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Table 4 Comic book acceptability based on the survey comments (N = 134a)

From: Development of a theory-based HPV vaccine promotion comic book for East African adolescents in the US

Categories

n

%b

Example comments

Overall appeal (n = 111, 82.8%)

 Positive

92

82.9

• I liked everything; it was very good reading.

 Neutral

8

7.2

• I liked how the [comic book] explained it, but … didn’t like that the characters seem clueless.

 Negative

11

9.9

• Horrible comic; I could’ve done better.

Comic book structure (n = 57, 42.5%)

 Images

17

29.8

• Illustration was beautiful, and I learned a lot.

 Length

18

31.6

• Yes, because it’s fun to read, and it’s a short story … and it explains a lot.

• I didn’t like … that they talked too much, and [it was] a lot of reading.

 Comprehension

22

38.6

• It’s easy to understand what is happening in this book, and HPV is different than HIV.

Characters (n = 51, 38.0%)

 Ethnic Representation

24

47.1

• I liked the characters because you never see dark-skinned Muslims in comics.

• I like … the Somali characters.

 Diverse characters

7

13.7

• That Iman is thinking about HPV and talking to her mother and grandmother about [it].

 Realistic/relatable

20

39.2

• It shows people who are similar to them and can relate to it.

• I didn’t think it was realistic … the mom is easily convinced as well as the students.

Story and Content (n = 96, 71.6%)

 Education/information

92

95.8

• I thought it was nice, it taught me a lot about HPV [that] I didn’t know.

 Information sharing

31

32.3

• I like [that] the friends talk to each other about their vaccination.

 Humor

34

35.4

• I liked how it was funny.

Important messages (n = 98, 73.1%)

 HPV

33

33.7

• HPV can lead to cancer.

 HPV vaccine

82

83.7

• Get yourself vaccinated before it’s too late.

 Perceived barriers

11

11.2

• To not be scared of needles.

• I liked how the book highlighted that the HPV vaccine doesn’t have pork gelatin because I know I [would] get it [without] this barrier.

 Social support

43

43.9

• It taught me to talk to my parents about HPV and how I could prevent from getting it.

  1. aTwo of the 136 adolescents who participated in the intervention did not complete the acceptability feedback form
  2. bThe denominator for each percentage is the number of adolescents who commented on the main theme