Preventive Medicine Reports最新文献

{"title":"The impact of cyberbullying laws on student cyberbullying by sexual minority status","authors":"Christopher E. Baidoo ,&nbsp;Michele J. Alvarez ,&nbsp;Summer Sherburne Hawkins","doi":"10.1016/j.pmedr.2025.103221","DOIUrl":"10.1016/j.pmedr.2025.103221","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to examine the impact of cyberbullying and off-campus cyberbullying provisions in state anti-bullying laws on cyberbullying and whether the effects varied by sexual minority status.</div></div><div><h3>Methods</h3><div>Using data from the 2011–2021 Youth Risk Behavior Surveys (911,086 high school students in 44 states in the United States), we estimated difference-in-differences logistic regression models. Policies were categorized into three types: “strong” (including cyberbullying and off-campus provisions); “moderate” (cyberbullying provisions only); or “neither” (neither provision). We also tested interactions between policies and sexual minority status.</div></div><div><h3>Results</h3><div>Students in states with moderate or strong policies were less likely to report having been cyberbullied compared to those in states with neither policy (moderate: marginal effect −0.01, 95 % CI −0.02, −0.00; strong: marginal effect −0.02, 95 % CI −0.03, −0.00). Sexual minority students in states with strong policies were 10.0 (95 % CI −15.0, −6.0) percentage points less likely to report being cyberbullied, while there was no effect of moderate policies.</div></div><div><h3>Conclusions</h3><div>While moderate and strong cyberbullying policies reduced bullying among all students, strong policies were particularly effective for sexual minority students. To safeguard the most vulnerable students, the findings underscore the continued need for cyberbullying legislation that includes off-campus provisions.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103221"},"PeriodicalIF":2.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between a diabetes-predictive index and diabetes-related kidney disease in U.S. adults: A cross-sectional study","authors":"Haonan Wu ,&nbsp;Zheng Nan","doi":"10.1016/j.pmedr.2025.103225","DOIUrl":"10.1016/j.pmedr.2025.103225","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the association between Zhejiang University (ZJU) index and diabetic kidney disease (DKD) in U.S. adults.</div></div><div><h3>Methods</h3><div>We selected 13,549 U.S. adults aged 20 years or older from the National Health and Nutrition Examination Survey 2009–2020. The ZJU index is a composite score calculated by summing fasting plasma glucose, body mass index, triglycerides, and three times the alanine aminotransferase to aspartate aminotransferase ratio, with an additional 2 points for female subjects. DKD was defined by the presence of confirmed diabetes combined with a urine albumin-to-creatinine ratio ≥ 30 mg/g or an estimated glomerular filtration rate &lt; 60 mL/min/1.73 m². We employed weighted multivariable logistic regression and sensitivity analyses to investigate the association between the ZJU index and DKD.</div></div><div><h3>Results</h3><div>The ZJU index is positively associated with DKD in U.S. adults. In adjusted model, the ZJU index showed a positive association with DKD (OR: 1.13, 95 % CI: 1.10, 1.16).</div></div><div><h3>Conclusions</h3><div>The findings suggest ZJU index's potential utility as a candidate metabolic marker associated with DKD. The ZJU index may serve as an auxiliary biomarker for DKD screening. However, due to the cross-sectional nature of the study, we cannot infer causal relationship between ZJU index and DKD.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103225"},"PeriodicalIF":2.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender differences in barriers to sports participation on the transition from adolescence to young adulthood in a mediterranean region","authors":"I. Arumi-Prat ,&nbsp;E. Cirera-Viñolas ,&nbsp;J. McKenna ,&nbsp;A. Puig-Ribera","doi":"10.1016/j.pmedr.2025.103226","DOIUrl":"10.1016/j.pmedr.2025.103226","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored gender differences in perceived barriers to physical activity across adolescence and their impact on sport participation.</div></div><div><h3>Methods</h3><div>A 3-year longitudinal survey followed Spanish secondary school students (<em>n</em> = 180) into their first year of university (2012–2014). Data were collected on sociodemographic variables, perceived barriers to physical activity, and sport participation. Gender differences and effect sizes were assessed using Odds Ratios (ORs) and Cohen's D.</div></div><div><h3>Results</h3><div>In high school, sport participation was 45 % for girls and 68 % for boys, decreasing to 12 % and 10 % respectively at university. Barriers to physical activity were reported by 59 % of students in high school and 63 % at university, more frequently by girls (OR = 3.66 in high school; OR = 3.15 at university). Among those who never perceived barriers, sport participation was close to 80 %. When barriers emerged only at university, participation dropped to 29 %. Sport participation was consistently lower in girls across all scenarios. The most common barriers were lack of time and too much homework, while cost-related barriers became more prominent at university.</div></div><div><h3>Conclusions</h3><div>Understanding how physical activity barriers change by gender during the transition to university is key to designing effective interventions. For girls, early prevention is essential. University-emerging barriers strongly reduce sport involvement regardless of gender.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103226"},"PeriodicalIF":2.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight management for Black United States Veterans: Employee and patient perspectives","authors":"Jessica Y. Breland ,&nbsp;Valentina V. Petrova ,&nbsp;Olivia Hicks ,&nbsp;Lamont Tanksley ,&nbsp;Michelle A. Borowitz ,&nbsp;Dakota Houseknecht ,&nbsp;Na'’imah Muhammad ,&nbsp;Andrea L. Nevedal ,&nbsp;Katherine D. Hoerster","doi":"10.1016/j.pmedr.2025.103224","DOIUrl":"10.1016/j.pmedr.2025.103224","url":null,"abstract":"<div><h3>Objective</h3><div>Veterans who self-identify as Black (hereafter Black veterans) and use the Veterans Health Administration (VHA)’s MOVE!® Weight Management Program lose less weight than other veterans. Understanding factors affecting this difference could identify solutions.</div></div><div><h3>Methods</h3><div>We interviewed 18 MOVE! employees and 26 Black veterans who engaged in MOVE! in the United States of America (2022/2023). Separate semi-structured interview guides focused on three research questions: 1) What are Black veterans' experiences in MOVE!?; 2) What factors impact weight management?; 3) How can care be improved? Transcripts were analyzed using deductive/inductive coding and rapid analysis.</div></div><div><h3>Results</h3><div>Employees and veterans were satisfied with MOVE! experiences. Participants described social determinants of health that could affect weight management or weight loss disparities, including stress, negative interpersonal or institutional experiences, bias, cultural differences, and health care experiences. Employees and veterans noted care could be improved by adjusting materials to address culturally-relevant foods and several suggested more diverse MOVE! staff. Participants expressed interest in training for MOVE! staff and care tailored to preferences/needs.</div></div><div><h3>Conclusions</h3><div>To ensure veteran-centered care, MOVE! could increase its focus on general health and functioning, managing mental health and stress, culturally-relevant foods, and training. Ongoing engagement with veterans could support these efforts.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103224"},"PeriodicalIF":2.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geospatial analysis of area-level social and behavioral factors associated with short interpregnancy intervals in North Carolina, U.S.","authors":"Qian Huang ,&nbsp;Liane M. Ventura ,&nbsp;Jo Bradley ,&nbsp;Kate Beatty","doi":"10.1016/j.pmedr.2025.103216","DOIUrl":"10.1016/j.pmedr.2025.103216","url":null,"abstract":"<div><h3>Objective</h3><div>Short interpregnancy intervals (sIPI), defined as six months or less, are associated with adverse birth outcomes and are influenced by socioeconomic factors, which reflect a complex interplay between health outcomes, social factors, health behaviors, and geographic contexts. This study aims to examine the spatial distribution of sIPI across North Carolina, in the Southeast United States (U.S.), and assess its association with social and behavioral factors.</div></div><div><h3>Methods</h3><div>We used secondary data from the North Carolina State Center for Health Statistics and the U.S. Census Bureau spanning 2018–2022 to analyze the spatial distribution of sIPI. Associations between sIPI and social and behavioral factors—including race, fertility age, educational attainment, poverty rates, transportation, prenatal smoking, prenatal care in the first trimester, and breastfeeding initiation rates—were assessed using ordinary least squares and spatial lag models.</div></div><div><h3>Results</h3><div>County-level analyses revealed significant spatial autocorrelation of sIPI in North Carolina. Mecklenburg County had the highest number of cases (<em>n</em> = 6255), while Jones County had the highest percentage (18.9 %). No significant urban–rural differences were found. High-high clusters were primarily located in western Mountain and southern Coastal counties. SIPI was positively associated with the percentage of reproductive-age females and limited vehicle access, with a significant spatial lag term indicating spatial dependence.</div></div><div><h3>Conclusions</h3><div>Findings emphasize the need for targeted public health interventions such as comprehensive school-based sexual health education and group-level prenatal care programs to reduce the prevalence of sIPI, prevent subsequent adverse birth outcomes, and mitigate geographic health disparities in North Carolina, U.S.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103216"},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep duration and adolescent vision outcomes: evidence from rural China","authors":"Hongyu Guan,&nbsp;Xiangzhe Chen,&nbsp;Wenting Liu,&nbsp;Lidong Zhang,&nbsp;Yuxiu Ding","doi":"10.1016/j.pmedr.2025.103217","DOIUrl":"10.1016/j.pmedr.2025.103217","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the association between weekday sleep duration and visual health among adolescents in low-resource rural settings, and to explore potential behavioral mechanisms.</div></div><div><h3>Methods</h3><div>We used cross-sectional data from 36,139 rural primary and junior high school students in northwestern China (2012, 2019). Visual acuity was assessed via standardized LogMAR tests. To address potential endogeneity in self-reported sleep, we applied two-stage least squares regression with sunset time as an instrumental variable.</div></div><div><h3>Results</h3><div>Students averaged 8.65 weekday sleep hours, and 58.3 % slept fewer than 9 h—below age-specific recommendations. Instrumental variable estimates indicated that each additional weekday sleep hour reduced the LogMAR score by 0.070 (<em>p</em> &lt; 0.05), indicating better vision. Mechanism analysis suggested that shorter sleep was linked to greater late-night screen use and near work.</div></div><div><h3>Conclusions</h3><div>Insufficient weekday sleep is associated with poorer vision among rural adolescents, potentially mediated by digital screen exposure. School-based programs that promote adequate sleep and reduce nighttime screen use may offer a low-cost, scalable approach to support visual health in under-resourced areas.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103217"},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of human T-cell lymphotropic virus type 1 or 2 among blood donors screened at the New Zealand Blood Service: An observational study, 2001–2024","authors":"Phyu Sin Aye ,&nbsp;Lucy Gray ,&nbsp;Richard Charlewood ,&nbsp;Wendy Bennett ,&nbsp;Collette Bromhead ,&nbsp;Michelle Balm ,&nbsp;Sue Crengle ,&nbsp;Karen Bartholomew","doi":"10.1016/j.pmedr.2025.103223","DOIUrl":"10.1016/j.pmedr.2025.103223","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate prevalence of Human T-cell Lymphotropic Virus type 1 or 2 (HTLV-1/2) using the New Zealand Blood Service (NZBS) data, to inform whether further HTLV-1/2 prevalence study may be required, in the context of drivers of the inequities in lung cancer for Māori (the Indigenous population).</div></div><div><h3>Methods</h3><div>This observational cross-sectional study used the NZBS data of all blood donors nationwide (01/01/2001–30/06/2024). Prevalence overall and by ethnicity was calculated as the number of confirmed HTLV-1/2 positive cases per 10,000 donors.</div></div><div><h3>Results</h3><div>Of 679,946 new donors over the 23.5 years, 25 HTLV-1/2 positive cases were identified. The overall prevalence of HTLV-1/2 in New Zealand was 0.4 cases per 10,000 donors, highest among Middle Eastern, Latin American and African ethnicity (six cases per 10,000 donors), with no positive cases in Māori and Pacific donors. Among the positive cases, the highest proportions were seen separately for those aged 25–34, females, of New Zealand European ethnicity, resident in Auckland, and born in India, compared to their counterparts.</div></div><div><h3>Conclusions</h3><div>Prevalence of HTLV-1/2 infection among blood donors in New Zealand was very low, with no evidence of infection among Māori and Pacific donors, suggesting that a wider HTLV-1/2 seroprevalence study was unlikely to be necessary.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103223"},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Policymakers' engagement with ethicists to improve public health in the United States","authors":"Adam Seth Levine ,&nbsp;Andrew G. Shuman","doi":"10.1016/j.pmedr.2025.103213","DOIUrl":"10.1016/j.pmedr.2025.103213","url":null,"abstract":"<div><h3>Objective</h3><div>To determine how policymakers interact with bioethicists, their interest in future engagement, and their motivation and hesitations to do so.</div></div><div><h3>Methods</h3><div>Three nationwide surveys of United States policymakers (<em>N</em> = 1105) conducted September 15–November 2, 2023, including representative samples of local government elected policymakers (<em>N</em> = 459); local managers (<em>N</em> = 288); and a diverse (unweighted) sample of state and local civil service workers who provide family support services (<em>N</em> = 358). Surveys assessed the prevalence of policymakers' current interactions with bioethicists, unmet desire to engage with them more (and on which policy topics), and hesitations about the value of engaging with them when facing public health challenges.</div></div><div><h3>Results</h3><div>Only 12.1 % of elected policymakers (95 % CI: 9.0 %,16.3 %), 6.6 % of managers (95 % CI: 4.2 %,10.1 %), and 14.2 % of civil servants (95 % CI: 11.0 %,18.3 %) reported recent interaction with a bioethicist. Yet 40.1 % of elected policymakers (95 % CI: 34.8 %,45.6 %), 40.0 % of managers (95 % CI: 34.1 %,46.2 %), and 47.9 % of civil servants (95 % CI: 42.5 %,53.3 %) expressed an unmet desire for more direct engagement. Partisan differences were present, with Democrats in each sample expressing more unmet desire. Key hesitations to interacting with bioethicists were a perception they would push a political agenda and not share practical information.</div></div><div><h3>Conclusions</h3><div>Many policymakers wish to seek counsel from those within the bioethics community as they work to promote and protect the health of their community, despite low levels of reported engagement. Amidst widespread calls for more ethically-informed public health policymaking, there is a key opportunity for bioethicists to influence and shape public policy at sub-national levels.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103213"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144918040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Did the Medicaid expansion improve immunization among U.S. pregnant women?","authors":"Junying Zhao ,&nbsp;Rashmi Jaggad ,&nbsp;Ahmed El Fatmaoui ,&nbsp;Pallab K. Ghosh","doi":"10.1016/j.pmedr.2025.103214","DOIUrl":"10.1016/j.pmedr.2025.103214","url":null,"abstract":"<div><h3>Objectives</h3><div>Affordable Care Act (ACA) Medicaid expansion increased financial eligibility of low-income individuals. Its effects are mixed on influenza vaccination and unknown for Tetanus, Diphtheria, and Acellular Pertussis (Tdap) vaccination among pregnant women in the United States. We aim to address mixed and missing evidence in literature.</div></div><div><h3>Methods</h3><div>We merged 44,320 pregnant women from 2011 to 15 Pregnancy Risk Assessment Monitoring System with National Welfare Data by residency. Treatment group included Medicaid enrollees in post-ACA expansion states. Control included non-Medicaid enrollees in expansion states and all individuals in non-expansion states. We employed triple-difference method to estimate Medicaid expansion treatment effects on individual vaccination probabilities, and associations with socioeconomics and demographics.</div></div><div><h3>Results</h3><div>Treatment group did not differ from control to vaccinate due to Medicaid expansion. Additionally, post-ACA Medicaid enrollees were 4.5–9 % less likely to vaccinate than pre-ACA non-Medicaid enrollees. Medicaid enrollees in expansion states were 2.5 % less likely to vaccinate against influenza than non-Medicaid enrollees in non-expansion states. African Americans were 4–5 % less likely, while Native Americans were 3–7 % more likely, to vaccinate than counterparts. Those with low parity and college education were 3.2–5.4 % and 4.8–10.6 % more likely to vaccinate. Individuals in high-poverty states were 0.6 % less likely to receive the influenza vaccine.</div></div><div><h3>Conclusions</h3><div>We contributed different national data on understudied populations and the triple-difference method to the literature. Income-based Medicaid expansion did not increase the likelihood of vaccination among pregnant women. Non-income-based policies may target Medicaid-enrolled pregnant women in expansion states for influenza vaccination. Future interventions may target high-parity, low-education, and African American pregnant women in high-poverty non-expansion states.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103214"},"PeriodicalIF":2.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human papillomavirus vaccination willingness and influencing factors among women in China: A systematic review and meta-analysis","authors":"Jinghui Sun ,&nbsp;Suyun Dong ,&nbsp;Jie Gong ,&nbsp;Juan Xie ,&nbsp;Haiou Yan","doi":"10.1016/j.pmedr.2025.103215","DOIUrl":"10.1016/j.pmedr.2025.103215","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to comprehensively review the human papillomavirus (HPV) vaccination willingness among Chinese women and explore the factors influencing their vaccination intentions.</div></div><div><h3>Methods</h3><div>A comprehensive systematic search was conducted across nine electronic databases—China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, VIP Journal Integration Service Platform, SinoMed, PubMed, Embase, Scopus, Cochrane Library, and Web of Science—from database inception to February six, 2025, to identify studies examining HPV vaccine acceptance among Chinese women.</div></div><div><h3>Results</h3><div>The pooled willingness to receive the HPV vaccine among Chinese women was estimated at 65.7 % (95 % CI: 55.2 %–76.2 %). Subgroup analyses indicated higher intent among women with a college education or above (71.1 % versus 60.1 %), urban residents (68.3 % versus 56.0 % in rural areas), southern China residents (69.0 % versus 59.7 % in northern regions), individuals with medical-related backgrounds (84.2 % versus 35.7 %), and those with prior HPV or vaccine knowledge (66.1 %/76.4 % versus 50.2 %/57.8 %), Willingness was also higher among women with a family cancer history (74.5 % versus 55.3 %), and those impacted by COVID-19 (67.5 % versus 57.5 %). Anonymous questionnaires yielded higher willingness (71.8 % versus. 58.8 %). Other influencing factors included age, attitudes toward premarital sex, and awareness of HPV risks and vaccine benefits.</div></div><div><h3>Conclusions</h3><div>Chinese women's overall willingness to receive the HPV vaccine remains below the World Health Organization (WHO)’s 90 % target, with significant disparities across subpopulations. Targeted public health efforts are urgently needed to enhance vaccine awareness and acceptance, especially among women in rural or underdeveloped areas, with lower education, non-medical backgrounds, or no family history of cancer.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"58 ","pages":"Article 103215"},"PeriodicalIF":2.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}