ArticleFrontiers in public health2026
HPV prevention awareness, vaccination willingness, and vaccine-related perceptions among middle-school girls in three Arab countries: an exploratory online survey.
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. Not yet cited in PubMed.
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Abstract
Background: Cervical cancer is largely preventable through human papillomavirus (HPV) vaccination, screening, and timely treatment; however, adolescent HPV literacy remains inconsistent. Egypt, Saudi Arabia, and the United Arab Emirates have different publicly documented HPV-vaccination and cervical-screening contexts. This study explored HPV and cervical cancer prevention awareness, selected Health Belief Model-informed beliefs, vaccination willingness, and vaccine-related perceptions among middle-school girls in these countries. Methods: An exploratory online cross-sectional survey was conducted among 300 students, with equal quota-like groups of 100 per country recruited through non-probability snowball sampling. Analyses were primarily descriptive; one complete-case exploratory logistic model examined factors associated with willingness to accept free HPV vaccination. Results: Overall, 89/300 participants (29.7%) had heard of HPV, 103/300 (34.3%) had heard of cervical cancer, and 49/300 (16.3%) were aware of cervical screening. School nurses were the most frequently reported HPV information source among source-item respondents (47/90; 52.2%). HPV-vaccine awareness was reported by 131/298 participants (44.0%), previous vaccination by 106/300 (35.3%), and willingness to accept free vaccination by 197/300 (65.7%). Responses to five negatively worded vaccine-perception items were predominantly neutral or reflected disagreement rather than consistent endorsement of distrust. The exploratory model generated several inverse associations with willingness, but these estimates are sample-specific and hypothesis-generating. Conclusion: Prevention awareness was limited despite relatively high stated willingness to accept free vaccination. The findings support culturally adapted, school-linked education and representative studies using validated measures, parent-linked information, and verified vaccination records.
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