{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:55:50Z","timestamp":1782899750447,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100016213","name":"Taiwan Nurses Association","doi-asserted-by":"publisher","award":["TWNA-1121011"],"award-info":[{"award-number":["TWNA-1121011"]}],"id":[{"id":"10.13039\/501100016213","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Mens Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    This study investigates factors associated with adult males\u2019 vaccination intentions against human papillomavirus. A cross-sectional survey design was used. This study was conducted primarily in northern Taiwan with 217 mentally and physically healthy males aged 20 years and above. Structured questionnaires were utilized to collect data on demographic characteristics, HPV and vaccine knowledge (nine items), attitudes toward HPV vaccination (nine items), and vaccination intention; higher scores indicated more positive attitudes. Average participant age was 27.64 \u00b1 7.43 years. Multiple hierarchical regression analysis, controlling for demographic variables, revealed that both HPV and vaccine knowledge and attitudes toward HPV vaccination significantly and jointly influenced vaccination intention (\u0394F = 138.81,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001), explaining 54.1% of the variance. Only attitude toward HPV vaccination (\u03b2 = .71,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001) showed a significant positive regression coefficient; a more positive attitude toward HPV vaccination corresponds to a higher vaccination intention. Attitudes toward HPV vaccination are a pivotal determinant of males\u2019 vaccination intentions against HPV. Elevating trust in the vaccine and disseminating precise, comprehensive information is crucial in fostering male vaccination uptake. Strategic initiatives should be devised to improve male HPV awareness, thus increasing their vaccination uptake.\n                  <\/jats:p>","DOI":"10.1177\/15579883261430890","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:01:53Z","timestamp":1774422113000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Affecting Vaccination Intentions of Adult Males Against Human Papillomavirus in Taiwan: A Cross-Sectional Study"],"prefix":"10.1177","volume":"20","author":[{"given":"Min-Ling","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Nursing, MacKay Memorial Hospital, New Taipei City"},{"name":"School of Nursing, MacKay Medical University, New Taipei City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiu-Yen","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Tzu Chi University, Hualien County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung-Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine, National Taiwan University, Taipei City"},{"name":"Second Degree Bachelor of Science in Nursing, College of Medicine, National Taiwan University, Taipei City"},{"name":"Department of Nursing, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Ju","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Cardinal Tien Junior College of Healthcare and Management, New Taipei City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry Cheng-Yen","family":"Lai","sequence":"additional","affiliation":[{"name":"Master Program in Biomedicine, College of Science and Engineering, National Taitung University, Taitung"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4845-3901","authenticated-orcid":false,"given":"Kuei-Hui","family":"Chu","sequence":"additional","affiliation":[{"name":"School of Nursing, Yuan Ze University, Taoyuan City"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Amir S. Massoud H. (2021). HPV testing in Iranian men: An epidemiological update. Journal of Family Medicine and Primary Care 10(11) 4314\u20134315. https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_193_21","DOI":"10.4103\/jfmpc.jfmpc_193_21"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Ashraf R. Hussein S. Rahaf A. Nouf A. Taif A. Mayar A. (2023). Awareness and knowledge of human papillomavirus (HPV) infection and vaccine among women: A cross-sectional study in Jeddah Saudi Arabia. Cureus 15(9) Article e45400. https:\/\/doi.org\/10.7759\/cureus.45400","DOI":"10.7759\/cureus.45400"},{"key":"e_1_3_2_4_1","author":"Boersma P.","year":"2020","unstructured":"Boersma P., Lindsey I. B. (2020). Human papillomavirus vaccination among adults aged 18-26, 2013-2018 (NCHS Data Brief 354). 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Infection Control Journal 28(3) 112\u2013118. https:\/\/doi.org\/10.6526\/ICJ.201806_28(3).0002 (in Chinese)"},{"key":"e_1_3_2_7_1","doi-asserted-by":"crossref","unstructured":"Chow E. P. F. Carter A. Vickers T. Fairley C. K. McNulty A. Guy R. J. Regan D. G. Grulich A. E. Callander D. Khawar L. Machalek D. A. Donovan P. B. (2021). Effect on genital warts in Australian female and heterosexual male individuals after introduction of the national human papillomavirus gender-neutral vaccination programme: An analysis of national sentinel surveillance data from 2004-18. The Lancet Infectious Diseases 21 1747\u20131756. https:\/\/doi.org\/10.1016\/S1473-3099(21)00071-2","DOI":"10.1016\/S1473-3099(21)00071-2"},{"key":"e_1_3_2_8_1","doi-asserted-by":"crossref","unstructured":"Dai Z. Si M. Su X. Wang W. Zhang X. Gu X. Ma L. Li J. Zhang S. Ren Z. Qiao Y. (2021). Intention to human papillomavirus (HPV) vaccination and influencing factors among male and female university students in China. Journal of Medical Virology 94(6) 2776\u20132786. https:\/\/doi.org\/10.1002\/jmv.27478","DOI":"10.1002\/jmv.27478"},{"key":"e_1_3_2_9_1","doi-asserted-by":"crossref","unstructured":"Erin E. C. Atheendar S. V. Jane J. K. Rulla M. T. Michelle D. H. (2018). Legislation to increase uptake of HPV vaccination and adolescent sexual behaviors. Pediatrics 142 Article e20180458. https:\/\/doi.org\/10.1542\/peds.2018-0458","DOI":"10.1542\/peds.2018-0458"},{"key":"e_1_3_2_10_1","unstructured":"Formosa Cancer Foundation. (2020). Viral protection: Achieving the possible. A four step plan for eliminating HPV cancers in Europe. https:\/\/www.europeancancer.org\/resources\/159:viral-protection-achieving-the-possible-a-four-step-plan-for-eliminating-hpv-cancers-in-europe.html"},{"key":"e_1_3_2_11_1","first-page":"1","article-title":"HPV and cervical cancer related articles part V-HPV vaccine","volume":"51","author":"Han C. P.","year":"2020","unstructured":"Han C. P., Tseng C. J. (2020). HPV and cervical cancer related articles part V-HPV vaccine. Journal of Gynecological Cancer Medicine, 51, 1\u201321. (in Chinese)","journal-title":"Journal of Gynecological Cancer Medicine"},{"key":"e_1_3_2_12_1","doi-asserted-by":"crossref","unstructured":"Han J. J. Beltran T. J. Song J. W. Klaric J. Choi Y. S. (2017). Prevalence of genital human papillomavirus infection and human papillomavirus vaccination rates among US adult men. JAMA 3 810\u2013816. https:\/\/doi.org\/10.1001\/jamaoncol.2016.6192","DOI":"10.1001\/jamaoncol.2016.6192"},{"key":"e_1_3_2_13_1","doi-asserted-by":"crossref","unstructured":"Harder T. Wichmann O. Klug S. J. van der Sande M. A. B. Wiese P. M. (2018). Efficacy effectiveness and safety of vaccination against human papillomavirus in males: A systematic review. BMC Medicine 16 Article 110. https:\/\/doi.org\/10.1186\/s12916-018-1098-3","DOI":"10.1186\/s12916-018-1098-3"},{"key":"e_1_3_2_14_1","doi-asserted-by":"crossref","unstructured":"Horio F. Ikeda T. 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C., Chiang Y. P., Yeh G. L. (2011). Factors associated with nurses\u2019 intention to recommend general population adopt human papilloma virus (HPV) vaccination in Hsinchu City. Journal of Health Promotion and Health Education, 31, 71\u201390.","journal-title":"Journal of Health Promotion and Health Education"}],"container-title":["American Journal of Men's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15579883261430890","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15579883261430890","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15579883261430890","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:28:38Z","timestamp":1777505318000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15579883261430890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/15579883261430890"],"URL":"https:\/\/doi.org\/10.1177\/15579883261430890","relation":{},"ISSN":["1557-9883","1557-9891"],"issn-type":[{"value":"1557-9883","type":"print"},{"value":"1557-9891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"15579883261430890"}}