Differences in knowledge, attitudes and intentions towards HPV vaccination among young adults from diverse socio-cultural groups in Israel: A cross-sectional study
In Israel, The Human Papilloma Virus (HPV) vaccine is recommended to both genders up to age 26. Many 18–26 olds missed their opportunity for vaccination during school. Our study described HPV knowledge, attitudes and vaccination intentions among unvaccinated 18–26 Israeli adults across various demog...
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| Veröffentlicht in: | Vaccine 2025-01, Vol.44, p.126548, Article 126548 |
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| creator | Edelstein, Michael Shibli, Haneen Bornstein, Jacob |
| description | In Israel, The Human Papilloma Virus (HPV) vaccine is recommended to both genders up to age 26. Many 18–26 olds missed their opportunity for vaccination during school. Our study described HPV knowledge, attitudes and vaccination intentions among unvaccinated 18–26 Israeli adults across various demographics, aiming to inform future catch-up vaccination strategies.
We recruited participants through an anonymous survey and collected information about demographics and HPV knowledge, attitudes and intentions using questions from validated questionnaires adapted to the Israeli context, distributed between December 2023–February 2024. We calculated weighted mean knowledge and attitude scores according to age, gender, ethnicity and sexual orientation. We determined factors associated with vaccination knowledge, attitudes and intentions using multivariate linear regressions.
Of 4324 respondents, 36 % were vaccinated. Of 1994 unvaccinated individuals included in the final analysis, |
| doi_str_mv | 10.1016/j.vaccine.2024.126548 |
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We recruited participants through an anonymous survey and collected information about demographics and HPV knowledge, attitudes and intentions using questions from validated questionnaires adapted to the Israeli context, distributed between December 2023–February 2024. We calculated weighted mean knowledge and attitude scores according to age, gender, ethnicity and sexual orientation. We determined factors associated with vaccination knowledge, attitudes and intentions using multivariate linear regressions.
Of 4324 respondents, 36 % were vaccinated. Of 1994 unvaccinated individuals included in the final analysis, <50 % reported being familiar with HPV. The overall mean weighted HPV knowledge score was 9.5/14 (95 % CI 9.3–9.7). Older participants, Jewish non-Ultra-Orthodox, and those with higher education levels reported higher knowledge scores. Attitudes towards HPV vaccination were generally neutral but tended towards the positive, with an overall mean weighted score of 2.9/5 (95 %CI 2.88–2.95). Variation in attitudes across different demographic groups was minimal.
Intention to vaccinate within 12 months was low, with <15 % of respondents overall expressing an intention to do so. Factors significantly associated with higher vaccination intention included being Arab, older, female, having multiple sexual partners, and being a student. There was no association between sexual orientation and vaccination intention. Arab participants showed the highest intention to vaccinate despite having the lowest knowledge levels.
Young adults in Israel demonstrate low HPV awareness and vaccination intention, with minor variations in attitudes across different demographics. Providing more information may be insufficient to increase vaccine uptake in all groups. Future catch-up campaigns should be tailored to barriers specific to different groups.
•HPV awareness and knowledge is low among Young adults in Israel.•The link between HPV knowledge and intention to vaccinate is inconsistent.•More Information alone may not be enough to optimize HPV vaccine coverage.•Tailored campaigns should address barriers specific to each population group.</description><identifier>ISSN: 0264-410X</identifier><identifier>ISSN: 1873-2518</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2024.126548</identifier><identifier>PMID: 39612803</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Adults ; Arabs - psychology ; Attitudes ; Chronology ; Cross-Sectional Studies ; Cultural groups ; Demographics ; Demography ; Education ; Female ; Health Knowledge, Attitudes, Practice ; Human papillomavirus ; Humans ; Immunization ; Intention ; Israel ; Male ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - administration & dosage ; Sexual behavior ; Sexual partners ; Sociodemographics ; Surveys and Questionnaires ; Vaccination - psychology ; Vaccination - statistics & numerical data ; Vaccines ; Young Adult ; Young adults</subject><ispartof>Vaccine, 2025-01, Vol.44, p.126548, Article 126548</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><rights>2024. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.vaccine.2024.126548$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39612803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Edelstein, Michael</creatorcontrib><creatorcontrib>Shibli, Haneen</creatorcontrib><creatorcontrib>Bornstein, Jacob</creatorcontrib><title>Differences in knowledge, attitudes and intentions towards HPV vaccination among young adults from diverse socio-cultural groups in Israel: A cross-sectional study</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>In Israel, The Human Papilloma Virus (HPV) vaccine is recommended to both genders up to age 26. Many 18–26 olds missed their opportunity for vaccination during school. Our study described HPV knowledge, attitudes and vaccination intentions among unvaccinated 18–26 Israeli adults across various demographics, aiming to inform future catch-up vaccination strategies.
We recruited participants through an anonymous survey and collected information about demographics and HPV knowledge, attitudes and intentions using questions from validated questionnaires adapted to the Israeli context, distributed between December 2023–February 2024. We calculated weighted mean knowledge and attitude scores according to age, gender, ethnicity and sexual orientation. We determined factors associated with vaccination knowledge, attitudes and intentions using multivariate linear regressions.
Of 4324 respondents, 36 % were vaccinated. Of 1994 unvaccinated individuals included in the final analysis, <50 % reported being familiar with HPV. The overall mean weighted HPV knowledge score was 9.5/14 (95 % CI 9.3–9.7). Older participants, Jewish non-Ultra-Orthodox, and those with higher education levels reported higher knowledge scores. Attitudes towards HPV vaccination were generally neutral but tended towards the positive, with an overall mean weighted score of 2.9/5 (95 %CI 2.88–2.95). Variation in attitudes across different demographic groups was minimal.
Intention to vaccinate within 12 months was low, with <15 % of respondents overall expressing an intention to do so. Factors significantly associated with higher vaccination intention included being Arab, older, female, having multiple sexual partners, and being a student. There was no association between sexual orientation and vaccination intention. Arab participants showed the highest intention to vaccinate despite having the lowest knowledge levels.
Young adults in Israel demonstrate low HPV awareness and vaccination intention, with minor variations in attitudes across different demographics. Providing more information may be insufficient to increase vaccine uptake in all groups. Future catch-up campaigns should be tailored to barriers specific to different groups.
•HPV awareness and knowledge is low among Young adults in Israel.•The link between HPV knowledge and intention to vaccinate is inconsistent.•More Information alone may not be enough to optimize HPV vaccine coverage.•Tailored campaigns should address barriers specific to each population group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Arabs - psychology</subject><subject>Attitudes</subject><subject>Chronology</subject><subject>Cross-Sectional Studies</subject><subject>Cultural groups</subject><subject>Demographics</subject><subject>Demography</subject><subject>Education</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Intention</subject><subject>Israel</subject><subject>Male</subject><subject>Papillomavirus Infections - prevention & control</subject><subject>Papillomavirus Vaccines - administration & dosage</subject><subject>Sexual behavior</subject><subject>Sexual partners</subject><subject>Sociodemographics</subject><subject>Surveys and Questionnaires</subject><subject>Vaccination - psychology</subject><subject>Vaccination - statistics & numerical data</subject><subject>Vaccines</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0264-410X</issn><issn>1873-2518</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc2O0zAUhS0EYsrAI4AssWFBim_sJA4bNBp-ZqSRYAGIneXaN5VLYhc77qjPw4vi0LJhY0s-n47PvYeQ58DWwKB9s1sftDHO47pmtVhD3TZCPiArkB2v6gbkQ7JidSsqAezHBXmS0o4x1nDoH5ML3rdQS8ZX5Pd7NwwY0RtM1Hn604f7Ee0WX1M9z27Otrxrb4s2o59d8InO4V5Hm-jNl-_0FEIvAtVT8Ft6DLmc2uZxTnSIYaLWHTAmpCkYFypThBz1SLcx5P3fT29T1Di-pVfUxJBSldAshoVJJcDxKXk06DHhs_N9Sb59_PD1-qa6-_zp9vrqrsIytKyw19h0wC0XXHPETpqu7zmXTDe6Nhpq2yMOG2Ab3QjB5EZ2nRAWGBe2AeCX5NXJdx_Dr4xpVpNLBsdReww5KQ7FmUMLvKAv_0N3IceSeKFE03IJsi3UizOVNxNatY9u0vGo_q2_AO9OAJaxDg6jSsYtXVgXyw6UDU4BU0vhaqfOhaulcHUqnP8BkgShUw</recordid><startdate>20250112</startdate><enddate>20250112</enddate><creator>Edelstein, Michael</creator><creator>Shibli, Haneen</creator><creator>Bornstein, Jacob</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20250112</creationdate><title>Differences in knowledge, attitudes and intentions towards HPV vaccination among young adults from diverse socio-cultural groups in Israel: A cross-sectional study</title><author>Edelstein, Michael ; Shibli, Haneen ; Bornstein, Jacob</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e1878-e9ae5713d343a3ee78c7993380a5a2ca12d9eefb10ba54408b87744d1034d5113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Arabs - psychology</topic><topic>Attitudes</topic><topic>Chronology</topic><topic>Cross-Sectional Studies</topic><topic>Cultural groups</topic><topic>Demographics</topic><topic>Demography</topic><topic>Education</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Immunization</topic><topic>Intention</topic><topic>Israel</topic><topic>Male</topic><topic>Papillomavirus Infections - prevention & control</topic><topic>Papillomavirus Vaccines - administration & dosage</topic><topic>Sexual behavior</topic><topic>Sexual partners</topic><topic>Sociodemographics</topic><topic>Surveys and Questionnaires</topic><topic>Vaccination - psychology</topic><topic>Vaccination - statistics & numerical data</topic><topic>Vaccines</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Edelstein, Michael</creatorcontrib><creatorcontrib>Shibli, Haneen</creatorcontrib><creatorcontrib>Bornstein, Jacob</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Vaccine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Edelstein, Michael</au><au>Shibli, Haneen</au><au>Bornstein, Jacob</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in knowledge, attitudes and intentions towards HPV vaccination among young adults from diverse socio-cultural groups in Israel: A cross-sectional study</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2025-01-12</date><risdate>2025</risdate><volume>44</volume><spage>126548</spage><pages>126548-</pages><artnum>126548</artnum><issn>0264-410X</issn><issn>1873-2518</issn><eissn>1873-2518</eissn><abstract>In Israel, The Human Papilloma Virus (HPV) vaccine is recommended to both genders up to age 26. Many 18–26 olds missed their opportunity for vaccination during school. Our study described HPV knowledge, attitudes and vaccination intentions among unvaccinated 18–26 Israeli adults across various demographics, aiming to inform future catch-up vaccination strategies.
We recruited participants through an anonymous survey and collected information about demographics and HPV knowledge, attitudes and intentions using questions from validated questionnaires adapted to the Israeli context, distributed between December 2023–February 2024. We calculated weighted mean knowledge and attitude scores according to age, gender, ethnicity and sexual orientation. We determined factors associated with vaccination knowledge, attitudes and intentions using multivariate linear regressions.
Of 4324 respondents, 36 % were vaccinated. Of 1994 unvaccinated individuals included in the final analysis, <50 % reported being familiar with HPV. The overall mean weighted HPV knowledge score was 9.5/14 (95 % CI 9.3–9.7). Older participants, Jewish non-Ultra-Orthodox, and those with higher education levels reported higher knowledge scores. Attitudes towards HPV vaccination were generally neutral but tended towards the positive, with an overall mean weighted score of 2.9/5 (95 %CI 2.88–2.95). Variation in attitudes across different demographic groups was minimal.
Intention to vaccinate within 12 months was low, with <15 % of respondents overall expressing an intention to do so. Factors significantly associated with higher vaccination intention included being Arab, older, female, having multiple sexual partners, and being a student. There was no association between sexual orientation and vaccination intention. Arab participants showed the highest intention to vaccinate despite having the lowest knowledge levels.
Young adults in Israel demonstrate low HPV awareness and vaccination intention, with minor variations in attitudes across different demographics. Providing more information may be insufficient to increase vaccine uptake in all groups. Future catch-up campaigns should be tailored to barriers specific to different groups.
•HPV awareness and knowledge is low among Young adults in Israel.•The link between HPV knowledge and intention to vaccinate is inconsistent.•More Information alone may not be enough to optimize HPV vaccine coverage.•Tailored campaigns should address barriers specific to each population group.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>39612803</pmid><doi>10.1016/j.vaccine.2024.126548</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Vaccine, 2025-01, Vol.44, p.126548, Article 126548 |
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| subjects | Adolescent Adult Adults Arabs - psychology Attitudes Chronology Cross-Sectional Studies Cultural groups Demographics Demography Education Female Health Knowledge, Attitudes, Practice Human papillomavirus Humans Immunization Intention Israel Male Papillomavirus Infections - prevention & control Papillomavirus Vaccines - administration & dosage Sexual behavior Sexual partners Sociodemographics Surveys and Questionnaires Vaccination - psychology Vaccination - statistics & numerical data Vaccines Young Adult Young adults |
| title | Differences in knowledge, attitudes and intentions towards HPV vaccination among young adults from diverse socio-cultural groups in Israel: A cross-sectional study |
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