Acceptability, access, and uptake of human papillomavirus vaccination in mental health populations: a scoping review
Bibliographic record
Abstract
Abstract Aim The purpose of this study is to describe the scope, breadth, and depth of the existing literature on the acceptability of, access to, and uptake of HPV vaccine in mental health populations. Subject and methods Human papillomavirus (HPV) is responsible for significant cancer morbidity and mortality. Effective vaccines are available; however, uptake is suboptimal. Mental disorders are common, and people with mental disorders are known to have lower rates of cancer screening and reduced uptake of preventive health measures than the general population. This scoping review involved a comprehensive search of published literature. Two independent reviewers screened articles in duplicate and extracted data. Data were analyzed and mapped using quantification of study characteristics. Results There were 16 quantitative studies included, all conducted in high-resource countries. Studies were focused on youth and adolescents ( n = 8), youth and adults ( n = 3), or adults ( n = 5); and explored substance use disorder ( n = 9), mental disorders such as anxiety, depression or others ( n = 6), or developmental/intellectual disabilities ( n = 4). One study looked at gender identity disorder. There were studies about access to ( n = 4), acceptability of ( n = 4), and uptake of ( n = 13) HPV vaccination. No studies described a theoretical approach to their work. Conclusion There is limited research available on the relationship between mental health and HPV vaccination acceptability, access, or uptake. Efforts should be made to extend both quantitative and qualitative literature in this area, including using theoretical frameworks to improve the transferability of research into practice.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.011 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".