ArticleHuman vaccines & immunotherapeutics2015
Facilitators and barriers HPV unvaccinated girls after 5 years of program implementation.
Article in Human vaccines & immunotherapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- HPV vaccination in a context of public mistrust and uncertainty: a systematic literature review of determinants of HPV vaccine hesitancy in Europe.Human vaccines & immunotherapeutics · 2019Pooled it
- Ignorance is not bliss: the impact of sources of information on HPV vaccination knowledge, attitudes, and intentions among unvaccinated young adults in Israel.BMC public health · 2026Article
- Human Papilloma Virus Vaccination as a Strategy to Eliminate Cervical Cancer: Challenges and Opportunities.Vaccines · 2025Article
- The impact of vaccine access difficulties on HPV vaccine intention and uptake among female university students in China.International journal for equity in health · 2025Article
- Article
- Impact of Preventive Strategies on HPV-Related Diseases: Ten-Year Data from the Italian Hospital Admission Registry.Cancers · 2023Article
- Factors Influencing the Decision to Vaccinate against HPV amongst a Population of Female Health Students.Vaccines · 2022Article
- Who Is Scared of a Needle? An Exploration of Italian Children's Knowledge and Perceptions About the HPV Vaccine.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Access to Vaccination Information and Confidence/Hesitancy Towards Childhood Vaccination: A Cross-Sectional Survey in China.Vaccines · 2021Article
- Human Papilloma Virus Infection and Vaccination: Pre-Post Intervention Analysis on Knowledge, Attitudes and Willingness to Vaccinate Among Preadolescents Attending Secondary Schools of Palermo, Sicily.International journal of environmental research and public health · 2020Article
- HPV knowledge and vaccine acceptance among European adolescents and their parents: a systematic literature review.Public health reviews · 2020Review
- Perception about barriers and facilitators of the school-based HPV vaccine program of Manizales, Colombia: A qualitative study in school-enrolled girls and their parents.Preventive medicine reports · 2019Article
- Perception and knowledge of HPV-related and vaccine-related conditions among a large cohort of university students in Italy.Human vaccines & immunotherapeutics · 2019Article
- Pap Testing in a High-Income Country with Suboptimal Compliance Levels: A Survey on Acceptance Factors among Sicilian Women.International journal of environmental research and public health · 2018Article
- Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation.International journal of environmental research and public health · 2018Article
- The Relationship of Health Beliefs with Information Sources and HPV Vaccine Acceptance among Young Adults in Korea.International journal of environmental research and public health · 2018Article
- Determinants of influenza vaccination among solid organ transplant recipients attending Sicilian reference center.Human vaccines & immunotherapeutics · 2017Observational
- Human Papillomavirus vaccination in general practice in France, three years after the implementation of a targeted vaccine recommendation based on age and sexual history.Human vaccines & immunotherapeutics · 2016Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Understanding perceptions and characteristics of human papillomavirus (HPV) vaccinated and non-vaccinated girls can inform communication activities and vaccine delivery strategies. The purpose of this study was to evaluate knowledge and factors associated with HPV unvaccinated girls after five years of vaccination program implementation in Sicily, an Italian region with low vaccination coverage (<50.0%). A cross-sectional study was conducted through a questionnaire designed to assess knowledge and vaccination status of girls of 1997, 1998, 1999, and 2000 birth cohorts. The sample consisted of 350 girls who attended three high schools. Multivariable logistic regression analysis was conducted to examine predictors of vaccine refusal. The survey sample of girls shows that the 43.1% were HPV unvaccinated. A significant increased risk of being unvaccinated originated from the belief that the vaccine was too new (AdjOR = 21.08, CI95% = 2.57-172.97) and that it may cause cervical cancer (AdjOR = 4.36, CI95% = 1.26-15.07), along with having friends as a source of information on the vaccine (AdjOR = 3.67, CI95% = 1.63-8.25). A significant inverse association was observed between being unvaccinated and having Pediatrician/General practitioner as a source of information on HPV vaccine (AdjOR = 0.40, CI95% = 0.24-0.68). Many girls lack the fundamental knowledge about the HPV vaccine. The key issue is the promotion and implementation of information programs to raise awareness of girls on the importance of the vaccine.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.