Evidence map›Paper›PMID 41622159›Full record

ArticleBMC public health2026

Ignorance is not bliss: the impact of sources of information on HPV vaccination knowledge, attitudes, and intentions among unvaccinated young adults in Israel.

Sophie Lazar, Jacob Bornstein, Michael Edelstein

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

3 authors.

Sophie LazarAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel. sophie.lazar@biu.ac.il.
Jacob BornsteinAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Michael EdelsteinAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman papillomavirus (HPV) is the leading cause of cervical cancer worldwide. Despite inclusion in Israel’s national immunization program, HPV vaccine uptake among young adults remains suboptimal. Understanding how information sources influence HPV vaccination knowledge, attitudes, and intentions may aid the design of effective public health interventions.

methodsThis cross-sectional study (December 2023-February 2024) surveyed unvaccinated Israeli adults (18–26) to assess HPV vaccine knowledge, attitudes, intentions, and self-reported sources of HPV vaccine information. Sources were categorized as formal interpersonal, informal interpersonal, formal online/media, and informal online/media. Multivariable linear regression models examined associations between source types and three outcomes, HPV and HPV vaccine knowledge, attitudes, and intentions, adjusting for demographics.

resultsOf 1972 respondents, 39% reported no prior HPV vaccine awareness. Among those reporting priori awareness, formal interpersonal sources were the most commonly cited (58.4%), while informal online/media was least used (25.3%). Participants who utilized multiple sources of information had significantly higher knowledge (β = 0.45, 95% CI: 0.17, 0.72, P = .001), attitudes (β = 1.33, 95% CI: 0.48, 2.18, P = .002), and intentions (β = 0.77, 95% CI: 0.47, 1.07, P < .001) scores compared to participants who did not use any sources of information. Compared to the use of at least one formal interpersonal source of information, lack of prior awareness was associated with lower scores across all outcomes (knowledge: β = -0.81, 95% CI: -1.05, -0.58, P < .001; attitudes: β = -2.72, 95% CI: -3.79, -1.64, P < .001; intentions: β = -0.96; 95% CI: -1.23, -0.69, P < .001). Using online/media sources was associated with lower attitude scores (β = -1.14, 95% CI: -1.96, -0.33, P = .006) compared to the use of at least one formal interpersonal source.

conclusionExposure to multiple source categories positively influences awareness of HPV vaccination outcomes, underscoring the need for multi-platform communication strategies. While formal interpersonal sources remain the most effective in fostering positive attitudes, further research is required to translate these attitudes into increased vaccine uptake.

Indexed as

Health Knowledge, Attitudes, PracticeIntentionPapillomavirus InfectionsPapillomavirus VaccinesVaccinationAdolescentAdultCross-Sectional StudiesFemaleHuman Papillomavirus VirusesHumansIsraelMaleSurveys and QuestionnairesUnvaccinated PersonsYoung AdultPapillomavirus VaccinesAttitudesHPVIsraelMediaVaccines

Identifiers

PMID41622159
PMCPMC12952036

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.