“…Echoing findings from previous research (Thompson, Vamos, Straub, Sappenfield, & Daley, 2017;Thompson, Vamos, et al, 2019b;Waters, Merrell, & Thompson, 2021), being monogamously coupled led many women to perceive themselves as low risk for new HPV infections. Coupled with a) commonly held false beliefs that safer sex practices, such as condom use, provide sufficient protection against HPV and b) low awareness that HPV vaccination can protect against new HPV infections after sexual debut, low perceived benefit may also discourage shared clinical decision-making and vaccine acceptance for some 27-to 45year-old women.…”