Human papillomavirus (HPV) is the most common cause of sexually transmitted diseases. It is the causative agent of cervical cancer, anal, and penile cancers. The purpose of the study was to determine the knowledge, attitude and behaviour of parents towards HPV and HPV vaccine in preventing cervical cancer in girls aged 9 to 13 years and HPV vaccine uptake. The study was conducted in Sefhare village, in the Central District of Botswana. The researcher selected a quantitative, descriptive cross-sectional research design and data was collected using a questionnaire in face-to-face interviews. The study population consisted of parents of adolescent girls of ages 9-13 years living in four wards of Sefhare village. Data was analysed using SPSS version 19. The study found a high level (71.8%) of knowledge about HPV infection, cervical cancer and HPV vaccine and a positive attitude (81.5%) and behaviour (62%) towards the HPV vaccine. / Health Studies / M.P.H.

by Au-Yeung Kit Mei. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 219-232). / Abstracts in English and Chinese. / Acknowledgements --- p.i / Abstract --- p.ii / Abstract (Chinese Version) --- p.v / Table of Contents --- p.vii / List of Figures --- p.xiii / List of Tables --- p.xv / List of Abbreviations --- p.xxviii / Chapter CHAPTER ONE: --- INTRODUCTION / Chapter 1.1 --- Health-related Transition in Hong Kong and Their Implications --- p.1 / Chapter 1.2 --- "Eating Habits, Lifestyle and Health of Hong Kong Children" --- p.1 / Chapter 1.2.1 --- Affluent Diet --- p.1 / Chapter 1.2.2 --- Poor Diet Habits --- p.2 / Chapter 1.2.2.1 --- Low Breastfeeding Rate --- p.2 / Chapter 1.2.2.2 --- Breakfast Skipping --- p.4 / Chapter 1.2.2.3 --- Increased Eating Out --- p.5 / Chapter 1.2.2.4 --- Quality of School Lunch --- p.6 / Chapter 1.2.2.5 --- Snacking Habits --- p.7 / Chapter 1.2.3 --- Physical Inactivity --- p.8 / Chapter 1.2.4 --- Childhood Obesity Prevalence and Trend --- p.9 / Chapter 1.2.5 --- Health Implications and Consequences --- p.10 / Chapter 1.2.6 --- Children's Eating and Physical Activity Habit Formation --- p.13 / Chapter 1.2.6.1 --- Parental Influences --- p.13 / Chapter 1.2.6.2 --- Influence of School Environment and Healthy Food Availability --- p.14 / Chapter 1.2.6.3 --- Media Influences --- p.15 / Chapter 1.3 --- Prevention Rather than Management --- p.15 / Chapter 1.3.1 --- Good Habit Establishment is Essential When Young --- p.16 / Chapter 1.3.2 --- Need for Comprehensive Health or Nutrition Education --- p.17 / Chapter 1.3.3 --- Brief Review of Nutrition Education Research in Other Nations --- p.17 / Chapter 1.3.4 --- Nutrition / Health Education in Hong Kong --- p.21 / Chapter 1.3.4.1 --- Government and Community Promotion --- p.21 / Chapter 1.3.4.2 --- Nutrition and Physical Activity in Primary School Syllabus --- p.22 / Chapter 1.3.4.3 --- Barriers --- p.23 / Chapter 1.4 --- Rationale of This Study --- p.24 / Chapter 1.4.1 --- Project Background: Multidisciplinary Advisory Committee Composition --- p.24 / Chapter 1.4.2 --- Objectives of this Project --- p.24 / Chapter 1.4.3 --- Theoretical Framework --- p.25 / Chapter 1.4.4 --- Research Design and Hypothesis --- p.26 / Chapter CHAPTER TWO: --- METHODOLOGY / Chapter 2.1 --- Target Subjects --- p.27 / Chapter 2.2 --- Sample --- p.27 / Chapter 2.2.1 --- Gaining Access To Subjects --- p.27 / Chapter 2.2.2 --- Sample Selection --- p.29 / Chapter 2.3 --- Questionnaires Development and Data Collection --- p.30 / Chapter 2.3.1 --- Questionnaire Design --- p.30 / Chapter 2.3.1.1 --- Students' Questionnaire --- p.31 / Chapter 2.3.1.2 --- Parents' Questionnaire --- p.32 / Chapter 2.3.1.3 --- Pre-testing --- p.32 / Chapter 2.3.1.4 --- Student Helper Training --- p.33 / Chapter 2.3.1.5 --- Reliability and validity of measures --- p.33 / Chapter 2.4 --- Intervention --- p.34 / Chapter 2.4.1 --- Intervention Activities and Curriculum Design --- p.34 / Chapter 2.4.2 --- Intervention Materials Development and Pre-testing --- p.39 / Chapter 2.5 --- Evaluation --- p.39 / Chapter 2.5.1 --- Outcome Evaluation --- p.39 / Chapter 2.5.1.1 --- Data Management --- p.39 / Chapter 2.5.1.2 --- Statistics --- p.40 / Chapter 2.5.1.3 --- "Knowledge,Attitude and Behavior Scores of Students" --- p.40 / Chapter 2.5.2 --- Process Evaluation of Program Materials and Activities During the Intervention --- p.41 / Chapter 2.6 --- Ethics --- p.44 / Chapter CHAPTER THREE: --- RESULTS / Chapter 3.1 --- Response Rate --- p.45 / Chapter 3.2 --- Baseline Characteristics of Students and Parents in Pre-intervention Survey --- p.46 / Chapter 3.2.1 --- General Sociodemographic Characteristics --- p.46 / Chapter 3.2.2 --- Breastfeeding --- p.58 / Chapter 3.2.3 --- Healthy Diet Pyramid and General Healthy Eating Awareness --- p.63 / Chapter 3.2.4 --- Healthy Breakfast --- p.67 / Chapter 3.2.5 --- Healthy Eating Out --- p.73 / Chapter 3.2.6 --- Healthy School Lunch --- p.79 / Chapter 3.2.7 --- Healthy Snacking --- p.82 / Chapter 3.2.8 --- Family Dietary Habits --- p.88 / Chapter 3.2.9 --- Physical Activity --- p.97 / Chapter 3.2.10 --- Summary Profile of the Subjects at Pre-intervention Survey --- p.109 / Chapter 3.3 --- Outcome Evaluation --- p.114 / Chapter 3.3.1 --- General Sociodemographic Characteristics of Students and Parents in Post-intervention survey --- p.114 / Chapter 3.3.2 --- Breastfeeding --- p.117 / Chapter 3.3.3 --- Healthy Diet Pyramid and General Healthy Eating Awareness --- p.122 / Chapter 3.3.4 --- Healthy Breakfast --- p.125 / Chapter 3.3.5 --- Healthy Eating Out --- p.130 / Chapter 3.3.6 --- Healthy School Lunch --- p.134 / Chapter 3.3.7 --- Healthy Snacking --- p.138 / Chapter 3.3.8 --- Family Dietary Habits --- p.144 / Chapter 3.3.9 --- Physical Activity --- p.150 / Chapter 3.3.10 --- "Changes in Students' Knowledge, Attitudes and Behavior With Respect to Healthy Eating and Physical Activity" --- p.157 / Chapter 3.3.11 --- Summary Profile of the Subjects at Post-intervention Survey --- p.162 / Chapter 3.4 --- Parents' Evaluation of Program Materials and Activities --- p.166 / Chapter 3.5 --- Teachers' Evaluation of Program Materials and Activities --- p.174 / Chapter 3.5.1 --- Breastfeeding Evaluation --- p.175 / Chapter 3.5.2 --- Program Evaluation: Other FUN-IN-SEVEN Themes --- p.181 / Chapter CHAPTER FOUR: --- DISCUSSION / Chapter 4.1 --- Implication of Findings --- p.193 / Chapter 4.2 --- Strengths and Limitations of the Study --- p.210 / Chapter 4.3 --- Major Difficulties Encountered in Launching Nutrition Promotion in Schools --- p.213 / Chapter 4.4 --- Implications and Recommendations for Meeting the Challenges to Improving Hong Kong Primary Students Nutrition and Physical Activity Habits --- p.214 / Chapter CHAPTER FIVE: --- CONCLUSION --- p.218 / References --- p.219 / Appendices / Chapter AI --- Students' questionnaire (Chinese version) --- p.233 / Chapter AII --- Students' questionnaire (English version) --- p.238 / Chapter BI --- Visual aids (Chinese version) --- p.251 / Chapter BII --- Visual aids (English version) --- p.258 / Chapter CI --- Parents' questionnaire (Chinese version) --- p.265 / Chapter CII --- Parents' questionnaire (English version) --- p.273 / Chapter DI --- Introductory letter (Chinese version) --- p.281 / Chapter DII --- Introductory letter (English version) --- p.283 / Chapter EI --- Consent form (Chinese version) --- p.285 / Chapter EII --- Consent form (English version) --- p.286 / Chapter F --- Principal/teacher questionnaire --- p.287 / Chapter G --- Background information of the partner schools --- p.289 / Chapter H --- Summary of materials and activities of FUN-IN-SEVEN Programme (Chinese version) --- p.291 / Chapter KI --- "Programme materials, pamphlets/brochures and photographs of some activities" --- p.292 / Chapter LI --- Parents' evaluation (Chinese version) --- p.370 / Chapter LII --- Parents' evaluation (English version) --- p.372 / Chapter MI --- Teachers' breastfeeding evaluation (Chinese version) --- p.373 / Chapter MII --- Teachers' breastfeeding evaluation (English version) --- p.375 / Chapter NI --- Teachers' programme evaluation (Chinese version) --- p.377 / Chapter NII --- Teachers' programme evaluation (English version) --- p.381 / Chapter P --- Socioeconomic background information of partner schools --- p.385