ArticleFrontiers in public health2026
Urban-rural disparities in HPV vaccination knowledge, willingness, and uptake among women in the Tibet autonomous region: a multi-center cross-sectional study.
Article in Frontiers in public health, 2026. 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.
- Latent profiles of HPV vaccine-related health beliefs and their associations with vaccination intention among college students: a global health perspective.Frontiers in public health · 2026Article
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Authors and funding
6 authors.
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Abstract
Background: Urban-rural disparities may hinder HPV vaccination in Tibetan regions. This study quantified disparities in HPV vaccine knowledge, willingness, and uptake among women in Tibetan settings. Methods: A multi-center cross-sectional survey of women aged 18 to 45 years was conducted. HPV knowledge was measured using a 10-item score (range 0-10). Vaccination uptake was defined as self-reported receipt of at least 1 dose. Among unvaccinated participants, willingness was dichotomized as willing versus unwilling or undecided. Multivariable linear and logistic regression models accounted for within-site correlation using cluster-robust standard errors by survey site. Results: Among 812 participants (568 urban, 244 rural), overall uptake was 29.8% (242/812) and was higher among urban than rural residents (35.2% vs. 17.2%, Conclusion: Large urban-rural gaps in knowledge and vaccination uptake persist despite high willingness among unvaccinated women, indicating a substantial intention-to-behavior gap driven by affordability and delivery constraints. Interventions should pair education with financing and service delivery strategies that reduce travel burden and improve reliable vaccine availability in rural Tibetan settings.
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