HPV Vaccination Intention and Associated Informational and Attitudinal Factors in a Workplace Health-Education Project in Dolj County, Romania: A Cross-Sectional Study

Background/Objectives: Understanding vaccination intentions before health education can help identify locally relevant concerns. This study examined self-reported awareness of a combined human papillomavirus (HPV) statement, vaccination intention, and associated informational and attitudinal factors in a workplace health-education project in Dolj County, Romania. Materials and Methods: A cross-sectional analysis included 1747 questionnaires voluntarily completed by female employees before educational discussions from 28 October to December 2025. Categorical associations were examined using Pearson’s chi-square test, Cramér’s V, and false-discovery-rate adjustment. Hierarchical binary logistic regression examined favourable intention among unvaccinated respondents; a multinomial model separated favourable intention, indecision, and no intention. Results: Among valid responses, 81.02% answered ‘Yes’ to the combined Q1 awareness statement, 26.06% expressed favourable vaccination intention, 47.65% were undecided, and 5.21% reported previous vaccination. Among undecided respondents or those with no intention, fear of adverse reactions was the most frequently selected reservation (49.37%). Awareness, younger age, and trusted information source were associated with favourable intention. Adding willingness to vaccinate one’s child and to recommend vaccination to a friend was interpreted as attitudinal concordance rather than independent predictive information. Conclusions: High self-reported awareness of the combined Q1 statement coexisted with substantial indecision and low self-reported previous vaccination in this self-selected workplace sample. The findings identify topics for age-appropriate communication and prospective evaluation, not evidence that the educational sessions changed attitudes or increased vaccination. Interpretation is constrained by age-dependent access and the possible priming effect of Q1; closely related attitude measures should not be interpreted causally.