Vaccine
http://www.sciencedirect.com/science/journal/0264410X
Volume 28, Issue 22, Pages 3755-3874 (14 May 2010)

Regular Papers
Knowledge, attitudes, and communication around human papillomavirus (HPV) vaccination amongst urban Asian mothers and physicians
Song-Nan Chow, Ruey Soon, Jong Sup Park, Chitsanu Pancharoen, You Lin Qiao, Partha Basu, Hextan Yuen Sheung Ngan

Abstract
To determine why HPV vaccination uptake is low in Asia, we surveyed attitudes, knowledge and communication about cervical cancer and HPV vaccination amongst 480 physicians and 1617 randomly selected urban mothers who could afford HPV vaccines in Korea, Malaysia, Taiwan and Thailand. HPV vaccine rejection by mothers was linked with poor knowledge and low perceptions of self-relevance. Physicians’ likelihood of raising the subject and/or recommending vaccination was linked to how proactively they advocate preventive health, their attitude to the subject’s sensitivity and their knowledge levels. Because most Asian mothers seek doctors’ advice and prefer them to take the initiative, physicians should be more proactive in discussing and recommending HPV vaccination.