ArticleThe journal of primary prevention2013
Predictors of initial uptake of human papillomavirus vaccine uptake among rural Appalachian young women.
Article in The journal of primary prevention, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- A narrative review of HPV vaccination interventions in rural U.S. communities.Preventive medicine · 2021Pooled it
- Untangling the Roots of HPV Vaccine Acceptance in West Virginia: How Hesitancy and Misinformation Shape Parental Decisions.Vaccines · 2026Article
- Bridging the gap: a review of the factors contributing to differences in vaccination coverage among rural and urban adults.Vaccine · 2026Review
- Effectiveness of a Structured Educational Intervention on Parents' Knowledge, Perception, and Acceptance Towards Human Papillomavirus Vaccine.Public health challenges · 2025Article
- Article
- Factors associated with HPV vaccination initiation among United States college students.Human vaccines & immunotherapeutics · 2021Article
- A short report: parents HPV vaccine knowledge in rural South Florida.Human vaccines & immunotherapeutics · 2019Article
- Influencers and preference predictors of HPV vaccine uptake among US male and female young adult college students.Papillomavirus research (Amsterdam, Netherlands) · 2018Article
- Incentivizing health care behaviors in emerging adults: a systematic review.Patient preference and adherence · 2016Article
- Fatalistic beliefs and completion of the HPV vaccination series among a sample of young Appalachian Kentucky women.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2015Article
- Sources of HPV vaccine hesitancy in parents.Human vaccines & immunotherapeutics · 2013Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Women in Appalachian Kentucky experience a high burden of cervical cancer and have low rates of human papillomavirus (HPV) vaccination. The purpose of this study was to identify normative influences predicting initial HPV vaccine uptake among a sample of young women in southeastern Kentucky. Women (N = 495), ages 18 through 26 years, were recruited from clinics and community colleges. After completing a questionnaire, women received a free voucher for HPV vaccination. Whether women redeemed the voucher for Dose 1 served as the primary outcome variable. Hierarchical logistic regression was used to estimate the influence of healthcare providers, friends, mothers, and fathers on vaccine uptake. One-quarter of the total sample (25.9%) received Dose 1. Uptake was higher in the clinic sample (45.1%) than in the college sample (6.9%). On multivariate analysis, women indicating that their healthcare provider suggested the vaccine, that their friends would "definitely" want them to be vaccinated, and that their fathers would "definitely" want them to receive the vaccine all were 1.6 times more likely to receive Dose 1. Interaction effects occurred between recruitment site (clinic vs. community college) and all three of the normative influences retaining multivariate significance, indicating that the associations only applied to the clinic sample. HPV vaccine interventions may benefit from highlighting paternal endorsement, healthcare provider recommendation, and peer support.
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Registered trials
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