Evidence map›Paper›PMID 42170715›Full record

ArticleHuman vaccines & immunotherapeutics2026

An exploratory study to determine the feasibility and processes needed to implement the Immunization Neighborhood to increase HPV vaccination among African American adolescents and adolescents in the general population: A multi-partner perspective.

Jennifer Cunningham-Erves, Freneka Minter, Pamela C Hull, Amanda F Dempsey, Alexandria DeMons, Mariya Chalise, Consuelo H Wilkins

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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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

7 authors.

Jennifer Cunningham-ErvesDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-7780-9874
Freneka MinterMeharry Vanderbilt Alliance, Nashville, TN, USA.
Pamela C HullCollege of Medicine, Department of Behavioral Science, Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
Amanda F DempseyMerck and Company, Wales, PA, USA.
Alexandria DeMonsDepartment of Nutrition and Public Health, Benedictine University, Lisle, IL, USA.
Mariya ChaliseDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA.
Consuelo H WilkinsOffice of Health Equity, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Limited education and healthcare access are major contributors to Human Papillomavirus (HPV) vaccination disparities among African American adolescents. The Immunization Neighborhood (IN) involves enhanced communication and collaboration among providers to address people's needs by expanding access points and education to increase vaccination. Because needs of immunization providers and parents to effectively collaborate are unknown, this study explored the feasibility of and processes needed for IN utilization across key partners: pediatricians, pharmacists, school nurses, health department staff, and African American parent-child dyads. We conducted a semi-structured interviews in a qualitative, descriptive study with a purposive sample of 30 African American parent-child dyads and 37 immunization providers in Middle Tennessee. The Consolidated Framework for Implementation Research (CFIR) guided inductive-deductive thematic analysis. We identified facilitators and barriers to IN utilization for four CFIR domains: (1) Intervention characteristics; (2) Outer setting; (3) Inner setting; and (4) Individual characteristics. Across CFIR domains and partners, key perceived facilitators include convenience, accessibility, extended hours, partner coordination, and existing subsidized programs. Perceived barriers included fragmented vaccination tracking, limited vaccine registry interoperability, existing policies, and lack of knowledge and trust in immunization providers and settings. Our study highlights the need for multi-component, collaborative, and patient-centered strategies for IN implementation to improve adolescent HPV vaccination rates, especially among African American adolescents. Policy changes to reduce out-of-pocket expenses, increase insurance coverage, require reporting to state immunization registries, encourage collaborative practices, and allow HPV vaccine delivery in schools could potentially enhance IN impact.

Indexed as

Black or African AmericanImmunization ProgramsPapillomavirus InfectionsPapillomavirus VaccinesVaccinationAdolescentFeasibility StudiesFemaleHealth Services AccessibilityHumansInterviews as TopicMaleNeighborhood CharacteristicsQualitative ResearchTennesseePapillomavirus VaccinesConsolidated Framework for Implementation Research (CFIR)health departmentHuman Papillomavirus (HPV)Immunization Neighborhoodpharmaciesschools

Identifiers

PMID42170715
PMCPMC13203060

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LicenceCC BY-NC
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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.