Evidence map›Paper›PMID 40968245›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2026

HPV Education and Its Impact on Vaccination Willingness and Recommendation Intentions Among Unvaccinated Japanese University Students: A Cross-Sectional Study.

Nobuyuki Wakui, Yuna Koakutsu, Mai Watanabe, Yui Yokoyama, Aika Okami, Shunsuke Shirozu, Kotaro Okada, Yoshinori Onuki, Yoshiaki Machida

Abstract read
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In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nobuyuki Wakui *Division of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan. n-wakui@hoshi.ac.jp.ORCID 0000-0002-9738-0438
Yuna Koakutsu *Division of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan.
Mai WatanabeDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan.
Yui YokoyamaDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan.
Aika OkamiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan.
Shunsuke ShirozuDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan.
Kotaro OkadaLaboratory of Pharmaceutical Technology, School of Pharmacy and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama City, Toyama Prefecture, 930-0194, Japan.
Yoshinori OnukiFaculty of Pharmacy, Juntendo University, 6-8-1 Hinode, Urayasu City, Chiba Prefecture , 279-0013, Japan.
Yoshiaki MachidaDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, Shinagawa-ku, Tokyo , 142-8501, Japan.

Funding

JSPS KAKENHI JP23K06289
6 · The paper itself

Abstract

Although Japan resumed proactive HPV vaccination in 2022 and introduced catch-up initiatives, vaccination rates remain low, partly due to insufficient cancer education during school years. Moreover, male vaccination remains underrecognized despite its cancer prevention benefits. This study evaluated the effect of a planned educational intervention on HPV-related knowledge, willingness to receive vaccination, and recommendation intent among unvaccinated male and female university students. A total of 285 unvaccinated students participated in a planned educational intervention between October 29 and November 3, 2023. As part of a planned educational intervention conducted in a university setting, participants watched an educational YouTube video on HPV and cervical cancer and completed pre- and post-intervention surveys assessing their knowledge, vaccination willingness, and recommendation intent. Data were analyzed using McNemar's test and stepwise multiple regression analysis. Participants' knowledge about HPV and the vaccine significantly improved after the intervention (P < 0.001). Willingness to receive vaccination increased in both male and female participants, with a greater change observed among males (β = 0.79, P < 0.001). Improved knowledge was significantly associated with increased willingness to receive vaccination (β = 0.09, P = 0.001) and recommendation intent (β = 0.05, P = 0.038). These findings demonstrate that a brief, planned educational intervention can enhance vaccine-related knowledge and positively influence attitudes. Future efforts should incorporate such approaches across educational settings, including universities and earlier stages, to strengthen HPV vaccination awareness among both males and females and advance cancer-prevention education.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticeStudentsUterine Cervical NeoplasmsVaccinationAdolescentAdultCross-Sectional StudiesEast Asian PeopleFemaleHuman Papillomavirus VirusesHumansIntentionJapanMalePapillomavirus InfectionsPapillomavirus VaccinesCervical cancerEducational interventionHPV vaccineVaccination willingnessVaccine hesitancy

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What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.