Evidence map›Paper›PMID 34126968›Full record

ArticleBMC public health2021

Development of a theory-based HPV vaccine promotion comic book for East African adolescents in the US.

Isabelle Celentano, Rachel L Winer, Sou Hyun Jang, Anisa Ibrahim, Farah Bille Mohamed, John Lin, Fanaye Amsalu, Ahmed A Ali, Victoria M Taylor, Linda K Ko

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% of its field
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  6. Effectiveness of Cartoons, Comics, and Animation-Based Sexual Health Promotion and Education Interventions: A Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
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  9. Review
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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

10 authors at 3 institutions in 2 countries.

Isabelle CelentanoDepartment of Health Services, University of Washington School of Public Health, 1959 NE Pacific Street, Magnuson Health Sciences Bldg., Box 357660, Seattle, WA, 98195, USA.
Rachel L WinerDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA, 98104, USA.
Sou Hyun JangDepartment of Sociology, Sungkyunkwan University, Seoul, South Korea.
Anisa IbrahimDepartment of Pediatrics, University of Washington, Harborview Medical Center, 325 9th Ave, Seattle, WA, 98104, USA.
Farah Bille MohamedDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA, 98104, USA.
John LinDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA, 98104, USA.
Fanaye AmsaluDepartment of Epidemiology, University of Washington, Box 359933, 325 9th Ave, Seattle, WA, 98104, USA.
Ahmed A AliSomali Health Board, 625 Strander Blvd Building, Tukwila, WA, 98188, USA.
Victoria M TaylorDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N, M3-B232, Seattle, WA, 98102, USA.
Linda K KoDepartment of Health Services, University of Washington and Division of Public Health Science, Fred Hutchinson Cancer Research Center, Hans Rosling Center for Public Health, 3980 15th Avenue NE, UW Mailbox 351621, Seattle, WA, 98195, USA. lindako@uw.edu.ORCID 0000-0002-1090-6637
University of Washington · USFred Hutch Cancer Center · USSungkyunkwan University · KR

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Biobehavioral Cancer Prevention and Control Training Program (BCPT)T32CA092408 · NCI · UNIVERSITY OF WASHINGTON · PI Margaret A Hannon · 2016 to 2026
$2.3M
ACL HHS U48DP005013CDC HHS 3U48DP005013-03S7NCATS NIH HHS UL1 TR002319NCCDPHP CDC HHS U48 DP005013NCI NIH HHS 5T32 CA 92408-17NCI NIH HHS T32 CA092408
6 · The paper itself

Abstract

backgroundHuman Papillomavirus (HPV) vaccine uptake is low among East African adolescents in the US. Adolescents' preferences influence HPV vaccine decisions, yet few interventions exist that address East African adolescents' beliefs about HPV vaccines. We describe a multi-step process on how to create a theory-based comic book by integrating empirical findings, theory and focus group data from East African parents in the US.

methodsOur multi-methods process included conducting focus groups with Somali, Ethiopian, and Eritrean mothers (n = 30) to understand mothers and adolescents socio-cultural beliefs and information needs about the HPV vaccine, creating comic book messages integrating the focus group findings, and assessing the acceptability of the finalized comic book among Somali, Ethiopian, and Eritrean adolescents (n = 134).

resultsWe identified categories around socio-cultural beliefs (such ethnic representation and concerns about pork gelatin in vaccines), HPV vaccine information needs, and diffusion of information. We then mapped the categories to theoretical constructs and operationalized them into the comic book. Finally, we describe the overall acceptability of the comic book and specifics on comic book structure, appeal of characters, and message relevance.

conclusionsA rigorous multi-step process that integrates theory and focus group data can help create culturally appropriate health messages that can educate and appeal to the community.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesAdolescentBooksEritreaHealth Knowledge, Attitudes, PracticeHumansParentsPatient Acceptance of Health CareSomaliaVaccinationPapillomavirus VaccinesBehavioral theoryComic bookEast African adolescentsEast African parentsHPV vaccine

Identifiers

PMID34126968
PMCPMC8201717
OpenAlexW3168991616

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.