{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:03:24Z","timestamp":1782137004341,"version":"3.54.5"},"reference-count":58,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Knowledge about HPV, and whether it differs depending on virus infection status, remains unclear among women in Spain. Thus, the aim of this study was to investigate the level of knowledge, and related outcomes, on HPV in adult women in Spain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional, non\u2010interventional multicenter study was carried out in year 2022. Participants, consecutively recruited from 18 centers across the country, completed a validated questionnaire; the HPV\u2010Know\u2010Q, which examines the knowledge on HPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1387 women were enrolled, including 1016 HPV\u2010infected and 371 uninfected. The mean knowledge score was 78.6 points (standard deviation [SD]\u2009=\u200923.2). After adjusting by covariates, HPV\u2010infected women mean score (95% confidence interval [CI]) on the HPV knowledge questionnaire was significantly higher compared to those without the infection; 84.8 (83.9\u201385.6) versus 80.5 (78.6\u201382.3),\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001, although the effect size was small: Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      of 0.37 (0.22\u20130.52). Significant differences between the two groups were found across all areas related to HPV infection. Vaccination rates were higher among the infected women; 58.7% versus 27.0%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Knowledge about HPV among women in Spain was high, with HPV\u2010infected women showing significantly greater knowledge compared to non\u2010infected, although effect size was small. Higher educational background and premenopause status were explanatory variables, with limited power, but significantly associated with higher HPV knowledge, while being immunosuppressed would reduce it.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71162","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T13:29:43Z","timestamp":1782134983000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can the infection status improve knowledge about\n                    <scp>HPV<\/scp>\n                    in Spain? The\n                    <scp>HPV<\/scp>\n                    \u2010know study"],"prefix":"10.1002","author":[{"given":"Carmen","family":"Gonz\u00e1lez\u2010Granados","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Hospital de la Axarqu\u00eda  M\u00e1laga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Rejas\u2010Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"EACCOS Research Group Autonomous University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar","family":"Ram\u00edrez\u2010Mena","sequence":"additional","affiliation":[{"name":"Women Health Institute, Hospital Cl\u00ednico San Carlos, IdISSC, School of Medicine Complutense University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7407-666X","authenticated-orcid":false,"given":"Javier","family":"Calvo\u2010Torres","sequence":"additional","affiliation":[{"name":"Women Health Institute, Hospital Cl\u00ednico San Carlos, IdISSC, School of Medicine Complutense University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"del Pino","sequence":"additional","affiliation":[{"name":"Institute Clinic of Gynecology, Obstetrics and Neonatology, Hospital Cl\u00ednic Universitat de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Bradbury","sequence":"additional","affiliation":[{"name":"Unit of Gynecologic Oncology, Service of Gynecology, Gynecology Oncology Department, Hospital Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Procas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hospital General Universitario San Jorge  Huesca Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar","family":"Rubio\u2010Arroyo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hospital Universitario de Guadalajara  Guadalajara Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Gippini","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hospital Recoletas Campo Grande  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Oliva","sequence":"additional","affiliation":[{"name":"Department in Obstetrics and Gynecology Hospital Virgen de la Arrixaca  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Fasero","sequence":"additional","affiliation":[{"name":"Corofas Menopause Unit, Hospital Sanitas La Zarzuela Universidad Francisco De Vitoria  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pluvio J.","family":"Coronado","sequence":"additional","affiliation":[{"name":"Women Health Institute, Hospital Cl\u00ednico San Carlos, IdISSC, School of Medicine Complutense University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the HPV\u2010Know Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"International Agency for Research on Cancer (IARC).Incidence of cancer is attributable to HPV (Globocan 2020).https:\/\/gco.iarc.who.int\/media\/globocan\/factsheets\/populations\/484\u2010mexico\u2010fact\u2010sheet.pdf."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djv086"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30488-7"},{"key":"e_1_2_12_5_1","unstructured":"European Commission Organization for Economic Co\u2010operation and Development (OECD).European Cancer Inequalities Registry: Country Cancer Profile 2025.https:\/\/cancer\u2010inequalities.jrc.ec.europa.eu\/sites\/default\/files\/docs\/ccp2025\/ec\u2010oecd\u20102024\u20101657\u2010es.pdf."},{"key":"e_1_2_12_6_1","unstructured":"Ministry of Health.National Cancer Profiles 2023.https:\/\/www.sanidad.gob.es\/areas\/calidadAsistencial\/participacionInternacional\/docs\/perfiles_nacionales_cancer_2023_es.pdf."},{"key":"e_1_2_12_7_1","unstructured":"Ministry of Health Social Services and Equality.Vaccination Coverage 2022.https:\/\/www.sanidad.gob.es\/areas\/promocionPrevencion\/vacunaciones\/coberturas\/docs\/Resumencoberturasvacunacion2023.pdf."},{"key":"e_1_2_12_8_1","unstructured":"Ministry of Health.Vaccination and vaccination programmes. 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