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ORIGINAL RESEARCH article

Front. Public Health

Sec. Infectious Diseases: Epidemiology and Prevention

HPV vaccination intention among guardians of male junior high school students in Chongqing, China

Provisionally accepted
Xiaoqin  HeXiaoqin He1Ningpei  BaiNingpei Bai1Jiawei  XuJiawei Xu1Ningyu  WanNingyu Wan1Ying  XiaoYing Xiao2Binyue  XuBinyue Xu1*
  • 1Chongqing Center for Disease Control and Prevention, Chongqing, China
  • 2Southwest Medical University, Luzhou, China

The final, formatted version of the article will be published soon.

Background The human papillomavirus (HPV) vaccine is essential for preventing sexually transmitted infections and HPV-related cancers in both men and women. Vaccinating boys directly protects them and contributes to herd immunity. It also indirectly protects their future partners. As parents' intentions strongly influence adolescents' HPV vaccination, this study aimed to investigate the factors that influence their vaccination intentions for sons. The results of this study will provide a theoretical basis and practical recommendations for improving parental acceptance of HPV vaccination. Methods A multi-stage, non-random, cross-sectional survey was conducted, targeting guardians of male junior high school students across various districts and counties in Chongqing. Results A total of 3,481 valid responses were collected. Among the guardians, nearly 40% had never heard of HPV or the HPV vaccine. Overall, 71.3% of guardians expressed willingness to vaccinate their sons against HPV, while 28.7% were unwilling. Personal characteristics of the guardians, such as age and number of children, were associated with vaccination intention. Higher levels of knowledge about HPV were positively correlated with willingness to vaccinate, while vaccine hesitancy was associated with reduced acceptance. Conclusions This study suggests that guardians in Chongqing have a high willingness to vaccinate their sons against HPV, and vaccine knowledge is one of the influencing factors. However, concerns about vaccine safety and efficacy remain significant barriers to vaccine acceptance. Awareness of HPV vaccine should be improved, especially in groups with limited knowledge, through targeted educational campaigns and advice from healthcare professionals to address vaccine hesitancy.

Keywords: HPV vaccine, Vaccination willingness, Vaccine hesitancy, Male Adolescents, Guardianship

Received: 27 Aug 2025; Accepted: 30 Oct 2025.

Copyright: © 2025 He, Bai, Xu, Wan, Xiao and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Binyue Xu, 563298530@qq.com

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