ArticleFrontiers in public health2026
Health-related social media engagement and cervical cancer prevention: associations with HPV knowledge, vaccine awareness, and pap smear utilization among US women.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Persistent infection with human papillomavirus (HPV) is the primary cause of cervical cancer, a largely preventable disease through HPV vaccination and Pap smear screening. However, gaps remain in HPV knowledge, vaccine awareness, and screening utilization among women in the US. Social media has become a common source of health information and may influence preventive health behaviors, yet evidence linking health-related social media engagement to HPV-related outcomes is limited. Methods: Data were drawn from the Health Information National Trends Survey (HINTS) 6, a nationally representative survey of US adults. The analytic sample included 2,247 women aged 21-65 years. Ordered logistic regression was used to examine HPV knowledge, while logistic regression models assessed HPV vaccine awareness and Pap smear utilization, adjusting for sociodemographic, socioeconomic, and health-related covariates. Results: Women who engaged with health-related content on social media had higher odds of greater HPV knowledge (OR = 1.75, 95% CI: 1.43-2.13) and HPV vaccine awareness (OR = 1.60, 95% CI: 1.25-2.05). Health-related social media engagement was also associated with increased Pap smear utilization (OR = 1.26, 95% CI: 1.00-1.59). Increasing levels of health-related social media engagement showed significant linear dose-response associations with HPV knowledge, HPV vaccine awareness, and Pap smear utilization among US women. Conclusion: These findings highlight the potential of social media-based interventions to support cervical cancer prevention efforts, while underscoring the need for culturally tailored strategies to reduce persistent disparities across racial and ethnic groups.
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