{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:03:10Z","timestamp":1791241390518,"version":"4.1.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The human papillomavirus (HPV) vaccine is one of the most effective primary measures to prevent HPV-related infections and deadly cancers. Despite the availability of the HPV vaccine in the market for almost 17 years, it still remains underutilized. This study is planned with the objective to find out the reasons for vaccine hesitancy (VH) among the Indian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Web-based cross-sectional study done using a snowball sampling method. A prevalidated questionnaire containing 15 items was circulated through social media, and responses were evaluated for causes of VH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 1018 study participants, the majority were between 15 and 20 years (64.1%) of age. Most participants were females (60.5% vs. 39.5%). Out of all, 37.8% were sexually active. Most (99%) of the study participants did not have any children. The majority were students (72.2%). Most (87%) had heard about HPV vaccination, and teachers (46.2%) were the most common source of their information. Only 15.4% of the participants were aware that the vaccine was for both boys and girls. Only 15.9% knew that HPV vaccination can protect from genital warts, oropharyngeal carcinoma, cervical cancer, anal cancer, and vulvar and vaginal cancers. The majority (80.9%) were unvaccinated, and unawareness about the vaccine was the most common reason (38.2%) for that. Among vaccinated, majority experienced no major side effects (90.2%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>VH is one of the major barriers limiting 100% utilization of HPV vaccine across the country and needs to be addressed to combat the HPV virus-related disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_86_24","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T12:00:13Z","timestamp":1748606413000},"page":"591-597","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Human Papillomavirus Vaccine Hesitancy and Barriers in Achieving 100% Vaccine Coverage: A Web-based Cross-sectional Study"],"prefix":"10.4103","volume":"24","author":[{"given":"Asmita","family":"Kaundal","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prachi","family":"Renjhen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Command Hospital, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonal","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poojan Dogra","family":"Marwaha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1080\/21645515.2018.1564436","article-title":"HPV vaccination in a context of public mistrust and uncertainty: A systematic literature review of determinants of HPV vaccine hesitancy in Europe","volume":"15","author":"Karafillakis","year":"2019","journal-title":"Hum Vaccin Immunother"},{"key":"R2-20260422","first-page":"193","article-title":"Impact of health education on knowledge and attitude of school teachers regarding cervical cancer, HPV vaccine, and cervical cancer screening","volume":"14","author":"Renjhen","year":"2021","journal-title":"Australas Med J"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"4161","DOI":"10.1016\/j.vaccine.2015.04.036","article-title":"Vaccine hesitancy: Definition, scope and determinants","volume":"33","author":"MacDonald","year":"2015","journal-title":"Vaccine"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1016\/j.vaccine.2019.01.032","article-title":"Acceptability of human papillomavirus vaccination among medical students in Mangalore, India","volume":"37","author":"Padmanabha","year":"2019","journal-title":"Vaccine"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"17455065211055304","DOI":"10.1177\/17455065211055304","article-title":"An exploratory study of undergraduate healthcare student perspectives regarding human papillomavirus and vaccine intent in India","volume":"17","author":"Shetty","year":"2021","journal-title":"Womens Health (Lond)"},{"key":"R7-20260422","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.vaccine.2012.11.083","article-title":"Knowledge of human papillomavirus (HPV) and HPV vaccination: An international comparison","volume":"31","author":"Marlow","year":"2013","journal-title":"Vaccine"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"326","DOI":"10.2174\/1381612826666200114100553","article-title":"Burden and prevention of HPV. 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