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20-5.98) and have been aware of that cervical cancer could be prevented (AOR = 2.01, 95%CI 1.44-2.82) were more willing to vaccinate. Having never heard of HPV vaccine and worry about efficacy and safety of vaccines were the most commonly cited reasons to refuse vaccination. The preferred source to get the knowledge was medical personnel (58.45%), followed by WeChat or Microblog, TV programs, and Internet. Conclusion We found the intention of HPV vaccination among women aged 20 to 45 in rural China is low. Findings highlighted the import