{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:58:34Z","timestamp":1793383114511,"version":"4.5.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"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>Background<\/jats:title>\n                    <jats:p>HPV infection is the leading cause of cervical cancer. HPV vaccination coverage among young people in China remains low. Medical students, as a high-risk group and future health educators, are critical for cervical cancer control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A questionnaire survey was conducted among 1,244 medical students from April to May 2026. Data were analyzed using SPSS 26.0, including\n                      <jats:italic>t<\/jats:italic>\n                      -test, correlation, regression, and serial mediation analysis (PROCESS Model 6).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 1,203 valid participants (51.0% male, 49.0% female, 71.8% having received HPV vaccines), HPV knowledge was positively correlated with both vaccination intention and actual vaccination behavior. The serial chain mediation analysis specifically focused on vaccination intention: HPV knowledge showed a significant direct associational link with vaccination intention (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.1238,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Perceived susceptibility and perceived severity served as significant serial mediators for intention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HPV knowledge is correlated with vaccination intention via direct associations and serial mediating associations of perceived susceptibility and perceived severity. Based on these cross-sectional correlational findings, interventions targeting HPV knowledge improvement may correlate with elevated risk perception and stronger vaccination intention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1894458","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:34:18Z","timestamp":1783575258000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors influencing HPV vaccination intention and uptake behaviors among medical students based on the health belief model and vaccine hesitancy theory: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Hao","family":"Wang","sequence":"first","affiliation":[{"name":"School of Public Health, Xuzhou Medical University","place":["Xuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiqi","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Public Health, Xuzhou Medical University","place":["Xuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Public Health, Xuzhou Medical University","place":["Xuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyu","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Public Health, Xuzhou Medical University","place":["Xuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehui","family":"Yin","sequence":"additional","affiliation":[{"name":"School of Public Health, Xuzhou Medical University","place":["Xuzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s12929-016-0293-9","article-title":"Perspectives for therapeutic HPV vaccine development","volume":"23","author":"Yang","year":"2016","journal-title":"J Biomed Sci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.21037\/atm-22-5930","article-title":"HPV and radiosensitivity of cervical cancer: a narrative review","volume":"10","author":"Huang","year":"2022","journal-title":"Ann Transl Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"237","DOI":"10.5644\/ama2006-124.458","article-title":"HPV-related cancers in Bosnia and Herzegovina: a comprehensive review","volume":"53","author":"Paric","year":"2024","journal-title":"Acta Med 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