PURPOSE To describe knowledge about human papillomavirus (HPV), HPV-related care behavior, and advocacy intent (e.g., vaccine recommendation and willingness to become an advocate for vaccination) and to investigate associations between knowledge, HPV-related care behavior, and advocacy intent among HPV-related cancer survivors. METHODS A cross-sectional online survey was offered through Qualtrics to HPV-related cancer survivors who were either volunteers at a cancer center or patients of survivorship clinics. RESULTS A total of 200 survivors responded. Only 33.2% of respondents reported knowing their cancer was HPV-related and 56.8% reported HPV vaccine is safe. Participants who knew that their cancer was caused by HPV were more likely to have vaccinated their children (p < .001). Also, participants who knew that the vaccine is safe were more willing to recommend the vaccine (p < .001), to be a peer mentor for others with HPV-related cancers (43.2% vs. 14.0%, p < .001), and to act as an advocate for increasing vaccination rates (44.1% vs. 24.4%, p = 0.01). Finally, survivors who were aware of the vaccine's effectiveness in decreasing precancerous lesions were more likely to recommend the vaccine (45.7% vs. 12.0%, p = .002). CONCLUSIONS Raising survivor awareness of the link between HPV and cancer and HPV vaccine safety may increase their willingness to serve as powerful opinion leaders and peer mentors to promote HPV vaccination. Providers may take the simple step of informing patients that their cancer is HPV-related and HPV vaccine is safe to increase the number of informed and empowered survivors.

中文翻译：

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知识很重要，并具有一定的能力：在与HPV相关的癌症幸存者中倡导HPV疫苗。

目的描述有关人乳头瘤病毒（HPV），与HPV相关的护理行为和倡导意图的知识（例如，疫苗推荐和愿意成为疫苗倡导者的意愿），并调查知识，与HPV相关的护理行为和倡导意图之间的关联与HPV相关的癌症幸存者。方法通过Qualtrics向与HPV相关的癌症幸存者提供了横断面在线调查，这些幸存者是癌症中心的志愿者或幸存诊所的患者。结果共有200名幸存者做出了回应。只有33.2％的受访者表示知道自己的癌症与HPV相关，而56.8％的受访者表示HPV疫苗是安全的。知道自己的癌症是由HPV引起的参与者更可能给孩子接种了疫苗（p <.001）。也，知道该疫苗是安全的参与者更愿意推荐该疫苗（p <.001），作为患有HPV相关癌症的其他人的同伴指导（43.2％vs. 14.0％，p <.001），并且倡导提高疫苗接种率（44.1％对24.4％，p = 0.01）。最后，意识到疫苗在减少癌前病变中的有效性的幸存者更有可能推荐该疫苗（45.7％vs. 12.0％，p = .002）。结论提高幸存者对HPV与癌症和HPV疫苗安全性之间联系的认识，可能会提高他们成为强大的舆论领袖和同伴导师以促进HPV疫苗接种的意愿。提供者可以采取简单的步骤告知患者其癌症与HPV相关，并且HPV疫苗可以安全地增加知情且有能力的幸存者的数量。