{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:19:23Z","timestamp":1778221163720,"version":"3.51.4"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the key factors influencing HPV vaccination behavior among nurses in Chongqing, China, based on the 5C psychological antecedents model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted among 550 nurses from public hospitals in Chongqing between April 2024 and July 2024 via an online questionnaire. A combination of convenience and snowball sampling was employed. The instrument gathered demographic data, HPV vaccination status, and responses to the 5C scale (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The HPV vaccination rate among nurses was 52.7%. Hierarchical binary logistic regression analysis revealed that age (OR = 0.939, 95% CI: 0.895\u20130.985), influence from friends and colleagues (OR = 3.821, 95% CI: 2.634\u20135.542), and constraints (OR = 0.870, 95% CI: 0.811\u20130.933) were significant predictors of vaccination status. In contrast, confidence, complacency, calculation and collective responsibility were not statistically significant in the final model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The HPV vaccination behavior of nurses in Chongqing is significantly influenced by age, social influence and structural barriers. To improve vaccination coverage, interventions should focus on leveraging peer influence, fostering a supportive vaccination climate, and systematically reducing constraints through convenient access and financial support. These findings contribute to understanding vaccine hesitancy among healthcare workers and inform strategies to achieve cervical cancer elimination goals in China.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1789086","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T05:55:26Z","timestamp":1778219726000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors influencing Chongqing nurses' HPV vaccination: a cross-sectional survey based on the 5C model"],"prefix":"10.3389","volume":"14","author":[{"given":"Mei","family":"Li","sequence":"first","affiliation":[{"name":"Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]},{"name":"Department of Obstetrics and Gynecology, Chongqing Key Laboratory of Maternal and Fetal Medicine","place":["Chongqing, China"]},{"name":"Joint International Research Laboratory of Reproduction and Development, Ministry of Education","place":["Chongqing, China"]},{"name":"The Innovation and Talent Recruitment Base of Maternal-Fetal Medicine, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]},{"name":"Department of Nursing, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]},{"name":"Department of Obstetrics and Gynecology, Chongqing Key Laboratory of Maternal and Fetal Medicine","place":["Chongqing, China"]},{"name":"Joint International Research Laboratory of Reproduction and Development, Ministry of Education","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fulan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]},{"name":"Department of Obstetrics and Gynecology, Chongqing Key Laboratory of Maternal and Fetal Medicine","place":["Chongqing, China"]},{"name":"Joint International Research Laboratory of Reproduction and Development, Ministry of Education","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]},{"name":"Department of Obstetrics and Gynecology, Chongqing Key Laboratory of Maternal and Fetal Medicine","place":["Chongqing, China"]},{"name":"Joint International Research Laboratory of Reproduction and Development, Ministry of Education","place":["Chongqing, China"]},{"name":"The Innovation and Talent Recruitment Base of Maternal-Fetal Medicine, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]},{"name":"Department of Nursing, The First Affiliated Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.46234\/ccdcw2022.215","article-title":"Accelerating cervical cancer prevention and control in China to achieve cervical cancer elimination strategy objectives","volume":"4","author":"Wang","year":"2022","journal-title":"China CDC Wkly."},{"key":"B2","doi-asserted-by":"publisher","first-page":"979809","DOI":"10.3389\/fonc.2022.979809","article-title":"The burden of cervical cancer in China","volume":"12","author":"Shen","year":"2022","journal-title":"Front. 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