Evidence map›Paper›PMID 26195681›Full record

ArticleAnnals of family medicine

Catching Up With the HPV Vaccine: Challenges and Opportunities in Primary Care.

Andrew L Sussman, Deborah Helitzer, Anzia Bennett, Angélica Solares, Marianna Lanoue, Christina M Getrich

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. TeenVac.org: A Mobile Web App to Improve Human Papillomavirus Vaccine Uptake for Adolescent Boys.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Trial
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  5. Article
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  8. Cervical Cancer Prevention in Rural Areas.Annals of global health · 2023
    Review
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  11. Article
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  13. Rural Caregivers' Willingness for Community Pharmacists to Administer the HPV Vaccine to Their Age-Eligible Children.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
  14. Human Papillomavirus Immunization in Rural Primary Care.American journal of preventive medicine · 2020
    Article
  15. Patterns and Disparities in Human Papillomavirus (HPV) Vaccine Uptake for Young Female Adolescents among U.S. States: NIS-Teen (2008-2016).Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrew L SussmanDepartment of Family and Community Medicine, University of New Mexico, Albuquerque, New Mexico asussman@salud.unm.edu.
Deborah HelitzerDepartment of Family and Community Medicine, University of New Mexico, Albuquerque, New Mexico.
Anzia BennettAgri-Cultura Network, Albuquerque, New Mexico.
Angélica SolaresBarelas Community Coalition, Albuquerque, New Mexico.
Marianna LanoueThomas Jefferson University, Philadelphia, Pennsylvania.
Christina M GetrichDepartment of Anthropology, University of Maryland, College Park, Maryland.

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
University of New Mexico Clinical and Translational Science CenterUL1TR000041 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI LARSON, RICHARD S · 2012 to 2014
$9.8M
MARYLAND POPULATION RESEARCH CENTERR24HD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI RENDALL, MICHAEL S. · 2001 to 2016
$6.6M
Participatory Research to Understand the Translation of HPV Vaccine PolicyR21CA134259 · NCI · UNIVERSITY OF NEW MEXICO · PI SUSSMAN, ANDREW LOUIS · 2008 to 2009
$371k
NCATS NIH HHS UL1 TR000041NCATS NIH HHS UL1 TR001449NCI NIH HHS 1R21CA134259-01NCI NIH HHS R21 CA134259NICHD NIH HHS R24 HD041041
6 · The paper itself

Abstract

purposeData confirm that high rates of human papillomavirus (HPV) vaccination have not been achieved despite strong clinician endorsement of the vaccine. We conducted a study of primary care clinicians to assess the broad range of health care delivery, health policy, and attitudinal factors influencing vaccination uptake and opportunities for informed decision making.

methodsWe implemented a mixed methods study in RIOS Net, a primary care practice-based research network in New Mexico. We first conducted qualitative, in-depth interviews with primary care clinicians, health policy makers, and immunization experts, and followed up with a confirmatory survey distributed to RIOS Net clinician members.

resultsHealth service delivery challenges emerged as the greatest barrier to HPV vaccination, specifically the lack of capacity to track and distribute reminders to eligible patients. Clinicians also reported variations in counseling approaches attributable to both age and emphasis on the cancer prevention benefits of the vaccine. There was no evidence of sociocultural influences on vaccine decision making, nor did concerns about perceived overprotection emerge.

conclusionsOur findings, based on a long-term program of research, suggest that both patients' attributes and health system delivery are most influential in HPV vaccination coverage challenges. Interventions targeting innovative communication techniques, as well as health system changes that build on efforts toward coordinated care and utilization of other venues to promote vaccination, will be necessary to address these challenges.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CarePhysicians, Primary CareFemaleHealth PolicyHumansMaleNew MexicoPapillomavirus VaccinesPrimary Health CareSurveys and QuestionnairesVaccinationPapillomavirus Vaccinesadolescent health servicescervical cancerhealth care deliveryhealth services researchmixed methods researchvaccination

Identifiers

PMID26195681
PMCPMC4508177

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.