A Qualitative Study on HPV Vaccination from a Nursing Perspective in Hong Kong

Chan, CYZ;Lam, CH;Lam, DY;Lee, LY;Ng, KK;Wong, ML

  • Published : 20111000

Abstract

Objective: To identify the perception on human papillomavirus (HPV) vaccination among female nursing students in Hong Kong. Data Sources: Data were collected through focus group discussions and semi-structured in-depth interviews. All participants (n=28) were female nursing students of a university in Hong Kong. Tape recordings of individual interviews and focus group discussions were transcribed verbatim in Chinese, translated into English, and analyzed according to Colaizzi's phenomenological analysis. Study Design: Four major themes emerged from the data: nursing students' understanding about HPV vaccine, nursing students' attitude on HPV vaccine, nursing students' perspective on HPV vaccination promotion, and nursing role on HPV vaccination. Conclusions: Government should take initiative in promotion with vaccine suppliers. The awareness and knowledge of HPV and HPV vaccination among women should be increased in order to raise the positive attitude of women towards HPV vaccination and prevention of cervical cancer. Health professionals should work together on HPV promotion among women and increase the HPV vaccination rates. Moreover, further studies regarding attitude and awareness of HPV vaccination among women in different age groups are needed in order to identify more associated factors affecting their perceptions towards HPV vaccination.

Keywords

References

  1. ACOG Committee on Practice Bulletins-Gynecology (2009). ACOG Practice Bulletin no. 109: Cervical cytology screening. Obstets Gynecol, 114, 1409-20.
  2. Ault K A (2008). Human papillomavirus vaccines: An update for gynecologists. Clin Obstets Gynecol, 51, 527-32. https://doi.org/10.1097/GRF.0b013e31818092df
  3. Colaizzi PF (1978). Psychological research as a phenomenologist views it. In 'Existential-phenomenological alternatives for psychology', Eds Valle R S and King M. Oxford University Press, New York.
  4. Dawar M, Deeks S and Dobson S (2007). Human papillomavirus vaccines launch a new era in cervical cancer prevention. Can Med Assoc J, 177, 456-61. https://doi.org/10.1503/cmaj.070771
  5. Denzin N K (1978). The Research Act: A Theoretical Introduction to Sociological Methods. McGraw-Hill, New York.
  6. Dinh TA, Rosenthal SL, Doan ED, et al (2007). Attitudes of mothers in Da Nang, Vietnam toward a human papillomavirus vaccine. J Adolesc Hlth, 40, 559-63. https://doi.org/10.1016/j.jadohealth.2007.02.003
  7. Duval B, Gilca V, Boulianne N, et al (2009). Cervical cancer prevention by vaccination: Nurses' knowledge, attitudes and intentions. J Adv Nurs, 65, 499-508. https://doi.org/10.1111/j.1365-2648.2008.04900.x
  8. Forster AS, Marlow L A, Waller J (2010). Adolescents' beliefs about their parents' human papillomavirus vaccination decisions. Int J Obstets Gynaecol, 117, 229-33. https://doi.org/10.1111/j.1471-0528.2009.02412.x
  9. Franco EL, Harper DM (2005). Vaccination against human papillomavirus infection: A new paradigm in cervical cancer control. Vaccine, 23, 2388-94. https://doi.org/10.1016/j.vaccine.2005.01.016
  10. Galani E, Christodoulou C (2009). Human papilloma viruses and cancer in the post-vaccine era. Clin Microbiol Infect, 15, 977-81. https://doi.org/10.1111/j.1469-0691.2009.03032.x
  11. Gerend MA, Lee SC, Shepherd JE (2007). Predictors of human papillomavirus vaccination acceptability among underserved women. Sexually Transmitted Diseases, 34, 468-71.
  12. Hakim AA, Dinh TA (2009). Worldwide impact of the human papillomavirus vaccine. Curr Treat Options Oncol, 10, 44-53. https://doi.org/10.1007/s11864-009-0094-4
  13. Hakim A A, Lin P S, Wilczynski S, et al (2007). Indications and efficacy of the human papillomavirus vaccine. Current Treatment Options in Oncology, 8, 393-401. https://doi.org/10.1007/s11864-007-0050-0
  14. Hershey JH, Velez LF (2009). Public health issues related to HPV vaccination. J Public Health Manage Pract, 15, 384-92.
  15. Huh WK (2009). Human papillomavirus infection: A concise review of natural history. Obstets Gynecol, 114, 139-43.
  16. Hutchinson DJ, Klein K C (2008). Human papillomavirus disease and vaccines. Am J Health-System Pharmacy, 65, 2105-12. https://doi.org/10.2146/ajhp070627
  17. National Health Service (2008). HPV vaccination: Side effects. Government Department of Health, England. [accessed on March 5, 2010]. Available at: http://www.nhs.uk/Conditions/HPV-vaccination/Pages/Side-effects.aspx
  18. Nganwai P, Truadpon P, Inpa C, et al (2008). Knowledge, attitudes and practices vis-a-vis cervical cancer among registered nurses at the Faculty of Medicine, Khon Kaen University, Thailand. Asian Pacific J Cancer Prev, 9, 15-8.
  19. Polit DF, Beck CT (2010). 'Essentials of nursing research: Appraising evidence for nursing practice', 7th Ed. Wolters Kluwer Health, Lippincott Williams & Wilkins, Philadelphia, P A.
  20. Rogers LJ, Eva LJ, Luesley DM (2008). Vaccines against cervical cancer. Curr Opin Oncol 20, 570-4. https://doi.org/10.1097/CCO.0b013e328303e2a1
  21. Satyaprakash A, Creed R, Ravanfar P, Mendoza N (2009). Human papillomavirus vaccines. Dermatologic Therapy, 22, 150-7. https://doi.org/10.1111/j.1529-8019.2009.01227.x
  22. Thorne S (2000). Data analysis in qualitative research. Evidence Based Nursing, 3, 68-70. https://doi.org/10.1136/ebn.3.3.68
  23. Villa L L, Costa R L, Petta C A, et al (2006). High sustained efficacy of a prophylactic quadrivalent human papillomavirus types 6/11/16/18 L1 virus-like particle vaccine through 5 years of follow-up. British J of Cancer, 95, 1459-66. https://doi.org/10.1038/sj.bjc.6603469
  24. World Health Organization (2007). Cervical Cancer, Human Papillomavirus (HPV), and HPV Vaccine: Key Points for Policy-makers and Health Professionals. [accessed on March 15, 2010]. Available at: http://whqlibdoc.who.int/hq/2008/WHO_RHR_08.14_eng.pdf
  25. World Health Organization (2008). Human Papillomavirus (HPV) Vaccine Background Paper. [accessed on March 18, 2010]. Available at: http://www.who.int/immunization/documents/HPVBGpaper_final_03_04_2009.pdf
  26. World Health Organization (2009). Human papillomavirus vaccines. WHO position paper. Weekly Epidemiological Record, 84, 118-31.