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Vaccine. 2020 Feb 3. pii: S0264-410X(20)30079-7. doi: 10.1016/j.vaccine.2020.01.053. [Epub ahead of print]

Awareness and knowledge of HPV and HPV vaccination among adults ages 27-45 years.

Author information

Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, United States. Electronic address:
Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, United States. Electronic address:
Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, OH, United States. Electronic address:
Department of Health and Exercise Science, College of Arts and Sciences, University of Oklahoma, Norman, OK, United States. Electronic address:
Department of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, United States. Electronic address:
Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States. Electronic address:



Recent guidelines indicate adults 27-45 years old can receive the human papillomavirus (HPV) vaccine based on a shared-decision with their healthcare provider. With this expansion in recommendations, there is a need to examine the awareness and knowledge of HPV and HPV vaccination among this age group for cancer prevention.


HINTS-5 Cycle-2 is a national survey of US adults, and was restricted to a complete case analysis of adults ages 27-45 years (N = 725). Sociodemographic, healthcare, and health information correlates were assessed for the outcomes of HPV awareness, HPV vaccine awareness, knowledge of HPV and cervical cancer, and knowledge of HPV and non-cervical cancers. Survey-weighted logistic regression models were conducted.


Most respondents were aware of HPV (72.9%) and HPV vaccination (67.1%). Respondents were more likely to be aware of HPV and HPV vaccination if they were female, had a higher level of education, and had previous cancer information seeking behaviors. Although there was widespread knowledge of HPV as a cause of cervical cancer (79.6%), knowledge of HPV as a cause of non-cervical cancers was reported by a minority of respondents (36.1%). College education was positively associated with cervical cancer knowledge (aOR = 4.62; 95%CI: 1.81-11.78); however, no significant correlates were identified for non-cervical HPV associated cancer knowledge.


While more than half of adults ages 27-45 years are aware of HPV and HPV vaccination, there are opportunities to improve awareness and knowledge, particularly related to non-cervical cancers, as these are critical first steps toward shared decision-making for HPV vaccination in mid-adulthood.


Adults; Awareness; HPV; Knowledge; Vaccine

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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