{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:20:50Z","timestamp":1787239250283,"version":"build-2736575974"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Human papillomavirus (HPV) is one of the most common skin and sexually transmitted infections. The prevalence of this infection has been increasing in recent years. Increasing the level of knowledge and awareness of people leads to the prevention of infection with this virus and subsequently decreases the number of cervical cancer patients. The present study was conducted to determine the awareness and attitude toward HPV in women of Zahedan City.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS AND MATERIAL:<\/jats:title>\n                    <jats:p>This descriptive-analytical study was conducted in 26 comprehensive health service centers in Zahedan City in 2023. A multistage cluster sampling is proposed for selecting comprehensive urban and suburban health centers. Overall, there were 20,482 women aged 15 to 26; by random sampling method and according to Morgan\u2019s table, 320 women were selected. Information related to awareness and attitude was completed using a questionnaire. SPSS 22 software was used for data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The average age of the participants in the study was 21 \u00b1 3 years, 231 women (72.2%) were housewives, and 61 and 28 women (8.8%) were students and employed, respectively. The knowledge score about this virus was very low in the range of 4.39 \u00b1 5.01. The level of attitude was reported as average 18.57 \u00b1 2.80. In addition, the findings showed a relationship between the level of education, occupation, and family income with people\u2019s awareness of HPV. Moreover, single people also had a higher awareness and attitude toward this disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Implementing the various programs and interventions to improve the knowledge and awareness of people, especially women, about ways to prevent HPV, especially in vulnerable provinces, such as Sistan and Bauchistan, seems necessary. In addition, due to the prevalence of polygamy in this province and the low average age of marriage, awareness programs in this province should be followed more seriously at different levels from school to university, and also in case of vaccination, this province should be given first priority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_312_24","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T09:01:17Z","timestamp":1751619677000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Study of attitudes and knowledge toward human papilloma virus of women aged 15\u201326 years in Zahedan City in 2024"],"prefix":"10.4103","volume":"14","author":[{"given":"Leila","family":"Keikha","sequence":"first","affiliation":[{"name":"Department of Medical Librarianship and Information Sciences, School of Allied Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azita","family":"Shahraki-Mohammadi","sequence":"additional","affiliation":[{"name":"Department of Medical Librarianship and Information Sciences, School of Allied Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Esmaeilpour","sequence":"additional","affiliation":[{"name":"Department of Gynecology, School of Medicine, Pregnancy Health Research Center, Ali IbneAbitaleb Hospital, Zahedan University of Medical Sciences, Zahedan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6]]},"reference":[{"key":"R1-20250716","doi-asserted-by":"crossref","first-page":"2184760","DOI":"10.1080\/21645515.2023.2184760","article-title":"Human papillomavirus (HPV) vaccines in adults: Learnings from long-term follow-up of quadrivalent HPV vaccine clinical trials","volume":"19","author":"Goldstone","year":"2023","journal-title":"Hum Vaccin Immunother"},{"key":"R2-20250716","doi-asserted-by":"crossref","first-page":"2176640","DOI":"10.1080\/21645515.2023.2176640","article-title":"Barriers and facilitators in uptake of human papillomavirus vaccine across English Canada: A review","volume":"19","author":"Khan","year":"2023","journal-title":"Hum Vaccin Immunother"},{"key":"R3-20250716","doi-asserted-by":"crossref","first-page":"2176082","DOI":"10.1080\/21645515.2023.2176082","article-title":"Parents\u2019 willingness to vaccinate their daughters with human papillomavirus vaccine and associated factors in Debretabor town, Northwest Ethiopia: A community-based cross-sectional study","volume":"19","author":"Aragaw","year":"2023","journal-title":"Hum Vaccin Immunother"},{"key":"R4-20250716","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s12978-023-01711-y","article-title":"Determinants for hesitancy in human papillomavirus (HPV) vaccine uptake among school girls in Jimma Town, Ethiopia. A mixed approach: Quantitative and qualitative","volume":"20","author":"Dera","year":"2023","journal-title":"Reprod Health"},{"key":"R5-20250716","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1007\/s13187-023-02352-2","article-title":"An interactive educational tool to improve human papillomavirus vaccine knowledge and recommendation among nurses","volume":"38","author":"Leung","year":"2023","journal-title":"J Cancer Educ"},{"key":"R6-20250716","doi-asserted-by":"crossref","first-page":"7435","DOI":"10.1016\/j.vaccine.2023.11.008","article-title":"Cost and operational context for national human papillomavirus (HPV) vaccine delivery in six low-and middle-income countries","volume":"41","author":"Mvundura","year":"2023","journal-title":"Vaccine"},{"key":"R7-20250716","doi-asserted-by":"crossref","first-page":"7147","DOI":"10.1016\/j.vaccine.2023.10.024","article-title":"Age, gender and socioeconomic disparities in human papillomavirus (HPV) awareness and knowledge among Japanese adults after a 7-year suspension of proactive recommendation for the HPV vaccine: A nationally representative cross-sectional survey","volume":"41","author":"Terada","year":"2023","journal-title":"Vaccine"},{"key":"R8-20250716","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1111\/ijd.16880","article-title":"Combined systemic and intralesional 9-valent human papillomavirus vaccine for recurrent squamous cell carcinoma in situ of the penis","volume":"63","author":"Nichols","year":"2024","journal-title":"Int J Dermatol"},{"key":"R9-20250716","doi-asserted-by":"crossref","first-page":"e0294379","DOI":"10.1371\/journal.pone.0294379","article-title":"Correction: Cost-effectiveness evaluations of the 9-Valent human papillomavirus (HPV) vaccine: Evidence from a systematic review","volume":"18","author":"Mahumud","year":"2023","journal-title":"PLoS One"},{"key":"R10-20250716","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1111\/1346-8138.16905","article-title":"Intralesional human papillomavirus vaccine for the treatment of recalcitrant cutaneous warts","volume":"50","author":"Bar\u2010Ilan","year":"2023","journal-title":"J Dermatol"},{"key":"R11-20250716","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1016\/S1473-3099(23)00275-X","article-title":"Head-to-head immunogenicity comparison of an Escherichia coli-produced 9-valent human papillomavirus vaccine and Gardasil 9 in women aged 18\u201326 years in China: A randomised blinded clinical trial","volume":"23","author":"Zhu","year":"2023","journal-title":"Lancet Infect Dis"},{"key":"R12-20250716","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1016\/j.jaad.2023.06.042","article-title":"Treatment response and tolerability of intralesional quadrivalent versus bivalent human papillomavirus vaccine for recalcitrant warts: A randomized controlled trial","volume":"89","author":"Nofal","year":"2023","journal-title":"J Am Acad Dermatol"},{"key":"R13-20250716","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.acap.2023.10.008","article-title":"Human papillomavirus vaccine completion by 13: A quality improvement initiative in a large primary care network","volume":"24","author":"Huang","year":"2024","journal-title":"Acad Pediatr"},{"key":"R14-20250716","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1186\/s12905-023-02702-8","article-title":"Human papillomavirus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte city, Western Ethiopia, 2020","volume":"23","author":"Hailu","year":"2023","journal-title":"BMC Women\u2019s Health"},{"key":"R16-20250716","doi-asserted-by":"crossref","first-page":"2448","DOI":"10.1016\/j.scib.2023.09.020","article-title":"Immunogenicity and safety of an Escherichia coli-produced human papillomavirus (types 6\/11\/16\/18\/31\/33\/45\/52\/58) L1 virus-like-particle vaccine: A phase 2 double-blind, randomized, controlled trial","volume":"68","author":"Hu","year":"2023","journal-title":"Sci Bull"},{"key":"R17-20250716","first-page":"1989","article-title":"Survey of knowledge and attitude of medical students of Islamic Azad University of Mashhad about human papillomavirus","volume":"63","author":"Kazarani","year":"2021","journal-title":"Med J Mashhad Univ Med Sci"},{"key":"R18-20250716","doi-asserted-by":"crossref","first-page":"216","DOI":"10.4103\/jehp.jehp_156_19","article-title":"Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review","volume":"8","author":"Thulaseedharan","year":"2019","journal-title":"J Educ Health Promot"},{"key":"R19-20250716","article-title":"Insufficient Knowledge of Human Papilloma Virus among Reproductive-Aged Women from Arak, Iran, 05 January 2023, PREPRINT (Version 1) available at Research Square","author":"Fathi"},{"key":"R20-20250716","doi-asserted-by":"crossref","first-page":"11","DOI":"10.18203\/2320-1770.ijrcog20195997","article-title":"The knowledge, attitude, and action of Northern Iranian women about cervical cancer and screening","volume":"9","author":"Amiri","year":"2020","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R21-20250716","article-title":"Comparison of awareness, attitudes and knowledge on human papilloma virus vaccination in Singapore: 2019 versus 2013","author":"Michelle","year":"2023","journal-title":"Singapore Med J"},{"key":"R22-20250716","doi-asserted-by":"crossref","first-page":"3143","DOI":"10.1016\/j.vaccine.2020.01.053","article-title":"Awareness and knowledge of HPV and HPV vaccination among adults ages 27\u201345 years","volume":"38","author":"Thompson","year":"2020","journal-title":"Vaccine"},{"key":"R23-20250716","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.whi.2015.06.003","article-title":"Knowledge of HPV and HPV vaccine among women ages 19 to 26","volume":"25","author":"Unger","year":"2015","journal-title":"Women\u2019s Health Issues"},{"key":"R24-20250716","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.jadohealth.2007.08.022","article-title":"Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults","volume":"42","author":"Gerend","year":"2008","journal-title":"J Adolesc Health"},{"key":"R25-20250716","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1002\/ijc.34710","article-title":"Diagnostic accuracy of HPV16 early antigen serology for HPV-driven oropharyngeal cancer is independent of age and sex","volume":"154","author":"Kusters","year":"2024","journal-title":"Int J Cancer"},{"key":"R26-20250716","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.amepre.2023.03.024","article-title":"Lack of awareness of human papillomavirus testing among U.S. women","volume":"65","author":"Berkowitz","year":"2023","journal-title":"Am J Prev Med"},{"key":"R27-20250716","first-page":"217","article-title":"Knowledge about cervical cancer, human papilloma virus and attitude towards acceptance of vaccination among female students","volume":"14","author":"Salehifar","year":"2015","journal-title":"Payesh"},{"key":"R28-20250716","doi-asserted-by":"crossref","first-page":"332","DOI":"10.4103\/jehp.jehp_1454_20","article-title":"Knowledge and attitude regarding cervical cancer and its prevention among young female adults in Kuantan, Malaysia","volume":"10","author":"Burhan","year":"2021","journal-title":"J Educ Health Promot"},{"key":"R29-20250716","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/OLQ.0000000000001615","article-title":"The development and psychometric evaluation of the mid-adult human papillomavirus vaccine knowledge scale in the United States","volume":"49","author":"Garg","year":"2022","journal-title":"Sex Transm Dis"},{"key":"R30-20250716","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1089\/jayao.2023.0004","article-title":"Human papilloma virus infection and vaccine knowledge levels, attitudes, beliefs in university students: Turkey and ghana comparison","volume":"12","author":"Sulemana","year":"2023","journal-title":"J Adolesc Young Adult Oncol"},{"key":"R31-20250716","doi-asserted-by":"crossref","first-page":"6892","DOI":"10.3390\/ijerph17186892","article-title":"Knowledge, attitudes and perceptions about cervical cancer risk, prevention and human papilloma virus (HPV) in vulnerable women in Greece","volume":"17","author":"Riza","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"R32-20250716","first-page":"2","article-title":"Knowledge, attitudes and perceptions of Nigerian parents towards human papilloma virus (HPV) vaccines","volume":"4","author":"Ohareri","year":"2020","journal-title":"Eur J Midwifery"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_312_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:59:49Z","timestamp":1786647589000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_312_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_312_24","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2024-02-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}