Association between Religious Beliefs and HPV Vaccination Attitudes among College Students
Abstract
:1. Introduction
2. Materials and Methods
2.1. Survey Population and Recruitment
2.2. Survey Description
2.3. Statistical Analysis
3. Results
3.1. Descriptive Analysis of Study Population
3.2. Analysis of Indicators of HPV Catch-Up Vaccination Attitudes
3.3. Analysis of Indicators of Hesitancy toward Vaccinating Future Children against HPV
3.4. Bivariate Analysis of Religious Participation and Stance toward Vaccinating Future Children against HPV
3.5. Beliefs Concerning Sexual Activity and Administration of the HPV Vaccine to a Future Child
3.6. Analysis of Other Concerns and Stance toward Vaccinating Future Children against HPV
4. Discussion
5. Conclusions
Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristic | ||
---|---|---|
n | % | |
Age (years) | ||
Mean Age + SD | 19.2 + 1.3 | - |
Age Range | 18–30 | - |
Gender | ||
Female | 1052 | 67.7 |
Male | 497 | 32.0 |
Preferred not to answer | 6 | 0.4 |
Race/Ethnicity | ||
White | 948 | 60.9 |
Asian | 285 | 18.3 |
Hispanic/Latino | 192 | 12.3 |
Black or African American | 79 | 5.0 |
Other/Unknown | 34 | 2.2 |
American Indian or Alaskan Native | 8 | 0.5 |
Native Hawaiian or Pacific Islander | 4 | 0.3 |
USA Region of Origin | ||
Southwest—AZ, NM, OK, TX | 800 | 51.4 |
West—AK, CA, CO, HI, ID, MT, NV, OR, UT, WA, WY | 291 | 18.7 |
Midwest—IA, IL, IN, KS, MI, MIN, MO, ND, NE, OH, SD, WI | 158 | 10.2 |
Southeast—AL, AR, FL, GA, KY, LA, MS, NC, SC, TN, VA, WV | 124 | 8.0 |
Northeast—CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT | 79 | 5.1 |
Other | 105 | 6.7 |
Academic Area of Study | ||
Non-STEM | 417 | 26.8 |
STEM | 1140 | 73.2 |
Average Family Income | ||
<10,000 USD | 31 | 2.0 |
10,000–39,999 USD | 72 | 4.7 |
40,000–69,999 USD | 171 | 11.1 |
70,000–99,999 USD | 231 | 15.0 |
>100,000 USD | 1035 | 67.2 |
Religion | ||
Christian | 1236 | 79.6 |
Other World Religions | 172 | 11.1 |
Atheist/Agnostic | 144 | 9.3 |
Christian Denomination Affiliation | ||
Mainline Protestant | 177 | 14.4 |
Evangelical Protestant | 37 | 3.0 |
Baptist | 314 | 25.5 |
Catholic | 262 | 21.2 |
Non-denominational | 404 | 32.8 |
Other | 39 | 3.2 |
Relationship Status | ||
In a relationship with another individual | 466 | 29.9 |
Married | 10 | 0.6 |
Single | 1081 | 69.4 |
HPV Vaccination Status | ||
Vaccinated | 828 | 53.2 |
Not Vaccinated | 328 | 21.1 |
Unknown | 400 | 25.7 |
Church Attendance/Religious Activity Participation (times per month) | ||
0 | 348 | 24.8 |
<1 | 124 | 8.8 |
2–4 | 462 | 32.9 |
5–8 | 306 | 21.8 |
>8 | 163 | 11.6 |
Religion or religiously related values |
I strictly adhere to my religion’s teachings concerning sexual behavior Premarital sex is unacceptable |
Views regarding HPV administration and indications |
If an individual abstains from sexual activity prior to marriage, they do not need to receive the HPV vaccine |
The HPV vaccine is not necessary if an individual has only one sexual partner in life |
Vaccinating 11–15-year-old children against HPV is unnecessary because children are not likely to be sexually active |
Views regarding the efficacy or safety of the HPV vaccine |
The HPV vaccine is not required for enrollment in all public middle schools, so it must not be beneficial or needed The HPV vaccine is relatively new and has not been highly tested; therefore, it cannot be trusted |
Other social, ethical, or cultural factors |
If getting the HPV vaccine would protect my significant other from HPV and HPV-related cancers, I would consider receiving the vaccine |
Which category best describes your parents’ (or guardian’s) yearly household income before taxes I am likely to vaccinate my children against HPV I have initiated or completed the HPV vaccine series |
Characteristic | Catch-Up Vaccination Hesitant | Catch-Up Vaccination Accepting | Total N | p Value | |||
---|---|---|---|---|---|---|---|
n = 189 | n = 529 | n = 718 | |||||
n | % | n | % | n | % | X2 | |
Students’ openness to considering catch-up vaccination | 189 | 26.3 | 529 | 73.7 | 718 | 100 | - |
Which category best describes your parents’ (or guardians’) yearly household income before taxes? | |||||||
<100,000 USD | 80 | 29.4 | 192 | 70.6 | 272 | 38.3 | 0.09 |
≥100,000 USD | 104 | 23.7 | 335 | 76.3 | 439 | 61.7 | |
Religion | <0.0001 | ||||||
Christian | 170 | 29.5 | 406 | 70.5 | 576 | 80.6 | |
Other World Religion, Agnostic/Atheist | 18 | 13.0 | 121 | 87.1 | 112 | 19.4 | |
Christian Denomination Affiliation | <0.0001 | ||||||
Mainline Protestant | 10 | 50.0 | 10 | 50.0 | 20 | 3.5 | |
Evangelical Protestant | 15 | 21.7 | 54 | 78.0 | 69 | 12.0 | |
Baptist | 62 | 38.3 | 100 | 61.7 | 162 | 28.1 | |
Catholic | 21 | 18.8 | 91 | 81.2 | 112 | 19.4 | |
Non-denominational | 56 | 29.2 | 136 | 70.8 | 192 | 33.3 | |
Other | 6 | 28.6 | 15 | 71.4 | 21 | 3.7 | |
Among religious students: The HPV vaccine contains ingredients that conflict with my religious beliefs. | |||||||
Strongly/Somewhat Agree | 43 | 65.1 | 23 | 34.9 | 66 | 10.1 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 137 | 23.3 | 451 | 76.7 | 588 | 89.9 | |
Premarital sex is unacceptable. | |||||||
Strongly/Somewhat Agree | 143 | 41.8 | 199 | 58.2 | 342 | 47.7 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 46 | 12.3 | 329 | 87.7 | 375 | 52.3 | |
Among students whose religion has teachings regarding sexual behavior: I strictly adhere to my religion’s teachings concerning sexual behavior. | |||||||
Strongly/Somewhat Agree | 160 | 34.6 | 303 | 65.4 | 463 | 74.4 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 13 | 8.2 | 146 | 91.8 | 159 | 25.6 | |
People with diseases caused by HPV are responsible for their own suffering because the virus is only transmitted through promiscuous sexual practices. | |||||||
Strongly/Somewhat Agree | 49 | 47.1 | 55 | 52.9 | 104 | 14.5 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 140 | 22.8 | 473 | 77.2 | 613 | 85.5 | |
The HPV vaccine is not necessary if an individual has only one sexual partner in their lifetime. | |||||||
Strongly/Somewhat Agree | 83 | 62.9 | 49 | 37.1 | 132 | 18.4 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 106 | 18.1 | 479 | 81.9 | 585 | 81.6 | |
If an individual abstains from sexual activity before marriage, they do not need to receive the HPV vaccine. | |||||||
Strongly/Somewhat Agree | 85 | 62.0 | 52 | 38.0 | 137 | 19.1 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 104 | 18.0 | 475 | 82.0 | 579 | 80.9 | |
HPV vaccine has serious side effects. | |||||||
Strongly/Somewhat Agree | 61 | 47.7 | 67 | 52.3 | 128 | 17.9 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 127 | 21.6 | 462 | 78.4 | 589 | 82.2 | |
The HPV vaccine is relatively new and not highly tested, therefore it cannot be trusted. | |||||||
Strongly/Somewhat Agree | 48 | 64.9 | 26 | 35.1 | 74 | 10.3 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 140 | 21.8 | 503 | 78.2 | 643 | 89.7 | |
Vaccines often have serious side effects. | |||||||
Strongly/Somewhat Agree | 70 | 37.2 | 118 | 62.8 | 188 | 26.2 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 119 | 22.5 | 411 | 77.6 | 530 | 73.8 | |
Vaccines are effective at preventing disease. | |||||||
Strongly/Somewhat Agree | 155 | 23.3 | 511 | 76.7 | 666 | 92.8 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 34 | 64.4 | 18 | 34.6 | 52 | 7.2 | |
Vaccines contain dangerous toxins. | |||||||
Strongly/Somewhat Agree | 43 | 55.8 | 34 | 44.2 | 77 | 10.7 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 146 | 22.8 | 495 | 77.2 | 641 | 89.3 | |
Vaccines are more helpful than harmful. | |||||||
Strongly/Somewhat Agree | 134 | 21.4 | 493 | 78.6 | 627 | 86.8 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 59 | 62.1 | 36 | 37.9 | 95 | 13.2 | |
The HPV vaccine is not required for enrollment in all public middle schools, so it must not be beneficial or needed. | 22 | 66.7 | 11 | 33.3 | 33 | 4.6 | <0.0001 |
Strongly/Somewhat Agree | |||||||
Neither Agree nor Strongly/Somewhat Disagree | 167 | 24.5 | 516 | 75.6 | 683 | 95.4 | |
If getting the HPV vaccine would protect my significant other from HPV and HPV-related cancers, I would consider receiving the vaccine. | |||||||
Strongly/Somewhat Agree | 111 | 20.7 | 425 | 79.3 | 536 | 74.7 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 78 | 42.9 | 104 | 57.1 | 182 | 25.4 |
Method of Transmission | Indicated Awareness | No Indicated Awareness | ||
---|---|---|---|---|
n = 1559 | ||||
n | % | n | % | |
Vaginal–penile sex | 1498 | 96.1 | 61 | 3.9 |
Penile–anal sex | 1357 | 87.0 | 202 | 13.0 |
Penile–oral sex | 1295 | 83.1 | 264 | 16.9 |
Vaginal–oral sex | 1294 | 83.0 | 265 | 17.0 |
Sex even when condoms and/or dental dams are used | 836 | 53.6 | 723 | 46.4 |
Sharing of hairbrushes | 92 | 5.9 | 1467 | 94.1 |
Characteristic | Vaccination Hesitant | Vaccination Accepting | Total N | p Value | |||
---|---|---|---|---|---|---|---|
n = 330 | n = 1073 | n = 1403 | |||||
n | % | n | % | n | % | X2 | |
Religious Preference | |||||||
Christian | 305 | 24.8 | 927 | 75.2 | 1232 | 87.8 | <0.0001 |
Other World Religions | 25 | 14.7 | 146 | 85.3 | 171 | 12.1 | |
Christian Denomination Affiliation | |||||||
Mainline Protestant | 29 | 16.4 | 148 | 83.6 | 176 | 14.4 | <0.0001 |
Evangelical Protestant | 12 | 32.4 | 25 | 67.6 | 37 | 3.0 | |
Baptist | 101 | 32.3 | 212 | 67.7 | 313 | 25.5 | |
Catholic | 50 | 19.2 | 211 | 80.8 | 261 | 21.2 | |
Non-denominational | 100 | 24.8 | 303 | 75.2 | 403 | 32.8 | |
Other | 13 | 34.2 | 25 | 65.8 | 38 | 3.1 | |
Church Attendance/Religious Activity Participation (times per month) | |||||||
0 | 55 | 15.8 | 293 | 84.2 | 348 | 24.8 | <0.0001 |
<1 | 23 | 18.6 | 101 | 81.5 | 124 | 8.8 | |
2–4 | 95 | 20.6 | 367 | 79.4 | 462 | 32.9 | |
5–8 | 96 | 31.4 | 210 | 68.6 | 306 | 21.8 | |
>8 | 61 | 37.4 | 102 | 62.6 | 163 | 11.6 | |
The HPV vaccine contains ingredients that conflict with my religious beliefs. | |||||||
Strongly/Somewhat Agree | 56 | 68.3 | 36 | 31.7 | 92 | 5.9 | <0.0001 |
Strongly/Somewhat Disagree | 270 | 20.6 | 1043 | 79.4 | 1313 | 94.1 | |
Premarital sex is unacceptable. | |||||||
Strongly/Somewhat Agree | 220 | 34.9 | 410 | 65.1 | 630 | 45.1 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 110 | 14.3 | 658 | 85.7 | 768 | 54.9 | |
People with diseases caused by HPV are responsible for their own suffering because the virus is only transmitted through promiscuous sexual practices. | |||||||
Strongly/Somewhat Agree | 59 | 30.9 | 123 | 69.1 | 191 | 13.6 | 0.013 |
Neither Agree nor Strongly/Somewhat Disagree | 271 | 22.4 | 938 | 77.6 | 1209 | 86.4 | |
Among students whose religion has teachings regarding sexual behavior: I strictly adhere to my religion’s teachings concerning sexual behavior. | |||||||
Strongly/Somewhat Agree | 262 | 28.6 | 653 | 71.4 | 915 | 71.2 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 48 | 12.9 | 323 | 87.1 | 371 | 28.9 |
Characteristic | Vaccination Hesitant | Vaccination Accepting | Total N | p Value | |||
---|---|---|---|---|---|---|---|
n = 346 | n = 1207 | n = 1553 | |||||
n | % | n | % | n | % | X2 | |
Vaccinating children against HPV sends them mixed messages about the acceptability of sexual activity. | |||||||
Strongly/Somewhat Agree | 111 | 60.3 | 73 | 39.4 | 184 | 11.9 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 234 | 17.1 | 1132 | 82.9 | 1366 | 88.1 | |
Vaccinating children against HPV will make them more likely to have premarital sex. | |||||||
Strongly/Somewhat Agree | 73 | 57 | 55 | 43 | 128 | 8.3 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 273 | 19.2 | 1150 | 80.8 | 1423 | 91.8 | |
If an individual abstains from sexual activity prior to marriage, they do not need to receive the HPV vaccine. | |||||||
Strongly/Somewhat Agree | 106 | 60.2 | 70 | 39.8 | 167 | 10.9 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 239 | 17.4 | 1132 | 82.6 | 1371 | 89.1 | |
The HPV vaccine is not necessary if an individual has only one sexual partner in life. | |||||||
Strongly/Somewhat Agree | 104 | 59.4 | 71 | 40.6 | 175 | 11.3 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 242 | 17.6 | 1131 | 82.4 | 1373 | 88.7 | |
The possibility of contracting HPV helps prevent premarital sex. | |||||||
Strongly/Somewhat Agree | 124 | 27 | 340 | 73 | 466 | 30.1 | 0.0034 |
Neither Agree nor Strongly/Somewhat Disagree | 219 | 20.2 | 865 | 79.8 | 1084 | 69.9 | |
Among students whose religion has teachings on sexual behavior: Because HPV is sexually transmitted, my family’s values will protect my children from contracting HPV. | |||||||
Strongly/Somewhat Agree | 201 | 26.1 | 568 | 73.8 | 769 | 60.6 | 0.0295 |
Neither Agree nor Strongly/Somewhat Disagree | 106 | 20.8 | 403 | 79.1 | 509 | 39.4 | |
Vaccinating 11–15-year-old children against HPV is unnecessary because children are not likely to be sexually active. | |||||||
Strongly/Somewhat Agree | 88 | 64.2 | 49 | 35.8 | 137 | 8.8 | 0.0014 |
Neither Agree nor Strongly/Somewhat Disagree | 258 | 18.3 | 1155 | 81.7 | 1413 | 91.2 | |
Because only females are at risk of developing cancer following HPV infection, males do not need to consider being vaccinated against HPV. | |||||||
Strongly/Somewhat Agree | 6 | 42.9 | 8 | 57.1 | 14 | 0.9 | 0.0861 |
Neither Agree nor Strongly/Somewhat Disagree | 340 | 22.1 | 1196 | 77.9 | 1536 | 99.1 | |
Women, but not men, can experience health problems after HPV infection. | |||||||
Strongly/Somewhat Agree | 88 | 22.3 | 307 | 77.7 | 395 | 25.5 | 0.9973 |
Neither Agree nor Strongly/Somewhat Disagree | 257 | 22.3 | 897 | 77.7 | 1154 | 74.5 |
Characteristic | Vaccination Hesitant | Vaccination Accepting | Total N | p Value | |||
---|---|---|---|---|---|---|---|
n = 346 | n = 1207 | n = 1553 | |||||
n | % | n | % | n | % | X2 | |
Vaccines are effective at preventing disease. | |||||||
Strongly/Somewhat Agree | 294 | 19.9 | 1186 | 80.1 | 1480 | 95.3 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 52 | 71.2 | 21 | 28.8 | 73 | 4.7 | |
Vaccines are more helpful than harmful. | |||||||
Strongly/Somewhat Agree | 259 | 18.5 | 1143 | 81.5 | 1402 | 90.3 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 87 | 58 | 63 | 42 | 150 | 9.7 | |
The HPV vaccine is relatively new and has not been highly tested; therefore, it cannot be trusted. | |||||||
Strongly/Somewhat Agree | 60 | 71.4 | 24 | 28.6 | 84 | 5.4 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 285 | 19.5 | 1179 | 80.5 | 1464 | 94.6 | |
HPV vaccine has serious side effects. | |||||||
Strongly/Somewhat Agree | 92 | 49.5 | 94 | 50.5 | 186 | 12.0 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 253 | 18.5 | 1112 | 81.5 | 1365 | 88.0 | |
Vaccines often have serious side effects. | |||||||
Strongly/Somewhat Agree | 115 | 42.4 | 156 | 57.6 | 271 | 17.5 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 231 | 18.0 | 1050 | 82.0 | 1281 | 82.5 | |
Vaccines contain dangerous toxins. | |||||||
Strongly/Somewhat Agree | 59 | 58.4 | 42 | 41.6 | 101 | 6.5 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 287 | 19.8 | 1162 | 80.2 | 1449 | 93.5 | |
I am likely to fully vaccinate my children with the basic recommended childhood vaccines (do not consider HPV vaccine in your response). | |||||||
Strongly/Somewhat Agree | 307 | 20.4 | 1296 | 79.6 | 1503 | 96.8 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 39 | 79.6 | 10 | 20.4 | 49 | 3.2 |
Characteristic | Vaccination Hesitant | Vaccination Accepting | Total N | p Value | |||
---|---|---|---|---|---|---|---|
n = 346 | n = 1207 | n = 1553 | |||||
n | % | n | % | n | % | X2 | |
In what region of the United States did you spend most of your childhood? | |||||||
Southwest—AZ, NM, OK, TX | 170 | 21.3 | 628 | 78.7 | 798 | 51.4 | <0.0001 |
West—AK, CA, CO, HI, ID, MT, NV, OR, UT, WA, WY | 67 | 23.1 | 223 | 76.9 | 290 | 18.7 | |
Midwest—IA, IL, IN, KS, MI, MIN, MO, ND, NE, OH, SD, WI | 35 | 22.3 | 122 | 77.7 | 157 | 10.1 | |
Southeast—AL, AR, FL, GA, KY, LA, MS, NC, SC, TN, VA, WV | 21 | 16.9 | 103 | 83.1 | 124 | 8.0 | |
Northeast—CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT | 22 | 27.9 | 57 | 72.2 | 79 | 5.1 | |
Other | 31 | 29.5 | 74 | 70.5 | 105 | 6.8 | |
Academic Area of Study | |||||||
Non-STEM | 82 | 28.2 | 209 | 71.8 | 291 | 18.7 | 0.0086 |
STEM | 264 | 20.9 | 998 | 79.1 | 1262 | 81.3 | |
Which category best describes your parents’ (or guardians’) yearly household income before taxes? | |||||||
<100,000 USD | 134 | 26.6 | 369 | 73.4 | 503 | 32.7 | 0.0037 |
≥100,000 USD | 207 | 20.0 | 827 | 80.0 | 1034 | 67.3 | |
I have initiated or completed the HPV vaccine series. | |||||||
Yes, Previously Vaccinated | 31 | 3.7 | 797 | 96.3 | 828 | 53.3 | <0.0001 |
No, Not Vaccinated/Unaware of Vaccination Status | 315 | 43.5 | 410 | 56.6 | 725 | 46.7 | |
Among students who are unvaccinated or unaware of their vaccination status: Would you agree to consider receiving the HPV vaccine? | |||||||
Strongly/Somewhat Agree | 133 | 25.1 | 396 | 74.9 | 529 | 73.7 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 180 | 96.2 | 9 | 4.8 | 189 | 26.3 | |
Receiving the HPV vaccine will affect how people in my social circle will view me. | |||||||
Strongly/Somewhat Agree | 37 | 52.9 | 33 | 47.2 | 70 | 4.5 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 309 | 20.9 | 1173 | 79.2 | 1482 | 95.5 | |
The HPV vaccine is not required for enrollment in all public middle schools, so it must not be beneficial or needed. | |||||||
Strongly/Somewhat Agree | 26 | 54.2 | 22 | 45.8 | 48 | 3.1 | <0.0001 |
Neither Agree nor Strongly/Somewhat Disagree | 320 | 21.3 | 1180 | 78.7 | 1500 | 96.9 |
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Hittson, H.; McAleer, L.; Saucedo, L.; Mahler, L.; Andino, G.; Zorba, A.; Walden, S.; Pickett, B.E.; Poole, B.D.; Abel, E.L. Association between Religious Beliefs and HPV Vaccination Attitudes among College Students. Vaccines 2023, 11, 1623. https://doi.org/10.3390/vaccines11101623
Hittson H, McAleer L, Saucedo L, Mahler L, Andino G, Zorba A, Walden S, Pickett BE, Poole BD, Abel EL. Association between Religious Beliefs and HPV Vaccination Attitudes among College Students. Vaccines. 2023; 11(10):1623. https://doi.org/10.3390/vaccines11101623
Chicago/Turabian StyleHittson, Hannah, Leah McAleer, Lydia Saucedo, Lindsay Mahler, Gabriel Andino, Andie Zorba, Sarah Walden, Brett E. Pickett, Brian D. Poole, and Erika L. Abel. 2023. "Association between Religious Beliefs and HPV Vaccination Attitudes among College Students" Vaccines 11, no. 10: 1623. https://doi.org/10.3390/vaccines11101623
APA StyleHittson, H., McAleer, L., Saucedo, L., Mahler, L., Andino, G., Zorba, A., Walden, S., Pickett, B. E., Poole, B. D., & Abel, E. L. (2023). Association between Religious Beliefs and HPV Vaccination Attitudes among College Students. Vaccines, 11(10), 1623. https://doi.org/10.3390/vaccines11101623