Evidence map›Paper›PMID 41002770›Full record

ArticleEuropean journal of investigation in health, psychology and education2025

Mind the Gap: Sex-Specific Drivers of Human Papillomavirus Vaccination Uptake in Serbian University Students.

Vida Jeremić Stojković, Stefan Mandić-Rajčević, Dejana Vuković, Mila Paunić, Snežana Stojanović Ristić, Marija Obradović, Smiljana Cvjetković

Abstract read
In one paragraph

Article in European journal of investigation in health, psychology and education, 2025. 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

7 authors.

Vida Jeremić StojkovićDepartment of Humanities, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Stefan Mandić-RajčevićInstitute of Social Medicine, Faculty of Medicine, University of Belgrade and School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0002-4793-1756
Dejana VukovićInstitute of Social Medicine, Faculty of Medicine, University of Belgrade and School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0002-3323-3711
Mila PaunićInstitute for Students' Health of Belgrade, 11000 Belgrade, Serbia.
Snežana Stojanović RistićInstitute for Students' Health of Belgrade, 11000 Belgrade, Serbia.
Marija ObradovićInstitute for Students' Health of Belgrade, 11000 Belgrade, Serbia.
Smiljana CvjetkovićDepartment of Humanities, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite proven effectiveness, human papillomavirus (HPV) vaccination uptake remains suboptimal in many countries. The aim of this study was to explore differences in beliefs about HPV and HPV vaccination, the information environment and social influences shaping vaccination decisions between male and female undergraduate university students in Belgrade, and to identify sex-specific factors associated with HPV vaccine uptake. A cross-sectional study was conducted between April and December 2024. An online questionnaire was completed by 1529 female and 423 male students who were either receiving their second or third dose of the nonavalent HPV vaccine, or accessing general healthcare services at the general medicine department of the Institute for Students' Health of Belgrade. Hierarchical logistic regression was used to identify predictors of HPV vaccine uptake in male and female students. Among female students, HPV vaccine uptake was associated with stronger beliefs in vaccine efficacy (OR = 2.01, 95% CI: 1.50-2.69) and safety (OR = 2.29, 95% CI: 1.69-3.10), lower perceived lack of information (OR = 0.71, 95% CI: 0.60-0.84), and social influence of family members, (OR = 1.45, 95% CI: 1.04-2.03), colleagues (OR = 1.62, 95% CI: 1.01-2.59) and media (OR = 1.92, CI: 1.10-3.37). Among male students, vaccine uptake was associated with stronger beliefs in vaccine efficacy (OR = 2.14, 95% CI: 1.37-3.34), lower perceived lack of information (OR = 0.71, 95% CI: 0.52-0.98), more frequent reliance on scientific literature (OR = 1.50, 95% CI: 1.15-1.97) and family (OR = 1.37, 95% CI: 1.07-1.75) and less frequent use of YouTube (OR = 0.70, CI: 0.53-0.92) as sources of information, and social influence of family (OR = 1.83, 95% CI: 1.03-3.24). This study highlights significant sex differences in factors influencing HPV vaccine uptake, indicating that tailored approach is required in designing vaccine promotion strategies. Strengthening communication on efficacy and safety, improving access to reliable information, and addressing sex-specific concerns such as safety and financial barriers in females and misinformation in males could improve uptake and equitable HPV protection.

Indexed as

cross-sectional studiesinformation seeking behaviorpapillomavirus vaccinesuniversity studentsvaccination acceptance

Identifiers

PMID41002770
PMCPMC12468811

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.