Journal of Religion and Health

, Volume 58, Issue 6, pp 2196–2207 | Cite as

Examining the Influence of Religious and Spiritual Beliefs on HPV Vaccine Uptake Among College Women

  • Alicia L. BestEmail author
  • Erika L. Thompson
  • Abdullahi Musa Adamu
  • Rachel Logan
  • Jennifer Delva
  • Manuela Thomas
  • Eden Cunningham
  • Cheryl Vamos
  • Ellen Daley
Original Paper


The human papillomavirus (HPV) vaccine is an effective mechanism to prevent HPV-associated cancers; however, uptake is low among women aged 18–26. Religiosity/spirituality is associated with sexual health decision-making. This study examined the role of religious/spiritual beliefs on HPV vaccination among college women (N = 307) using logistic regression and mediation analyses. Findings indicate that sexual activity is the main factor associated with HPV vaccination; and sexual activity fully mediates the relationship between religious/spiritual beliefs and HPV vaccination. Health promotion efforts should highlight the importance of HPV vaccination regardless of current sexual activity and may benefit from partnerships with religious/spiritual organizations.


Human papillomavirus (HPV) HPV vaccination Religion Spirituality Sexual health College students 



This study was funded by an Interdisciplinary Research Grant from the USF College of Public Health awarded to Dr. Cheryl Vamos (co-author on the manuscript).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.College of Public HealthUniversity of South FloridaTampaUSA
  2. 2.Department of Health Behavior and Health Systems, School of Public HealthUniversity of North Texas Health Science CenterFort WorthUSA

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