine and peer influence. Conclusion: Exploring the perceptions for Hong Kong male college students refusing HPV vaccination could provide essential information to the local government to establish corresponding health campaign for males to increase receiving HPV vaccination for curbing the HPV-related diseases.
Cite this paper: Chan, K. and Wong, L. (2019) The Perceptions for Hong Kong Male Students Refusing HPV Vaccination: An Exploratory Study. Journal of Biosciences and Medicines, 7, 71-84. doi: 10.4236/jbm.2019.75011.
References

[1]   Centers for Disease Control and Prevention (2016) What Is HPV? https://www.cdc.gov/hpv/parents/whatishpv.html

[2]   World Health Organization (2016) Human Papillomavirus (HPV) and Cervical Cancer. http://www.who.int/mediacentre/factsheets/fs380/en/

[3]   Centers for Disease Control and Prevention (2017) Genital HPV Infection-Fact Sheet. https://www.cdc.gov/std/hpv/STDFact-HPV.htm

[4]   Department of Health (2017) Statistics. http://www.cervicalscreening.gov.hk/english/sr/sr_statistics.html

[5]   Centre for Health Protection (2018) Cervical Cancer. https://www.chp.gov.hk/en/healthtopics/content/25/56.html

[6]   Department of Health (2018) What Are Human Papillomavirus (HPV) and the HPV Vaccine? https://www.fhs.gov.hk/english/health_info/faq/women_health/WH2_5_2.html

[7]   The Chinese University of Hong Kong (2016) What Is Cervical Cancer? http://www.cuhk.edu.hk/sphpc/hpvselfsampling/en/cc-n-hpv.html

[8]   Department of Health (2016) Human Papillomavirus (HPV) Vaccine. https://www.cervicalscreening.gov.hk/english/hum/hum_ccv.html

[9]   Hong Kong Cancer Fund. (n.d.) Cervical Cancer Vaccine. http://www.cancer-fund.org/cervical/eng/vaccine/vaccine.html

[10]   Chiang, V.C.L., et al. (2016) Attitude, Acceptability and Knowledge of HPV Vaccination among Local University Students in Hong Kong. International Journal of Environmental Research and Public Health, 13. https://doi.org/10.3390/ijerph13050486

[11]   Kwan, T.T.C., et al. (2008) Barriers and Facilitators to Human Papillomavirus Vaccination among Chinese Adolescent Girls in Hong Kong: A Qualitative-Quantitative Study. Sexually Transmitted Infections, 84, 227-232. https://doi.org/10.1136/sti.2007.029363

[12]   Li, S.L., et al. (2013) HPV Vaccination in Hong Kong: Uptake and Reasons for Non-Vaccination amongst Chinese Adolescent Girls. Vaccine, 31, 5785-5788. https://doi.org/10.1016/j.vaccine.2013.10.027

[13]   Choi, H.C., Leung, G.M., Woo, P.P., Jit, M. and Wu, J.T. (2013) Acceptability and Uptake of Female Adolescent HPV Vaccination in Hong Kong: A Survey of Mothers and Adolescents. Vaccine, 32, 78-84. https://doi.org/10.1016/j.vaccine.2013.10.068

[14]   Chan, K.K.L., et al. (2012) Human Papillomavirus Vaccine: What Are Women Most Concerned about? Journal of Obstetrics and Gynaecology Research, 38, 23-30. https://doi.org/10.1111/j.1447-0756.2011.01639.x

[15]   Radisic, G., Chapman, J., Flight, I. and Wilson, C. (2017) Factors Associated with Parents’ Attitudes to the HPV Vaccination of Their Adolescent Sons: A Systematic Review. Preventive Medicine, 95, 26-37. https://doi.org/10.1016/j.ypmed.2016.11.019

[16]   Liddon, N., Hood, J., Wynne, B. and Markowit, L. (2010) Acceptability of Human Papilla Marvirus Vaccine for Males: A Review of the Literature. Journal of Adolescent Health, 46, 113-123. https://doi.org/10.1016/j.jadohealth.2009.11.199

[17]   Crosby, R., DiClemente, R., Salazar, L., Nash, R. and Younge, S. (2011) Gardasil for Guys: Correlates of Intent to Be Vaccinated. Journal of Men Health, 8, 119-125. https://doi.org/10.1016/j.jomh.2011.03.001

[18]   Forster, A.S., Marlow, L.A.V., Wardle, J., Stephenson, J. and Waller, J. (2012) Interest in Having HPV Vaccination among Adolescent Boys in England. Vaccine, 30, 4505-4510. https://doi.org/10.1016/j.vaccine.2012.04.066

[19]   Graneheim, U.H. and Lundman, B. (2004) Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness. Nurse Education Today, 24, 105-112. https://doi.org/10.1016/j.nedt.2003.10.001

[20]   Shenton, A.K. (2004) Strategies for Ensuring Trustworthiness in Qualitative Research Projects. Education for Information, 22, 63-75. https://doi.org/10.3233/EFI-2004-22201

[21]   Curtin, M. and Fossey, E. (2007) Appraising the Trustworthiness of Qualitative Studies: Guidelines for Occupational Therapists. Australian Occupational Therapy Journal, 54, 88-94. https://doi.org/10.1111/j.1440-1630.2007.00661.x

[22]   Fontenot, H.B., Fantasia, H.C., Vetters, R. and Zimet, G.D. (2016) Increasing HPV Vaccination and Eliminating Barriers: Recommendations from Young Men Who Have Sex with Men. Vaccine, 34, 6209-6216. https://doi.org/10.1016/j.vaccine.2016.10.075

[23]   Fontenot, H.B., Collins Fantasia, H., Charyk, A. and Sutherland, M.A. (2014) Human Papillomavirus (HPV) Risk Factors, Vaccination Patterns, and Vaccine Perceptions among a Sample of Male College Students. Journal of American College Health, 62, 186-192. https://doi.org/10.1080/07448481.2013.872649

[24]   Prue, G., Shapiro, G., Maybin, R., Santin, O. and Lawler, M. (2016) Knowledge and Acceptance of Human Papillomavirus (HPV) and HPV Vaccination in Adolescent Boys Worldwide: A Systematic Review. Journal of Cancer Policy, 10, 1-15. https://doi.org/10.1016/j.jcpo.2016.09.009

[25]   Di Giuseppe, G., Abbate, R., Liguori, G., Albano, L. and Angelillo, I.F. (2008) Human Papillomavirus and Vaccination: Knowledge, Attitudes, and Behavioural Intention in Adolescents and Young Women in Italy. British Journal of Cancer, 99, 225-229. https://doi.org/10.1038/sj.bjc.6604454

[26]   Wong, L.P. (2008) Young Multiethnic Women’s Attitudes toward the HPV Vaccine and HPV Vaccination. International Federation of Gynecology and Obstetrics, 103, 131-135. https://doi.org/10.1016/j.ijgo.2008.07.005

 
 
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