Abstract
Human papillomavirus (HPV) infection is a significant global public health threat. HPV vaccination in males is crucial for reducing the risk of related cancers and partner infection. On the basis of the health belief model (HBM), this study delves into the factors influencing the willingness to receive HPV vaccination among male college students in Jinan. Using convenience sampling, a cross-sectional survey of 3,410 male students from six Jinan universities was conducted in December 2024. The structured questionnaires collected data on demographics, HPV knowledge, and health beliefs via SPSS 27.0 with univariate and binary logistic regression analyses. The results revealed that 88.5% of the participants were aware of HPV, with 77.7% willing to vaccinate. Univariate analysis revealed that lower grades, urban household registration, and adequate HPV knowledge were correlated with greater vaccination willingness, whereas average monthly consumption of ≥ 2,500 yuan was negatively correlated. Within the HBM, perceived susceptibility and self-efficacy positively predict vaccination willingness, whereas perceived severity and barriers have inhibitory effects. This study concludes that HPV vaccination intention among male university students in Jinan is influenced by sociodemographic factors, knowledge, and health beliefs. Higher willingness was linked to younger age and urban residence, while higher monthly expenditure correlated with lower intention. Adequate HPV knowledge significantly increased willingness, whereas lacking personal acquaintance with HPV-related disease was a barrier. Within the Health Belief Model, perceived benefits paradoxically associated with reduced intention, potentially due to "health illusion" among young adults.