ArticleFrontiers in public health2025
HPV vaccination willingness and behavior among patients with cervical intraepithelial neoplasia in low-resource areas of Western China: a cross-sectional study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Association Between HPV Vaccination and Cervical Dysplasia Severity in HPV-Positive Women.Diagnostics (Basel, Switzerland) · 2026Article
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10 authors.
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Abstract
Background: Research on human papillomavirus (HPV) vaccination willingness and behavior among patients with cervical intraepithelial neoplasia (CIN) remains limited, although such evidence is essential for improving disease prevention. Methods: A knowledge, attitude, practice (KAP) questionnaire was administered to CIN patients aged 20-60 years in Gansu Province, China to explore HPV vaccine willingness and its influencing factors. Logistic regression identified demographic factors associated with vaccination willingness, including patients >45 years. Mediation analysis tested whether knowledge indirectly influenced willingness through attitude and practice. This study also compared the differences between willingness and actual behavior, and restricted cubic splines (RCS) assessed the age-behavior relationship. Results: Among 1,012 patients, 87.45% reported willingness to receive HPV vaccination, while only 27.96% had been vaccinated. Logistic regression showed that patients who were younger, lived in urban areas, had higher education and income, reported frequent sexual activity (>4 times/month), had more sexual partners, and achieved higher KAP scores demonstrated greater willingness (all Conclusion: Patients showed strong willingness to vaccinate, but the actual vaccination proportion was modest. Misconceptions that infection blocks vaccination may obscure the path to protection. It is recommended to highlight the role of HPV vaccination in preventing recurrence among older HSIL patients and extend the appropriate age of vaccination.
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