Evidence map›Paper›PMID 41499050›Full record

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

Primary Care Providers' Perspectives on Barriers and Facilitators to Human Papillomavirus (HPV) Vaccination among Young Adults: A Qualitative Study.

Coralia Vázquez-Otero, Heather N Owens, Mariana Arevalo, Joyce Cui, Melody N Chavez, Melinda L Maconi, Carley Geiss, Kea Turner, Susan T Vadaparampil, Veronica Barrios-Monroy and 3 more

Abstract read
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Coralia Vázquez-Otero *Department of Public Health, College for Health, Community and Policy, University of Texas at San Antonio, San Antonio, TX, USA.
Heather N Owens *Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Mariana ArevaloDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Joyce CuiMorsani College of Medicine, University of South Florida, Tampa, FL, USA.
Melody N ChavezParticipant Research, Interventions, and Measurement Core, Moffitt Cancer Center, Tampa, FL, USA.
Melinda L MaconiParticipant Research, Interventions, and Measurement Core, Moffitt Cancer Center, Tampa, FL, USA.
Carley GeissParticipant Research, Interventions, and Measurement Core, Moffitt Cancer Center, Tampa, FL, USA.
Kea TurnerDivision of Health Systems, Policy, and Innovations, University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.
Susan T VadaparampilDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Veronica Barrios-MonroyNon-Therapeutic Research Office, Moffitt Cancer Center, Tampa, FL, USA.
Alissa PenaNon-Therapeutic Research Office, Moffitt Cancer Center, Tampa, FL, USA.
Junmin WhitingDepartment of Biostatistics & Bioinformatics, Moffitt Cancer Center, Tampa, FL, USA.
Shannon M ChristyDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA. Shannon.Christy@Moffitt.org.ORCID http://orcid.org/0000-0001-5306-7020

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Behavioral Oncology Education & Career DevelopmentT32CA090314 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI Vani N Simmons, SUSAN T VADAPARAMPIL · 2019 to 2026
$2.9M
H. Lee Moffitt Cancer Center and Research Institute Moffitt Center for Immunization and Infection Research in Cancer AwardH. Lee Moffitt Cancer Center and Research Institute Moffitt Merit Society AwardMorsani College of Medicine Research, Innovation & Scholarly Endeavors (RISE) programNCI NIH HHS P30 CA076292NCI NIH HHS P30-CA076292NCI NIH HHS T32 CA090314NCI NIH HHS T32CA090314
6 · The paper itself

Abstract

Young adults (18-26 years) are at high risk of human papillomavirus (HPV) exposure. Yet, HPV vaccine uptake is suboptimal among young adults. Provider recommendation is frequently the most influential factor in HPV vaccine acceptance. Evidence-based strategies are needed to facilitate provider recommendations for young adults. To inform provider-level strategies for recommending the HPV vaccine to young adult patients, the current study aims to understand current practices and barriers and facilitators to both recommending the HPV vaccine for young adults and for young adults to receive the HPV vaccine. Primary care providers (e.g., physicians, nurses; n = 15) in the United States completed a semi-structured interview guided by the Consolidated Framework for Implementation Research (CFIR). Data were analyzed thematically using Nvivo. Most participants identified as female (80%), White (67%), and non-Hispanic (93%). Participants reported varying their HPV vaccine discussions based on visit type (acute vs. wellness) and if the patient is new or established in their practice. Participants reported barriers to HPV vaccination in young adults across several CFIR domains including outer setting (e.g., transient living situation), inner setting (e.g., lack of availability of vaccine in clinic), individual (e.g., sex differences), and process (e.g., burnout). Facilitators included considering the HPV vaccine as a high priority and scheduling future vaccine appointments at the current visit. Evidence-based interventions to increase HPV vaccine uptake among young adults are needed. Healthcare providers identified multilevel barriers to both recommending and delivering the HPV vaccine to their young adult patients.

Indexed as

Consolidated framework for implementation researchHPV vaccineHuman papillomavirusProvider recommendation

Identifiers

PMID41499050
PMCPMC13266898

What OpenQuestion holds

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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.