ArticleHuman vaccines & immunotherapeutics2026
Guardians' willingness to vaccinate primary and secondary school girls against human papillomavirus and associated factors in ethnic autonomous prefectures of Qinghai Province, China: A cross-sectional study based on the Health Belief Model and Theory of Planned Behavior.
Article in Human vaccines & immunotherapeutics, 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
Cervical cancer is a preventable threat to women's health, and human papillomavirus (HPV) vaccination is key primary prevention. Caregiver hesitancy may affect vaccination of age-eligible girls.We examined caregivers' willingness to vaccinate primary and secondary school girls against HPV and factors in six ethnic autonomous prefectures of Qinghai Province. From December 2024 to February 2025, we conducted a cross-sectional survey of caregivers of girls in selected classes at 12 schools, using multistage cluster convenience sampling. The questionnaire included Health Belief Model (HBM), Theory of Planned Behavior (TPB), and Perceived Social Support Scale (PSSS) items. Factors were assessed with univariable and four-step hierarchical multiple linear regression, sequentially entering sociodemographic, HBM, TPB, and PSSS blocks. Willingness correlated with perceived susceptibility and severity, cues to action, attitudes, perceived behavioral control, and subjective norms. In univariable analyses, all HBM, TPB, and social-support dimensions except perceived barriers were positively associated with willingness. Hui caregivers had lower willingness, while higher education, middle income, and party/government-agency or public-institution employment predicted higher willingness. In hierarchical multiple regression, Hui ethnicity vs. Han ethnicity predicted lower willingness (
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