Evidence map›Paper›PMID 42474669›Full record

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

Factors Associated with HPV Vaccination Among Japanese Women: A Cross-Sectional Study Using the 7 C Vaccination Readiness Model.

Nobuyuki Wakui, Miyu Hirata, Yuna Hirota, Hazuki Ogami, Karen Iwasaki, Saaya Tsuruoka, Asuka Hayashi, Manaka Kawakami, Asuka Ozaki, Mayumi Kikuchi

Abstract read
PubMed Publisher
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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Nobuyuki WakuiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan. n-wakui@hoshi.ac.jp.ORCID http://orcid.org/0000-0002-9738-0438
Miyu HirataDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Yuna HirotaDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Hazuki OgamiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Karen IwasakiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Saaya TsuruokaDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Asuka HayashiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Manaka KawakamiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Asuka OzakiDivision of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo, 142- 8501, Japan.
Mayumi KikuchiShinagawa City School Pharmacists Association, 2-4-2 Nakanobu, Shinagawa-ku, Tokyo, 142-0053, Japan.

Funding

Japan Society for the Promotion of Science (JSPS) JP23K06289
6 · The paper itself

Abstract

Human papillomavirus (HPV) vaccination rates in Japan declined after the suspension of the government's proactive recommendation in 2013. Vaccination behavior is influenced by knowledge as well as psychological and social factors. This study examined factors associated with HPV vaccination among Japanese women using the 7 C vaccination readiness model. A cross-sectional online survey was conducted among Japanese women aged 15-49 years in February 2025. Data on demographic characteristics, HPV vaccination status, self-reported knowledge of the HPV vaccine, and 7 C vaccination readiness were collected. Factors associated with HPV vaccination were analyzed using logistic regression, with separate analyses by student status (students vs. non-students). Among 1,200 participants, 339 (28.3%) had received the HPV vaccine. Multivariable analysis showed that younger age, non-student status, greater self-reported knowledge, and higher Constraints and Compliance scores were independently associated with vaccination. Associations were observed for self-reported knowledge (OR 2.12, 95% CI 1.88-2.38, p < 0.001), Constraints (OR 1.49, 95% CI 1.27-1.76, p < 0.001), and Compliance (OR 1.32, 95% CI 1.15-1.51, p < 0.001). In analyses stratified by student status, greater self-reported knowledge and higher Constraints and Compliance scores were significantly associated with vaccination in both groups. These findings suggest that HPV vaccine education may include vaccine-related information and practical guidance on vaccination sites, costs, eligibility, and appointment procedures. It may also include opportunities to discuss vaccination-related concerns to address barriers reflected in Constraints, as well as balanced explanations of public-health measures intended to promote high vaccination coverage to address attitudes captured by Compliance.

Indexed as

7 C modelCervical cancer preventionHPV vaccineHuman papillomavirusJapanese womenVaccination behaviorVaccination readinessVaccine hesitancy

Identifiers

PMID42474669

What OpenQuestion holds

Textmetadata
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.