Evidence map›Paper›PMID 40813745›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2026

An Analysis of Dental Hygienists' Practices and Perceptions Toward HPV Vaccination.

Stacey B Griner, Alexandra N Farris, Nolan Kline, Malinee Neelamegam, Jane C Cotter, Roi San Nhpang, Charlene Dickinson, Erika L Thompson

Abstract read
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In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Stacey B GrinerCollege of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA. Stacey.Griner@unthsc.edu.ORCID 0000-0002-2774-5841
Alexandra N FarrisCollege of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.ORCID 0000-0002-5607-0927
Nolan KlineDepartment of Population Health Sciences, College of Medicine, University of Central Florida, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.ORCID 0000-0002-8537-3396
Malinee NeelamegamCollege of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.ORCID 0000-0002-4027-7544
Jane C CotterCaruth School of Dental Hygiene, Texas A&M University, 3302 Gaston Ave, Dallas, TX, 75246, USA.ORCID 0000-0002-1372-8282
Roi San NhpangCollege of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.ORCID 0000-0001-5793-2851
Charlene DickinsonDepartment of Communication Sciences and Oral Health, Texas Woman's University, 304 Administration Dr, Denton, TX, 76204, USA.
Erika L ThompsonDepartment of Quantitative and Qualitative Health Sciences, University of Texas School of Public Health San Antonio, University of Texas Health Science Center at San Antonio, 8403 Floyd Curl Dr, San Antonio, TX, 78229, USA.ORCID 0000-0002-7115-0001

Funding

University of Texas MD Anderson Cancer Center Vaccine Implementation Initiative
6 · The paper itself

Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and can cause anogenital and oropharyngeal cancers. While HPV-related cancers are preventable through vaccination, vaccine initiation and completion rates remain suboptimal compared to other vaccines. Provider recommendation is the strongest predictor for vaccine uptake, and while oral health providers are well-positioned to recommend HPV vaccination to patients given the connection between HPV and oropharyngeal cancers, they may face unique barriers to implementation. Previous studies focused primarily on improving dental hygienists' knowledge and confidence regarding HPV vaccination discussions rather than examining HPV vaccine beliefs and their impact on practice behaviors. This study sought to assess dental hygienists' beliefs and behaviors related to HPV vaccine education guidelines. Data were collected from dental hygienists who attended an HPV-related continuing education (CE) course at a large regional dental conference. Approximately 26% of participants discussed HPV and oral cancer with all or some of their patients, 16% provided HPV vaccine education, and 15% recommended the vaccine to patients. Many did not believe patients would follow through on HPV vaccine referrals to primary care (59%) and felt that patients would be more receptive if dentists referred the vaccine compared to dental hygienists (39% and 22%, p = 0.0001). As rates of HPV-related cancers continue to rise, it is necessary to continue developing strategies that help dental hygienists become more comfortable with HPV cancer prevention. Future research should consider behavioral targets that can shift their attitudes and behaviors toward HPV vaccine education guideline implementation.

Indexed as

Attitude of Health PersonnelDental HygienistsHealth Knowledge, Attitudes, PracticeHuman Papillomavirus VirusesPapillomavirus InfectionsPapillomavirus VaccinesVaccinationAdultFemaleHumansMaleMiddle AgedMouth NeoplasmsPapillomavirus VaccinesDental hygienistHPV vaccineOral cancerOral health providersPractice behaviorsProvider education

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Registered trials

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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.