{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:08:45Z","timestamp":1779300525998,"version":"3.51.4"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The human papillomavirus (HPV) vaccine helps significantly reduce the incidence of cervical cancer. However, in many countries, its adoption remains limited. In this context, our study aimed to measure the prevalence of HPV vaccination hesitancy among young girls and to identify its associated risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From 10\n                      <jats:sup>th<\/jats:sup>\n                      April to 30\n                      <jats:sup>th<\/jats:sup>\n                      June 2025, a cross-sectional survey was conducted in Morocco among girls aged 11\u201314 attending middle school. Face-to-face interviews gathered sociodemographic data, HPV knowledge, and vaccination attitudes. Multivariate logistic regression identified risk variables for vaccine hesitancy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1,836 participants were collected with a mean age of 13.0\u2009\u00b1\u20090.8 years. The percentage of vaccine hesitancy reached 88.8%. The main risk factors were unvaccinated pairs (AOR\u2009=\u200911.78; CI [7.67\u201318.0]), paternal illiteracy (AOR\u2009=\u20097.67; [1.99\u201329.55]), low recommendation of the vaccine by health personnel (AOR\u2009=\u20094.14; [2.44\u20137.02]), belief that the vaccine promotes sexual activity (AOR\u2009=\u20093.10; [2.01\u20134.79]), insufficient knowledge of the target population (AOR\u2009=\u20092.51; [1.63\u20133.85]), perception of adverse effects (AOR\u2009=\u20091.97; [1.31\u20132.98]), insufficient knowledge of the number of doses required (AOR\u2009=\u20091.76; [1.06\u20132.92]), fear of vaccination (AOR\u2009=\u20091.71; [1.14\u20132.58]), fear of regretting vaccination (AOR\u2009=\u20091.55; [1.02\u20132.36]), and age (AOR\u2009=\u20091.34; [1.06\u20131.69]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HPV vaccination hesitancy remains high and is shaped by social, educational, and cultural factors. These findings underscore the need for targeted educational initiatives and increased awareness among healthcare professionals. Integrating vaccination into school health programs may help improve uptake.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0347783","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:34:25Z","timestamp":1779298465000},"page":"e0347783","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Challenges to human papillomavirus vaccination among young girls in Morocco: A national cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"given":"Touria","family":"Essayagh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meriem","family":"Essayagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Housnia","family":"Slibani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soukayna","family":"El Hachimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoutar","family":"Nmila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaoula","family":"Addakiri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4603-620X","authenticated-orcid":true,"given":"Rehmatullah","family":"Zadran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanah","family":"Essayagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"pone.0347783.ref001","unstructured":"Papillomavirus humain et cancer. 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