{
  "abstract": "Background\n\nHPV vaccination prevents cervical cancer, yet uptake remains variable, particularly where it is not publicly funded. We assessed HPV knowledge, attitudes, and vaccination behavior - including stated intention, actual uptake, and reasons for non-vaccination - among women attending a gynecology clinic in Istanbul, Turkey.Methods\n\nThis cross-sectional study enrolled 305 women aged ≥ 18 years at the gynecology clinic of Yeditepe University Hospital between January and April 2026. A structured questionnaire assessed sociodemographics, HPV and vaccine knowledge (scored 0-10 and 0-6), attitudes (seven 5-point Likert items), and vaccination history. Acceptance was defined as agreement with willingness to vaccinate; uptake as self-reported prior vaccination. Multivariable logistic regression identified factors independently associated with each outcome.Results\n\nMean age was 38.1 ± 10.6 years; 68.5% had university education and 17.4% were healthcare workers. Mean HPV knowledge score was 7.25 ± 1.65, with notable gaps: 36.7% knew HPV is not exclusive to women, 57.4% knew condoms do not fully prevent transmission, and 60.0% understood infection is often asymptomatic. While 86.6% intended to vaccinate, actual uptake was 38.7% - an intention-uptake gap of 47.9% points. Cost was the most cited reason among unvaccinated women (71.0%). Education, knowledge, and preventive gynecological care were not independently associated with uptake; healthcare-worker status was the only independent predictor (aOR 2.01, 95% CI 1.07-3.80; p = 0.030).Conclusion\n\nHPV vaccine acceptance was high but uptake was substantially lower, with cost the most frequent barrier. These findings highlight the intention-uptake gap and specific knowledge deficits relevant for future research.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Obstetrics and Gynecology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey.",
    "Department of Obstetrics and Gynecology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey. zeynep.korun@yeditepe.edu.tr."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Esra Öncü"
    },
    {
      "affs": [
        1
      ],
      "name": "Zeynep Ece Utkan Korun"
    },
    {
      "affs": [
        0
      ],
      "name": "Melis Gökçe Koçer Yazıcı"
    },
    {
      "affs": [
        0
      ],
      "name": "Mert Yeşiladalı"
    },
    {
      "affs": [
        0
      ],
      "name": "Rukset Attar"
    },
    {
      "affs": [
        0
      ],
      "name": "Necip Erkut Attar"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1hf5g01ekjv67.bib",
  "cited_by": 0,
  "doi": "10.1186/s12889-026-28646-w",
  "fulltext_url": "https://europepmc.org/articles/PMC13681795",
  "id": "1hf5g01ekjv67",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://europepmc.org/article/MED/42897523",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RA1-1270"
    ],
    [
      "openalex",
      "2713|Cervical Cancer and HPV Research"
    ]
  ],
  "openalex": "W7170402872",
  "pdf_url": "https://europepmc.org/articles/PMC13681795?pdf=render",
  "pmcid": "PMC13681795",
  "pmid": "42897523",
  "published": "2026-07-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/1hf5g01ekjv67.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:41Z",
      "native_id": "MED:42897523",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42897523"
    },
    {
      "first_seen": "2026-10-30T13:46:33Z",
      "native_id": "717fe6c2ed7d4148975fc8fb263c0696",
      "source": "doaj",
      "url": "https://doi.org/10.1186/s12889-026-28646-w"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Cervical Cancer and HPV Research",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "High intention, low uptake: HPV vaccination knowledge, attitudes, and behavior among women attending a tertiary gynecology clinic in Turkey.",
  "title_text": "High intention, low uptake: HPV vaccination knowledge, attitudes, and behavior among women attending a tertiary gynecology clinic in Turkey.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:46:33Z",
  "url": "https://research.draconitic.com/paper/1hf5g01ekjv67",
  "venue": "BMC public health",
  "versions": []
}