Namoonga M Mantina

Perspectives of HPV vaccination among young adults: a qualitative systematic review and evidence synthesis protocol

Introduction Human papillomavirus (HPV) is the causative agent of nearly all cervical cancers. Despite the proven safety and efficacy of HPV vaccines in preventing HPV-related cancers, the global vaccine coverage rate is estimated to only be 15%. HPV vaccine coverage rates are more actively tracked and reported for adolescents 17 years and younger but there is still a critical window of opportunity to intervene and promote HPV vaccination among young adults aged 18–26 years who are still eligible to be vaccinated. This protocol for a qualitative evidence synthesis aims to review perspectives of HPV vaccination among young adults (18–26 years) and identify facilitators and barriers that influence HPV vaccination uptake and decision-making. Methods and analysis Seven databases will be searched from 1 January 2006 to the date of final search. For inclusion, studies must report HPV vaccination perspectives of young adults aged 18–26 years and use qualitative study methods or analysis techniques. Studies will be screened in a two-stage process guided by the eligibility criteria. Final included studies will be evaluated for methodological strengths and limitations using the Critical Appraisal Skills Programme quality assessment tool for qualitative studies. After data extraction, framework analysis will be used to analyse the data applying the socioecological model. Finally, the Grading of Recommendations Assessment, Development and Evaluation - Confidence in the Evidence from Reviews of Qualitative research will be applied to evaluate the confidence in synthesised qualitative findings. The methodology of this review follows the Cochrane Handbook guidelines on qualitative evidence syntheses. Ethics and dissemination Formal ethical approval is not required for this study. Findings will be disseminated through peer-reviewed publications, conference presentations and professional networks. PROSPERO registration number CRD42023417052.

Group concept mapping to develop a salon-based HPV self-collection intervention

Abstract Background Black women in the US face higher cervical cancer mortality rates due to delayed diagnoses linked to lower screening rates. Contributing factors include provider bias, costs, and limited access, particularly affecting women aged 40–64. While innovative approaches like clinical and home-based HPV self-collection exist, equitable dissemination remains challenging. Distributing HPV self-collection kits in unconventional sites like hair salons may offer a solution. Using concept mapping, we gathered community insights to design a salon-based cervical cancer screening intervention. Methods We employed groupwisdom™ and REDCap platforms for community-based participatory intervention development. Participants included members of the Black Community Advisory Council of Tucson (Black CACTus), comprising hairstylists ( n  = 3), salon clients ( n  = 4), and healthcare providers( n  = 3), all identifying as Black women aged 23–53. Concept mapping included: 1) Brainstorming statements, 2) Sorting statements into thematic clusters, 3) Rating importance and feasibility, 4) Reviewing the cluster map, and 5) Evaluating a draft intervention. Results Brainstorming produced 39 statements, forming six clusters: 1) Program Promotion, 2) Insurance, Cost & Benefits, 3) Communication Considerations, 4) Information and Education, 5) Overall Logistics and Process, and 6) Sample Collection. Communication Considerations and Sample Collection were rated most important, with Communication Considerations also ranking highest for feasibility. Communication Considerations, Information and Education, and Sample Collection were the highest rated when importance and feasibility were considered together. Conclusions Engaging community perspectives is essential for adapting cancer screening from clinical settings to community spaces like hair salons. This collaborative concept mapping approach identified strategies to enhance cervical cancer screening access and uptake among Black women.