宫颈癌是全球妇女中最普遍和致命的恶性肿瘤之一。尽管疫苗接种是减少宫颈癌的有效方法，但公立和私立学校青少年的接种情况在低收入和中等收入国家，包括埃塞俄比亚，存在差异，并仍然面临挑战。关于公立和私立学校青少年在接受人乳头瘤病毒（HPV）疫苗方面的意愿存在多大差异的实证证据也很有限。因此，这项研究的目的是比较巴赫达尔市公立和私立学校女性青少年接受HPV疫苗意愿水平及相关因素。在埃塞俄比亚巴赫达尔市的小学中，进行了一项横断面比较研究，共调查了844名10至19岁的青少年。采用多阶段抽样。问卷调查方法用于数据收集，并使用逻辑回归确定接受HPV疫苗意愿的影响因素，进行探索性因素分析以确定负荷和平均值。统计学显著性水平的确定使用P值为0.05。接受HPV疫苗的意愿总体比例为50.6％（95％CI：47.4-54），而在公立和私立小学中，其程度分别为61％（95％CI：56.3-65.4％）和40.2％（95％CI：35.6-44.9).关于接受HPV疫苗的意愿，可能会发现在母亲具有大专教育（AOR = 2.0，95％CI：1.29-3.05）、高行动提示（AOR = 1.92，95％CI：1.20-3.05）和高自我效能（AOR = 2.34，95％CI：1.58-3.48）的人中，接受意愿可能会显著增加。高感知障碍可能会降低接受HPV疫苗的意愿（AOR = 0.49，95％CI：0.34-0.70）。与私立学校相比，公立小学女生更可能接受HPV疫苗，前提是收入状况和社会经济因素变得不太重要。与埃塞俄比亚语境中世界卫生组织的目标相比，渴望接受HPV疫苗的意愿较低，并受到母亲的教育水平，感知的障碍，行动提示和自我效能的影响。因此，应更加强调实施以学校和母亲教育为基础的宫颈癌预防和控制计划，重点是行为情境。版权所有©2023年Birhanu Feleke Shitu等人。

Cervical cancer is one of the most prevalent and fatal malignancies in women worldwide. Despite the fact that vaccination is an effective method in reducing cervical cancer, its uptake varies between public and private school adolescents and remains a challenge in low- and middle-income countries, including Ethiopia. Empirical evidence on how much variation there is among public and private school adolescent in their willingness to uptake human papillomavirus (HPV) vaccination is also limited. Thus, the aim of this study was to compare levels of willingness to uptake HPV vaccination among public and private school female adolescents and associated factors in Bahir Dar City, Ethiopia.A comparative cross-sectional study was conducted on 844 adolescents aged 10 to 19 in primary schools in Bahir Dar, Ethiopia. Multistage sampling was used. A self-administered, structured, and pretested questionnaire was used to collect data. The determinants of willingness to accept HPV vaccination were identified using logistic regression, and exploratory factor analyses were performed to determine load and mean. The level of statistical significance was determined using a P - value of 0.05.The overall proportion of willing to uptake HPV vaccination was 50.6% (95% CI: 47.4-54), whereas in public and private primary schools, the magnitude was 61% (95% CI: 56.3-65.4%) and 40.2% (95% CI: 35.6-44.9), respectively. In terms of willingness to uptake HPV vaccination, the odds were likely to be significantly higher among those whose mothers had a postsecondary education (AOR = 2.0, 95% CI: 1.29-3.05), a high cue to action (AOR = 1.92, 95% CI: 1.20-3.05), and high self-efficacy (AOR = 2.34, 95% CI: 1.58-3.48). High perceived barriers likely decreased the willingness to uptake HPV vaccination (AOR = 0.49, 95% CI: 0.34-0.70).Adolescent girls in public primary schools were more likely to uptake HPV vaccination than those in private provided that income status and socioeconomic factors became less important. Willingness to uptake HPV vaccination was found to be low as compared to the WHO target for Ethiopian context and was influenced by maternal education status, perceived barriers, cues to action, and self-efficacy. As a result, greater emphasis should be placed on implementing a school-based and maternal educational program on cervical cancer prevention and control focusing on the behavioral contexts.Copyright © 2023 Birhanu Feleke Shitu et al.