{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T15:27:32Z","timestamp":1793806052719,"version":"4.6.1"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"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":["Public Health Nursing"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Human Papillomavirus (HPV) causes various infections and serious health complications, including cancer. Vaccine hesitancy and anxiety continue to hinder its control. This study assessed HPV\u2010related knowledge, infection anxiety, and vaccine hesitancy among the\u00a0adult population in Saudi Arabia (including both citizens and non\u2010Saudi residents), as well as exposure to skin and genital warts. A total of 2014 adults (\u2265 18 years) completed an online survey covering demographics, HPV knowledge, and the\u00a0modified\u00a0Generalized Anxiety Disorder\u20107 (GAD\u20107) scale\u00a0adapted to measure HPV\u2010specific concerns. Skin warts were common, particularly among females aged 21\u201350 years, whereas genital warts were less frequent, peaking in the 21\u201340 age group. Anxiety was highest among participants aged 18\u201330 years. Notable knowledge gaps existed regarding HPV transmission and vaccine benefits. Younger participants showed better understanding, but males were less aware of vaccine availability. Healthcare professionals and medical students demonstrated superior knowledge.\u00a0Multinomial logistic regression showed that gender was the only significant predictor of vaccine willingness (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001). Males were more likely than females to say \u201cyes\u201d (aOR = 1.409,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.009) and \u201cno\u201d (aOR = 1.633,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), indicating that females were disproportionately hesitant (\u201cnot sure\u201d). A high school education (vs. a medical background) was associated with lower willingness (aOR = 0.631,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.030). Overall, the findings emphasize the need for targeted educational campaigns to improve HPV awareness and promote vaccine acceptance.\n                  <\/jats:p>","DOI":"10.1111\/phn.70172","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T07:12:08Z","timestamp":1787555528000},"page":"1546-1555","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["HPV Knowledge, Anxiety and Vaccine Acceptance Among Adults in Saudi Arabia: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"43","author":[{"given":"Abdullah E.","family":"Alsobaie","sequence":"first","affiliation":[{"name":"College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahad A.","family":"Alqurashi","sequence":"additional","affiliation":[{"name":"College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muath S. D.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad I. A.","family":"Alwuthaynani","sequence":"additional","affiliation":[{"name":"College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed R. G.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed N.","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Department of Microbiology, College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali H. S.","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, College of Medicine Taif University  Taif Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad F.","family":"Eweas","sequence":"additional","affiliation":[{"name":"Department of Science University of Technology and Applied Sciences Rustaq  Rustaq Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3320-403X","authenticated-orcid":false,"given":"Youssef A. S.","family":"Abdel\u2010Moneim","sequence":"additional","affiliation":[{"name":"Nasr City Hospital for Health Insurance Ministry of Health  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naifa","family":"Alenazi","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical Science, College of Pharmacy Princess Nourah Bint Abdulrahman University  Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3148-6782","authenticated-orcid":false,"given":"Ahmed S.","family":"Abdel\u2010Moneim","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, College of Medicine and Health Sciences Sultan Qaboos University  Muscat Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/23779608241279152"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57121373"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/neu.2022.13"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2032"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1558221"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2009.06.002"},{"key":"e_1_2_11_8_1","unstructured":"Blomberg M. A.Nielson andC.Munk.2010. \u201cHistory of Genital Warts and Self\u2010Reported Health in 45 000 Danish Men and Women.\u201d InAbstract presented at the 26th International Papillomavirus Conference and Clinical Workshop 3\u20138."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2013.10.002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1529100618760521"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2217\/fvl.15.60"},{"key":"e_1_2_11_12_1","unstructured":"Calculator.net.2026. \u201cSample Size Calculator.\u201d Accessed August 19 2025.https:\/\/www.calculator.net\/sample\u2010size\u2010calculator.html."},{"key":"e_1_2_11_13_1","unstructured":"CDC.2022.Genital HPV Infection\u2014Basic Fact Sheet. accessed 12 Apr. 2022.https:\/\/www.cdc.gov\/std\/hpv\/stdfact\u2010hpv.htm."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2011.36.4596"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10010010"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2017.08.015"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181632d61"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.06.083"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.33588"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0021046"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1405044"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.03.063"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1086\/522863"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.2807\/ese.13.45.19032\u2010en"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2014.01.081"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1917338"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.04.036"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325\u2010015\u20100178\u20104"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015\u20101968"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256\u20104947.2019.403"},{"key":"e_1_2_11_31_1","unstructured":"NCI.2023.HPV and Cancer.https:\/\/www.cancer.gov\/about\u2010cancer\/causes\u2010prevention\/risk\/infectious\u2010agents\/hpv\u2010and\u2010cancer(accessed 4 April 2023)."},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106554"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010016\u20103621\u20109"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2016.86"},{"key":"e_1_2_11_35_1","unstructured":"SMOH.2023. \u201cImmunization Schedule\u2014Saudi Arabia.\u201dhttps:\/\/www.moh.gov.sa\/en\/HealthAwareness\/EducationalContent\/HealthTips\/Documents\/Immunization\u2010Schedule.pdf(accessed 15 Oct. 2023)."},{"key":"e_1_2_11_36_1","doi-asserted-by":"crossref","unstructured":"Spitzer R. L.2006. \u201cGAD\u20107 Calculator.\u201d 2006\/05\/24 ed. 2022 1092\u20131097.","DOI":"10.1016\/S0212-5382(06)71145-1"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2020.110236"},{"key":"e_1_2_11_39_1","unstructured":"WHO.2022. \u201cWHO Updates Recommendations on HPV Vaccination Schedule.\u201dhttps:\/\/www.who.int\/news\/item\/20\u201012\u20102022\u2010WHO\u2010updates\u2010recommendations\u2010on\u2010HPV\u2010vaccination\u2010schedule(accessed 20 Dec. 2022)."},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2008.12.045"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70172","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.70172","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70172","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T14:39:19Z","timestamp":1793803159000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.70172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,24]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/phn.70172"],"URL":"https:\/\/doi.org\/10.1111\/phn.70172","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,24]]},"assertion":[{"value":"2025-10-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}