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Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection among sexually active individuals. Those infected are at risk for developing cancer of the genitals, cervix, anus, or throat. While the vaccine is safe and effective, as of 2020 only 58.6% of adolescents in the United States were up to date on HPV vaccinations. Endorsing Christian nationalist values is one of the top predictors of vaccine hesitancy in the U.S. The HPV vaccine is especially contentious among Christian nationalists due to its relation to sexual health. The influence of purity culture has created a culture of fear regarding sex and a focus on preserving feminine honor. Mothers of adolescent girls in this group show a strong belief that the vaccine will promote promiscuity, despite several studies suggesting otherwise. Programs to increase vaccine uptake rates must consider this group and its beliefs to increase HPV vaccination coverage.

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