{"id":"W2981005107","doi":"10.1186/s12939-019-1067-2","title":"Economic barriers, evidentiary gaps, and ethical conundrums: a qualitative study of physicians’ challenges recommending HPV vaccination to older gay, bisexual, and other men who have sex with men","year":2019,"lang":"en","type":"article","venue":"International Journal for Equity in Health","topic":"Cervical Cancer and HPV Research","field":"Medicine","cited_by":27,"is_retracted":false,"has_abstract":true,"ca_institutions":"St. Michael's Hospital; University of Toronto; Toronto General Hospital; University Health Network; BC Centre for Disease Control; Public Health Ontario","funders":"Goddard Space Flight Center; Department of Family and Community Medicine, University of Toronto; University of Toronto; Canadian Institutes of Health Research; Ontario HIV Treatment Network","keywords":"Medicine; Vaccination; Family medicine; Men who have sex with men; HPV vaccines; Anal cancer; Qualitative research; Public health; HPV infection; Cancer; Gerontology; Human immunodeficiency virus (HIV); Immunology; Cervical cancer; Nursing; Internal medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.02167065,0.0005727714,0.0008918453,0.001448725,0.0131928,0.004695325,0.002396875,0.002580667,0.002625716],"category_scores_gemma":[0.04131018,0.0009840216,0.0004425293,0.001545979,0.01376488,0.005621081,0.00543912,0.004843653,0.0002158288],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0101993,"about_ca_system_score_gemma":0.0134667,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.03581521,"about_ca_topic_score_gemma":0.06330814,"domain_scores_codex":[0.9835967,0.01259805,0.0004962087,0.0006469151,0.0008655625,0.001796431],"domain_scores_gemma":[0.9377918,0.05023664,0.003500985,0.000854174,0.003279453,0.004336853],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.00001160264,0.00001724231,0.001192305,0.0000505139,0.000001968253,0.0002607363,0.9969006,0.00001314921,0.000166147,0.0003563748,0.0001943785,0.0008350149],"study_design_scores_gemma":[0.000001639573,0.0000112894,0.0004935106,0.00005293862,0.000001199278,0.00005290672,0.9977937,0.00003140667,0.00004423225,0.0000884426,0.001424745,0.000004060255],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9890307,0.0008085059,0.001333552,0.005474646,0.00007816521,0.0001673998,0.000108327,0.00001156633,0.002987143],"genre_scores_gemma":[0.9957883,0.0006264191,0.0006951347,0.001597341,0.00002106041,0.000146015,0.00003827816,0.0000152332,0.001072314],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03581521,"threshold_uncertainty_score":0.1146067,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1828053164683323,"score_gpt":0.5481307938453879,"score_spread":0.3653254773770556,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}