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Objective:  Half of new human papilloma virus ( (HPV)) infections occur between the ages of 15 and 24. As preventive measures are underutilized globally; international university students are at particular risk for HPV infection and sequelae. The study aim was to explore HPV knowledge and preventive behaviors in this population.  Participants:  Eighty-one undergraduate and graduate international university students (49 females, 32 males) at a southeastern university.  Methods:  Exploratory sequential mixed methods guided by the Health Belief Model.  Results:  Integrated qualitative/quantitative data revealed four themes mapped to relevant HBM constructs:  Perceived susceptibility to HPV ;  Perceived benefits/Perceived barriers to HPV prevention; Cues to Action;  and  Likelihood of Engaging in Health-Promoting Behavior.  Over half believed they were not at risk for HPV/sequelae. Only a quarter had received HPV vaccination.  Conclusions:  International university students represent an important catch-up population for HPV screening/vaccination. Results can be used to design and tailor interventions for this vulnerable population.

“I don’t think I have a chance to get it”: International university student HPV knowledge and preventive behaviors