{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:29:18Z","timestamp":1791314958633,"version":"4.3.1"},"reference-count":49,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Cervical cancer (CC) remains a major public health problem despite effective screening and vaccination strategies. This study aimed to assess women's knowledge and awareness of human papillomavirus (HPV), HPV vaccination, and CC in a Brazilian community\u2010based Family Health Strategy\/Primary Health Care (FHS\/PHC) setting, and to evaluate factors associated with knowledge of HPV transmission, awareness of the HPV\u2010CC association, and certainty about vaccinating children against HPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community\u2010based cross\u2010sectional survey was conducted from August 2023 to February 2024 among women aged \u2265\u200918 years registered at a Brazilian FHS\/PHC unit, using a structured closed\u2010ended questionnaire that included a health services evaluation component based on the Brazilian version of the Primary Care Assessment Tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three hundred and two women participated, most with low educational attainment and low household income. Overall, 56.6% were aware of HPV, whereas only 18.5% were aware of the HPV\u2010CC association. Although 96.4% had heard of the Pap smear test, only 19.9% reported screening according to the recommended protocol. Among women aged \u2264\u200922 years, 87.5% reported HPV vaccination. Women aged \u2264\u200922 years had lower awareness across several preventive domains and of the HPV\u2010CC association than women aged \u2265\u200923 years (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047). Increasing age was independently associated with lower knowledge of the HPV transmission through unprotected sexual intercourse (OR: 0.962; 95%CI: 0.904\u20130.984;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas higher income was associated with greater knowledge (OR: 2.404; 95%CI: 1.556\u20133.715;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Greater certainty about vaccinating children was independently associated with television as an information source (OR: 2.295; 95%CI: 1.335\u20133.950;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and awareness of the HPV\u2010CC association (OR: 2.376; 95%CI: 1.086\u20135.200;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that substantial knowledge and awareness gaps persist despite favorable vaccination attitudes, reinforcing the need to strengthen health education, screening adherence, and communication strategies within FHS\/PHC services.<\/jats:p>\n                  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