Theory Of Planned Behavior Variables Research Articles

Green Organizational Climate’s Promotion of Managers’ Organizational Citizenship Behavior for the Environment: Evidence from the Portuguese Hospitality Context

Society at large has become increasingly concerned about climate change and sustainable development, so tourism and travel service providers have begun to focus more actively on sustainable development goals. Prior research has shown that supervisors’ support fosters employee green behavior and companies’ environmental performance. This study concentrated on Portuguese hospitality contexts to develop a fuller understanding of how organizations’ green efforts can combine with the individual variables highlighted by the theory of planned behavior (TPB) (i.e., attitudes, subjective norms, and perceived behavioral control) to encourage supervisors’ organizational citizenship behavior for the environment (OCBE). Data on 74 hotel managers were collected with an online survey. Multiple regression analysis revealed that perceived green organizational climate positively correlates with TPB variables, thereby increasing supervisors’ intention to adopt and encourage OCBE in their workplaces. These findings clarify how organizational and individual factors foster managers’ OCBE. The results have practical implications for organizations seeking to promote their managers’ pro-environmental behavior to boost their environmental sustainability.

Occupational Exposure to Pesticides, Personal Protection, and Willingness to Reduce Chemical Sprayings Among Iranian Greenhouse Farmers

ABSTRACT Objectives The level of greenhouse farmers’ personal protection in pesticide use and the possibility of environmental protection through farmers’ willingness to reduce chemical sprayings were assessed in Khuzestan Province, Iran. Methods A survey of 80 active greenhouse vegetable growers was carried out in 2021 with face-to-face interviews. Willingness to reduce chemical sprayings was examined with the theory of planned behavior (TPB) model. Results Several intoxication symptoms were reported, with the most common symptom of pesticide intoxication being dizziness. Farmers showed unsafe or rather unsafe use of personal protective equipment (PPE) during pesticide handling. The maximum use of PPE pertained to the use of mask, spray clothing, and long-sleeved shirts. On a scale from 1 (= totally disagree) to 5 (= totally agree), the respondents showed negative attitudes towards reducing chemical sprayings (mean = 2.30), rather low levels of subjective norms (mean = 2.67), and rather low levels of perceived behavioral control over reduction of chemical sprayings (mean = 2.76). The TPB variables accounted for 73% of the variance in farmers’ behavioral intention. Overall, farmers’ behavioral intention to reduce chemical sprayings was almost neutral. Conclusion Increasing knowledge of the adverse effects of pesticides on health is necessary to promote safety behavior of farmers in the greenhouse.

Beyond private-sphere pro-environmental action: Explaining shared mobility using the Theory of Planned Behavior and solidarity-oriented variables

Shared mobility behaviors can decrease the negative environmental effects of the transport sector, yet they have received limited attention. Models such as the Theory of Planned Behavior (TPB) have been widely used to explain primarily individual private-sphere pro-environmental behaviors (PEB). However, as shared mobility behaviors are not completely limited to the private sphere but require social cooperation, solidarity-focused variables that emphasize social interactions may meaningfully complement the TPB variables. In three university samples (Study 1: N=261, Study 2: N=1411; Study 3: N=544), we tested relationships between the TPB variables and shared mobility, and whether solidarity-oriented variables are relevant predictors of shared mobility beyond the TPB variables. The analyses confirmed attitude (β = 0.38 − 0.59, p < 0.001) and social norm (β = 0.17 − 0.43, p < 0.001) as predictors of shared mobility intention. Furthermore, the solidarity-oriented variables universalism (β = 0.09 − 0.18, p < 0.05) as well as specific collective efficacy (β = 0.08 − 0.10, p < 0.05) and opinion-based social identification (β = 0.18, p < 0.001) positively predicted shared mobility intention. Psychological variables showed no consistent connection to self-reported shared mobility behaviors in logistic regressions. We discuss the scope of solidarity-oriented variables that need social cooperation to complementarily explain PEB beyond the private sphere.

Predicting risky driving behaviours using the theory of planned behaviour: A meta-analysis

The current meta-analysis explored the efficacy of the theory of planned behaviour (TPB) in predicting high-risk driving behaviours. Specifically, we examined speeding (in relation to exceeding the limit as well as speed compliance), driving under the influence, distracted driving, and seat belt use. We searched four electronic databases (i.e., PubMed, Web of Science, Scopus, and ProQuest) and included original studies that quantitatively measured the relationships between the TPB variables (attitude, subjective norm, perceived behavioural control [PBC], intention, and prospective/objective behaviour). The study identified 80 records with 94 independent samples. Studies were assessed for risk of bias using the JBI checklist for cross-sectional studies and compliance with the TPB guidelines. Together, attitude, subjective norm and PBC explained between 30 % and 51 % of variance found in intention, with attitude showing as the strongest predictor for intention across the different driving behaviours. The findings also showed that the model explained 36 %–48 % variance found in predicting the observed and/or prospective behaviours for distracted driving, speed compliance and speeding. Understanding the varying strengths and thus relative importance of TPB constructs in predicting different risky driving behaviours is crucial for developing targeted road safety interventions.

Gender disparities in attitudes, norms, and perceived control related to intentional condomless sexual intercourse: A psychosocial theory-driven comparison among cisgender heterosexual male and female college varsity athletes in Taiwan

BackgroundWhile condom use has been extensively studied as a protective behavior, research directly focusing on condomless sexual intercourse (CSI) as a distinct and intentional risk behavior, particularly regarding gender differences, remains scarce. MethodsBuilding upon the Theory of Planned Behavior (TPB), this study addresses this gap by comparing TPB factors and individual TPB items regarding intentional CSI among cisgender heterosexual college varsity athletes in Taiwan (N = 1348). ResultsHigh CSI intention was more prevalent among men (53.6 %) than women (31.7 %). Our expanded TPB framework identified five distinct TPB factors pertaining to attitudes, norms, and perceived control. Multivariate logistic regression analysis demonstrated that all five TPB factors were significantly associated with CSI intention among men, but only three among women. Notably, our factor analysis differentiated attitudes toward positive/negative outcomes of CSI and perceived control under facilitating/constraining conditions, revealing attitudes toward positive outcomes of CSI as the strongest driver of CSI intention among both men (AOR = 2.51–4.09) and women (AOR = 3.79–5.71). Further analysis of TPB items disclosed that men prioritized psychological pleasure (AOR = 2.18), whereas women exhibited a “partner-centered” tendency, emphasizing trust by sex partners (AOR = 3.43). ConclusionsOverall, men exhibited more favorable views toward CSI than women, with gender differences evident in the differential associations of varying TPB factors and items with CSI intention. Future research could explore the development of these differential attitudes, norms, and perceived control concerning CSI. Given the modifiable nature of TPB variables, our study’s insights can inform actionable strategies and targeted interventions tailored for young men and women.

Association of Competitive Adolescent Athletes from Lean and Non-Lean Sports Physical, Social and Psychological Characteristics with Adherence to Mediterranean Diet.

Mediterranean diet (MD) is regarded as one of the healthier dietary patterns which is recommended for athletes. This study aims to investigate the adherence to the Mediterranean diet (AMD) and associated beliefs in a large, diverse sample of competitive adolescent athletes from various sports, including both lean and non-lean sports. Additionally, the study examines factors important regarding intention to AMD within the Theory of Planned Behavior (TPB). In the study took part 711 adolescents (357 male, aged = 14.93 ± 1.38, and 354 female, aged = 14.85 ± 1.35) athletes. The level of AMD was not a significant different between lean (mean = 4.98, SD = ±3.90) and non-lean (mean = 4.77, SD = ±3.68) sport. According to the sport type the 35% of lean sport athletes demonstrated low AMD, 34.1% moderate adherence and 30.9% a high degree. The non lean athletes demonstrated low AMD in 36.3%, moderate adherence 33% and high degree in 30.7%. The results of the mediation analysis indicated a significant mediation effect of intention in the relationship between TPB variables and MD. Based on the results of the study the type of sport does not play a role in the AMD, which, as in the general population, is low. Also validate the TPB and underscore the significance of targeting individuals' intentions to promote positive dietary behaviors.

Entrepreneurial intentions and the role of educational and social support: do the self-efficacy and the theory of planned behavior variables matter?

Purpose The study aims to ascertain whether educational and social support for entrepreneurs significantly affects university students’ intentions to become successful entrepreneurs. This study examines the mediating role of the Theory of Planned Behavior (TPB) variables (e.g. entrepreneurial personal attitude, subjective norms and entrepreneurial perceived behavioral control) and entrepreneurial self-efficacy in encouraging young entrepreneurs. Design/methodology/approach An online survey with a structured questionnaire collected data from different university students in Bangladesh; subsequently, it was analyzed through the structural equation model. Findings The results suggested that educational support has a direct positive relationship with the three variables of TPB. Moreover, the findings indicated that social support positively influences the variables of TPB, entrepreneurial self-efficacy and entrepreneurial intentions. The variables of TPB and entrepreneurial self-efficacy were found to have a significant direct impact on entrepreneurial intentions and also exhibited favorable mediating effects of educational and social support on entrepreneurial intentions. Research limitations/implications First, the study is only generalized to some sectors of entrepreneurship activities because the researchers used samples from university students across Bangladesh. Second, the implicit limitation of survey-based research is that respondents need to know more ways of understanding the questionnaires accurately, and some participants need to be taught how to answer the question items. Practical implications The main practical implication for the relationship between entrepreneurial intentions and educational support involves different entrepreneurial educational programs, which give rise to attitude, behavior, self-efficacy and intentions and enhance the student's awareness of advancing a successful entrepreneurial career. Social implications This study demonstrated that universities and social communities should promote the improvement of innovative thoughts for entrepreneurs and offer essential information about entrepreneurship. Originality/value Because entrepreneurial educational support is a crucial factor in entrepreneurial intentions, universities need to develop a practical education system that can help improve the skills required to start new ventures. The results will improve a new route to developing students’ entrepreneurial intentions using the variables of TPB and entrepreneurial self-efficacy. Subsequently, these research findings will help to achieve governmental goals and increase the number of startups in the future.

Factors that Influence Customer Intention to Visit Green Hotel in Malaysia

The study aims to determine the factors that affect customer intention to stay at a green hotel in Malaysia. This study uses convenience sampling for a respondent who intends to stay at a green hotel in Malaysia using the Theory of Planned Behavior (TPB). This cross-sectional study examined the factors influencing 384 customers’ intention to visit green hotels. Subjective norms, attitude, perceived behavior control, and overall image towards green hotels have been examined as concerning their relationship with intention. The relationship has been analyzed using the Statistical Package for Social Science (SPSS). The questionnaire was distributed through an online platform using Google Forms and it contains several sections consisting of demographic and TPB variables. The result of the study showed that there is a positive relationship between all factors and customer intention to stay at a green hotel in Malaysia.

Disparity in cognitive factors related to cancer screening uptake based on the theory of planned behavior

IntroductionEarly detection of cancer is a highly effective way to decrease cancer-related deaths. The purpose of this study was to determine the disparity in cognitive factors related to cancer screening uptake based on the theory of planned behavior (TPB).MethodsIn this cross-sectional study, conducted in Kermanshah County, the west of Iran, during 2019, a total of 1760 people aged 30 to 75 years old, were randomly selected to participate voluntarily in the study. Participants filled out a questionnaire including the socio demographic variables, socioeconomic status (SES), TPB variables, and cancer screening uptake behaviors.ResultsThe mean age of respondents was 45.28. 44.96% of the participants had undergone cancer screening at least once. Socioeconomic status (SES) and gender had the most significant impact on the disparity in cancer screening uptake, with contributions of 74.64% and 22.25% respectively. Women were 8.63 times more likely to be screened than men. Participants with a family history of cancer had a 2.84 times higher chance of being screened. Single individuals were significantly less likely to be screened compared to married individuals. The concentration index for attitude, subjective norms (SN), perceived behavior control (PBC), behavior intention, and cancer screening uptake was 0.0735, 0.113, 0.333, 0.067, and 0.132 respectively. Intention (Beta = 0.225 and P: < 0.001) is a significant predictor of cancer screening behaviors.ConclusionThe findings of this study are highly valuable for health policymakers in Iran. They emphasize the significance of creating, executing, and assessing campaigns that promote intention, PBC and SN, particularly among disadvantaged individuals. By doing so, we can effectively decrease the disparity in cancer screening rates. It is crucial to prioritize men, single individuals, and disadvantaged groups in cancer screening promotion programs. This knowledge can be utilized to develop an intervention that is guided by theory and supported by evidence, with the aim of increasing cancer screening rates and minimizing disparities.

Self-Reported Speed Compliance and Drivers Speeding Behaviour in Cameroon

Speeding is a significant global issue, with disparities in speed and safety outcomes between low- and middle-income countries (LMICs) and high-income countries (HICs). This study aims to address speed research gaps in LMICs by examining the prevalence of self-reported speeding and factors influencing drivers’ speeding behavior using the Theory of Planned Behavior (TPB). An online survey involving 387 anonymous drivers was conducted in Yaoundé. Results showed that all drivers reported exceeding speed limits, with 81% exceeding them by 5 km/h, 12% by 10 km/h, and 7% by more than 10 km/h in urban areas. On highways, 54% reported exceeding the limit by more than 10 km/h. Age, driver’s license, and gender showed significant associations with speed limit non-compliance. This study’s results suggest that the TPB can be useful in assessing speeding behavior, as the inclusion of TPB variables led to a more than 50% proportionate increase in speeding behavior variance. Structural equation modeling revealed attitude towards speeding as the strongest predictor of speeding intention, along with certain demographics indirectly influencing speeding behavior through speeding intention. Perceived behavioral control and speeding intention directly influenced speeding behavior. These findings emphasize the potential of interventions targeting attitude, intentions, and perceived behavioral control to modify speeding behavior and improve road safety.

Enhancing the Theory of Planned Behavior with Perceived Consumer Effectiveness and Environmental Concern towards Pro-Environmental Purchase Intentions for Eco-Friendly Apparel: A Review Article

The textile sector has become a significant source of pollution due to increasing carbon emissions, heightened greenhouse gas emissions, and growing landfill contributions. In response, the industry is turning towards sustainable fashion, which is gaining popularity as an eco-friendly practice. This study utilized the theory of planned behavior (TPB) alongside variables such as environmental concern, personal moral norms, and perceived consumer effectiveness to predict eco-friendly apparel purchasing intentions among educated Indian youth. The research applied variance-based partial least squares structural equation modeling (PLS-SEM) to assess the proposed model. Results revealed that perceived behavioral control significantly and positively impacts purchasing intentions, followed by personal moral norms, general attitude, and perceived consumer effectiveness. Environmental concern was shown to indirectly influence purchasing intentions via the primary TPB variables and personal moral norms. Additionally, multi-group analysis (MGA) was used to investigate the moderating effects of perceived consumer effectiveness on the attitude-intention relationship, finding that individuals with higher perceived effectiveness displayed a more consistent attitude-intention correlation compared to those with lower perceived effectiveness. This study offers valuable insights for professionals and policymakers, suggesting the development of tailored sustainable marketing strategies and policies to address local market conditions.

Bus Drivers’ Behavioral Intention to Comply with Real-Time Control Instructions: An Empirical Study from China

Developing intelligent bus control systems is crucial for fostering the sustainability of urban transportation. Control instructions are produced in real time by the bus control system; these are important technical commands to stabilize the order in which buses operate and improve service reliability. Understanding the behavioral intention of bus drivers to comply with these instructions will help improve the effectiveness of intelligent bus control system implementation. We have developed a psychological model that incorporates decomposed variables of the theory of planned behavior (TPB) and other influencing variables to explain the micromechanisms that determine bus drivers’ behavioral intention to comply with real-time control instructions during both peak and off-peak-hour scenarios. A total of 258 responses were obtained and verified for analysis. The results showed that the influential factors in the peak- and off-peak-hour scenarios were not identical. Female drivers had greater off-peak-hour behavior intention to comply than male drivers, and there were significant differences in peak-hour behavior intention among drivers of different ages. In both peak and off-peak-hour scenarios, perceived benefit positively and perceived risk negatively affected behavioral intention. Perceived controllability positively affected behavioral intention only during peak hours. Self-efficacy only negatively affected behavioral intention during off-peak hours. Three antecedent variables (i.e., trust, mental workload, and line infrastructure support) influenced drivers’ behavioral intentions indirectly via the decomposed variables of TPB. These results provide profound insights for the improvement and implementation of real-time control technology for bus services, thereby facilitating the development of smart and sustainable urban public transport systems.

Online cash waqf behavioral intention: the role of knowledge of cash waqf and trust

Purpose This study aims to explore the determinants that impact state Islamic University/Perguruan Tinggi Keagamaan Islam Negeri students’ intention to adopt online cash waqfs. In doing so, this study integrates knowledge of cash waqf and trust variables within the theory of planned behavior (TPB), allowing an examination of the mediating role of TPB variables and trust within the relationship between knowledge of cash waqf and intention for online cash waqf behavior. Design/methodology/approach To carry out an empirical analysis, the authors developed a well-structured questionnaire and distributed it to a group of students currently enrolled in PTKIN, obtaining 443 usable responses. The partial least squares-structural equation modeling (PLS-SEM) technique was used for the dual purposes of data analysis and hypothesis testing. Findings This study demonstrates that factors such as attitude, subjective norms, perceived behavioral control, trust and knowledge of cash waqf have a significant and favorable influence on the intention to donate through e-cash waqf. Knowledge of cash waqf impacts attitudes, subjective norms, perceived behavioral control and trust. The final analysis shows that attitude, subjective norms, perceived behavioral control and trust partially mediate the relationship between knowledge and intention in the online cash waqf context. Practical implications The aforementioned elucidates the paramount importance of trust in shaping individuals’ tendencies to engage in cash waqfs. The insights mentioned have the potential to be used by cash waqf establishments to promote transparency and accountability, ultimately bolstering the confidence of potential donors. Originality/value The concepts of waqf and the use of online cash waqf as a means of donation in developing countries are relatively new. In this study, the intention of students to adopt online cash waqf was predicted for the first time by considering their knowledge of cash waqf and their trust in online cash waqf transactions.

Drivers of generative AI adoption in higher education through the lens of the Theory of Planned Behaviour

Drawing on the Theory of Planned Behaviour (TPB), this study investigates the relationship between the perceived benefits, strengths, weaknesses, and risks of generative AI (GenAI) tools and the fundamental factors of the TPB model (i.e., attitude, subjective norms, and perceived behavioural control). The study also investigates the structural association between the TPB variables and intention to use GenAI tools, and how the latter might affect the actual usage of GenAI tools in higher education. The paper adopts a quantitative approach, relying on an anonymous self-administered online questionnaire to gather primary data from 130 lecturers and 168 students in higher education institutions (HEIs) in several countries, and PLS-SEM for data analysis. The results indicate that although lecturers' and students' perceptions of the risks and weaknesses of GenAI tools differ, the perceived strengths and advantages of GenAI technologies have a significant and positive impact on their attitudes, subjective norms, and perceived behavioural control. The TPB core variables positively and significantly impact lecturers' and students’ intentions to use GenAI tools, which in turn significantly and positively impact their adoption of such tools. This paper advances theory by outlining the factors shaping the adoption of GenAI technologies in HEIs. It provides stakeholders with a variety of managerial and policy implications for how to formulate suitable rules and regulations to utilise the advantages of these tools while mitigating the impacts of their disadvantages. Limitations and future research opportunities are also outlined.

Behavioural factors for farmers' adoption of agroforestry practices in Sweden

Agroforestry has recently been recognized as a sustainable land-use system that can both address farmers' productive needs and provide ecosystem services to society such as biodiversity and carbon sequestration. Further investigation into the role played by social and psychological factors for adoption of agroforestry within a European context, is needed. This paper provides an analysis of farmers' behavioural drivers with respect to their adoption of agroforestry practices, using a survey of 387 farmers from Sweden. We extended the Theory of Planned Behaviour (TPB) model to incorporate the following behavioural factors: businessperson identity, network memberships, conservation objectives, as well as perceived economic benefits and labour constraints on actual adoption. Latent constructs in the model were first extracted with factor analysis before estimating their impact on adoption using logit models. The results indicate that network memberships improve the explanation of adoption and positively impact farmers' adoption of agroforestry, while the remaining behavioural variables were found to be statistically insignificant. We therefore recommend to encourage farmers' connection to formal networks in order to disseminate ideas, technical experience and guidance on agroforestry, thereby facilitating adoption. The lack of a significant influence of the TPB-factors in our study suggests that we are not able to confirm that TPB variables have an effect on actual adoption and may support the common criticism given to the model in relation to the well-known intention-behaviour “gap”.

Factors affecting the consumption intention of game meats: Integrating theory of planned behavior and norm activation model

Consuming game meats directly influences human health and environmental conservation, yet research integrating theoretical perspectives remains scarce. The study aims to uncover and assess the factors shaping intentions towards game meat consumption, introducing an integrated theoretical framework that combines the Theory of Planned Behavior (TPB) and the Norm Activation Model (NAM). The study collected 913 genuine responses via a self-administered questionnaire in China. Analysis was conducted using SPSS 22.0 and AMOS 26, leveraging Structural Equation Modeling (SEM) to investigate both direct and indirect relationships among variables of TPB and NAM. The findings highlight that perceived behavioral control plays the most critical role in explaining the intention to consume game meats, followed by attitude and subjective norm. Notably, perceived risk serves as a mediating factor between attitude and the intention to consume game meats. Simultaneously, the ascription of responsibility plays a mediating role within the NAM, intervening in the connection between awareness of consequences and personal norms. The results underscore the effectiveness of TPB and NAM in predicting individuals' intentions to consume game meats, particularly highlighting the critical role of perceived risk in this context.

Psychosocial Factors Influencing Parents' Acceptance of COVID-19 Vaccination for Their Children: An Italian Cross-Sectional Study.

Vaccine hesitancy poses a significant threat to the health of individuals across all age groups, which has been exacerbated by the COVID-19 pandemic. In this cross-sectional study, an extension of the Theory of Planned Behavior (TPB) was applied to investigate psychosocial variables predicting intention to vaccinate children under 12 against COVID-19 in a sample of 420 Italian parents (Mean age = 40.4, SD = 5.9; Women = 78.1%). Hierarchical regression analysis revealed that, among the TPB variables, cognitive attitude, descriptive norms, and perceived behavioral control significantly predicted parents' vaccination intention. Furthermore, including trust in the institutions' ability to manage the vaccination campaign in the model significantly increased the explained variance in intention. These findings suggest that campaigns promoting childhood COVID-19 vaccination should not only emphasize the safety and effectiveness of vaccines for children but also focus on reducing barriers to vaccination. Additionally, attention should be given to enhancing the perception that this behavior is widespread among other parents, thus leveraging the power of social influence. Finally, and not less important, significant efforts should be directed toward building and reinforcing trust in the system of actors promoting and managing the COVID-19 vaccination campaign.

Utility of the Theory of Planned Behaviour for predicting parents' intentions to vaccinate their children against COVID-19.

Vaccination is a crucial form of primary prevention, and it is important to understand the factors that influence parents' decisions to vaccinate their children. The current study examines the utility of the Theory of Planned Behaviour (TPB) and anticipated affect for explaining parents' intentions to vaccinate their children against COVID-19. Parents (N = 843) living in the United States completed an online survey. The TPB variables explained 65% of the variability in parents' intentions. In addition to all three of the TPB antecedents predicting vaccine intentions, both anticipated regret of not vaccinating and anticipated positive emotions of vaccinating were associated with parent intentions. Contrary to predictions, subjective norms were a stronger predictor of intentions when perceived behavioural control was lower compared to higher. These findings help further our understanding of parent-for-child vaccine decisions in the context of novel health threats and inform intervention efforts aimed at encouraging this behaviour.

Theory of Planned Behavior as an Antecedent in Predicting Fraudulent Intentions of Academic Accountants and Non-Academic Accountants

Purpose: Individual behavior is a representation of what is believed. Likewise, an accountant intends to commit financial statement fraud. Related to predicting individual behavior to do or not to do something action can use the Theory of planned behavior (TPB). This research examines three main variables in TPB, attitude, subjective norms, and perceived behavioural control on academic and non-academic accountants' fraud intentions through the Theory of Planned Behavior (TPB) variables.Method: This research is quantitative, with primary data obtained from questionnaires sourced from respondents. Respondents were academic and non-academic accountants. The research sample was selected using a purposive sampling method with specific criteria. The partial least squares (PLS) method was used to analyze the data.Findings: The findings suggest that attitudes and subjective norms significantly positively affect the intention to commit financial statements fraud in academic and non-academic accountants, while perceived behavioural control does not significantly affect the intention to commit fraud in financial reporting.Originality/Value : Research that examines the intentions of academic accountants and non-academic accountants in committing financial statement fraud and studied using the theory of planned behavior is the first to be conducted.

Determinants of HPV vaccine uptake intentions in Chinese clinical interns: an extended theory of planned behavior approach.

This study aims to utilize the extended Theory of Planned Behavior (TPB) model to examine the intentions of clinical interns in China towards Human papillomaviruses (HPV) vaccination. It also fills a significant gap in the literature concerning vaccine acceptance in this specific population. This cross-sectional study was carried out with clinical interns in Shandong Province, China, with a total of 1,619 participants. Data were collected through self-reported questionnaires, including demographic characteristics, TPB variables, and HPV-related health knowledge. Hierarchical regression analysis was employed to identify key factors influencing vaccination intentions, and Structural Equation Modeling (SEM) was used to analyze the interrelationships between these factors. This study initially identified key predictors affecting clinical interns' intentions to receive the HPV vaccine through hierarchical regression analysis. The preliminary model, which accounted for demographic factors, revealed foundational impacts of household income and HPV-related clinical experience on intentions. After integrating TPB variables-attitude, subjective norm, perceived behavioral control, and HPV-related health knowledge-the model's explanatory power was enhanced to 37.30%. SEM analysis focused on the interplay among TPB constructs and extended variables, confirming their significance in forming vaccination intentions, with subjective norm having the most substantial impact (β = 0.375, p < 0.001). The extended TPB model explained over half of the variance in vaccination intentions, substantiating the hypotheses and revealing the psychological determinants behind clinical interns' decision-making for HPV vaccination. The extended TPB model from this study effectively explains the vaccination intentions among clinical interns for HPV, offering theoretical support for public health strategies and educational interventions targeting this group. These findings are of significant importance for public health practice and future health promotion strategies.