Knowledge, attitudes, and practices regarding the human papillomavirus vaccine among black adolescents: a scoping review

Authors

  • Amanda Martins Sousa Federal University of Ceará image/svg+xml https://orcid.org/0000-0002-0794-0033
    • Conceptualization
    • Data Curation
    • Formal Analysis
    • Investigation
    • Methodology
    • Project Administration
    • Software
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
  • Maria Amélia Lopes Martins Federal University of Ceará image/svg+xml https://orcid.org/0000-0002-5412-3036
    • Investigation
    • Methodology
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
    • Data Curation
  • Ana Carollyne Sales Falcão Federal University of Ceará image/svg+xml https://orcid.org/0000-0003-3680-3318
    • Data Curation
    • Investigation
    • Methodology
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
    • Software
  • Samila Gomes Ribeiro Federal University of Ceará image/svg+xml https://orcid.org/0000-0002-4775-5852
    • Data Curation
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
    • Validation
    • Methodology
  • Paula Renata Amorim Lessa Federal University of Ceará image/svg+xml https://orcid.org/0000-0003-1629-443X
    • Conceptualization
    • Data Curation
    • Investigation
    • Methodology
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
    • Supervision

DOI:

https://doi.org/10.36517/2175-6783.20262797348

Keywords:

Papillomavirus Vaccines; Adolescent; Black People; Health Knowledge, Attitudes, Practice.

Abstract

Objective: to map knowledge, attitudes, and practices regarding the human papillomavirus vaccine among Black adolescents. Methods: a scoping review carried out according to JBI guidelines. Studies with full-text articles published from 2006, with no language restrictions, were included. Screening and selection were performed by two independent researchers using Rayyan software. Data were extracted using a tool developed by the authors and presented descriptively. Results: we found 1,120 studies, seven of which were included in the final sample. The publications spanned the period from 2010 to 2021. The studies revealed limited knowledge about human papillomavirus and vaccination among Black adolescents. Although some of the studies identified attitudes favorable toward the vaccine, vaccination rates remained lower than expected. Conclusion: although attitudes toward the human papillomavirus vaccine are predominantly favorable, limited knowledge and informational, cultural, and structural barriers hinder effective vaccination. Contributions to practice: the findings reinforce the need to strengthen health education initiatives on vaccination among Black adolescents through culturally sensitive approaches, thereby helping to combat misinformation and increase trust in the vaccine among this specific population.

Crossmark - verificar atualizações

Downloads

Download data is not yet available.

References

1. Graça ADV, Soares LC, Brollo JLA. Barriers to HPV vaccination in Brazil: a systematic review. Asian Pac J Cancer Prev. 2025;26(10):3549-60. doi: https://doi.org/10.31557/APJCP.2025.26.10.3549

2. Read DS, Joseph MA, Polishchuk V, Suss AL. Attitudes and perceptions of the HPV vaccine in Caribbean and African-American adolescent girls and their parents. J Pediatr Adolesc Gynecol. 2010;23(4):242-5. doi: http://doi.org/10.1016/j.jpag.2010.02.002

3. Galvão MPSP, Araújo TME, Rocha SS. Knowledge, attitudes, and practices of adolescents regarding human papillomavirus. Rev Saúde Pública. 2022;56:12. doi: https://dx.doi.org/10.11606/s1518-8787.2022056003639

4. Campos MR, Carvalho LHSB, Campos AJR, Côra GR, Machado RA, Elehamer NM, et al. Knowledge and perception of human papillomavirus in Quilombola communities in Northeast Brazil. Hisp Health Care Int. 2026;24(3):172-80. doi: https://doi.org/10.1177/15404153251383132

5. Lima APO, Buzzo MLM, Villamil VA, Souza VA, Machado KMS, Pereira LSC, et al. Conhecimento e prática de adolescentes da rede pública de ensino na prevenção contra o HPV. Obs Econ Latinoam. 2025;23(6):e10484. doi: https://dx.doi.org/10.55905/oelv23n6-191

6. Fishman J, Taylor L, Kooker P, Frank I. Parent and adolescent knowledge of HPV and subsequent vaccination. Pediatrics. 2014;134(4):e1049-56. doi: https://doi.org/10.1542/peds.2013-3454

7. Heyde S, Osmani V, Schauberger G, Cooney C, Klug SJ. Parental acceptance, attitudes and knowledge about human papillomavirus vaccinations for their children: a systematic literature review and meta-analysis. BMC Womens Health. 2024;24(1):537. doi: http://dx.doi.org/10.1186/s12905-024-03377-5

8. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. In: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI manual for evidence synthesis. Adelaide: JBI; 2024. doi: https://doi.org/10.46658/JBIMES-24-09

9. White JL, Grabowski MK, Rositch AF, Gravitt PE, Quinn TC, Tobian AAR, et al. Trends in adolescent human papillomavirus vaccination and parental hesitancy in the United States. J Infect Dis. 2023;228(5):615-26. doi: https://doi.org/10.1093/infdis/jiad055

10. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan: a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. doi: https://doi.org/10.1186/s13643-016-0384-4

11. World Health Organization (WHO). Human papillomavirus vaccines: WHO position paper, December 2022. Wkly Epidemiol Rec [Internet]. 2022 [cited July 10, 2026];97(50):645-72. Available from: https://www.who.int/publications/i/item/who-wer9750-645-672

12. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: https://doi.org/10.1136/bmj.n71

13. Shao SJ, Nurse C, Michel L, Joseph MA, Suss AL. Attitudes and perceptions of the human papillomavirus vaccine in Caribbean and African American adolescent boys and their parents. J Pediatr Adolesc Gynecol. 2015;28(5):373-7. doi: https://doi.org/10.1016/j.jpag.2014.11.003

14. Onyeabor OS, Martin N, Orish VN, Sanyaolu AO, Iriemenam NC. Human papillomavirus vaccination knowledge among African American male adolescents who have sex with men: a pilot study. J Racial Ethn Health Disparities. 2015;2(3):290-4. doi: http://doi.org/10.1007/s40615-014-0068-5

15. Staples JN, Wong MS, Rimel BJ. An educational intervention to improve human papilloma virus (HPV) and cervical cancer knowledge among African American college students. Gynecol Oncol. 2018;149(1):101-5. doi: https://doi.org/10.1016/j.ygyno.2017.10.015

16. Galbraith-Gyan KV, Lechuga J, Jenerette CM, Palmer MH, Moore AD, Hamilton JB. African-American parents’ and daughters’ beliefs about HPV infection and the HPV vaccine. Public Health Nurs. 2019;36(2):134-43. doi: http://doi.org/10.1111/phn.12565

17. Evans K. What a mother believes: maternal knowledge and attitudes regarding adolescent HPV vaccination for adolescent Black males [dissertation]. New Brunswick: Rutgers University-School of Public Health; 2021. doi: http://doi.org/10.7282/t3-bedh-jb76

18. Stephens ES, Dema E, McGee-Avila JK, Shiels MS, Kreimer AR, Shing JZ. Human papillomavirus awareness by educational level and by race and ethnicity. JAMA Netw Open. 2023;6(11):e2343325. doi: https://dx.doi.org/10.1001/jamanetworkopen.2023.43325

19. Magana K, Strand LT, Love M, Moore T, Peña AM, Ford AI, et al. Health disparities in human papillomavirus prevention, diagnosis, and clinical care in the United States: a scoping review. Sex Transm Infect. 2023;99(2):128-36. doi: https://doi.org/10.1136/sextrans-2022-055587

20. Sokale IO, Montealegre JR, Amuta AO, Oluyomi A, Thrift AP. Racial and ethnic disparities in human papillomavirus vaccination among US-born and foreign-born adults aged 18 to 26 years in the United States. Vaccines (Basel). 2025;13(2):98. doi: https://doi.org/10.3390/vaccines13020098

21. Boitano TKL, Ketch PW, Scarinci IC, Huh WK. An update on human papillomavirus vaccination in the United States. Obstet Gynecol. 2023; 141(2):324-30. doi: https://dx.doi.org/10.1097/AOG.0000000000005056

22. Ferreira HLOC, Siqueira CM, Costa N, Pereira EC, Fiúza AA, Ribeiro SG, et al. Factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus. Rev Rene. 2022;23:e78179. doi: https://doi.org/10.15253/2175-6783.20222378179

23. Silva TMR, Sá ACMGN, Carrato BA, Schreck RSC, Prates EJS, Oliveira SR, et al. Lack of knowledge about the human papillomavirus vaccine among Brazilian adolescents: a cross-sectional study. Public Health Nurs. 2024;41(6):1453-65. doi: https://doi.org/10.1111/phn.13375

24. Soares Junior JM, Oliveira HMC, Luquetti CM, Zuchelo LTS, Veiga ECA, Raimundo JZ, et al. Adolescents’ knowledge of HPV and sexually transmitted infections at public high schools in São Paulo: a cross-sectional study. Clinics (Sao Paulo). 2022;77:100138. doi: https://doi.org/10.1016/j.clinsp.2022.100138

25. Chan DNS, Li C, Law BMH, Choi KC. Factors affecting HPV vaccine uptake among ethnic minority adolescent girls: a systematic review and meta-analysis. Asia Pac J Oncol Nurs. 2023;10(9):100279. doi: https://doi.org/10.1016/j.apjon.2023.100279

26. Silva IAG, Sá ACMGN, Prates EJS, Malta DC, Matozinhos FP, Silva TMR. Vaccination against human papillomavirus in Brazilian schoolchildren: National Survey of School Health, 2019. Rev Latino-Am Enfermagem. 2022;30(spe):e3834. doi: https://doi.org/10.1590/1518-8345.6296.3834

27. Lee HY, Luo Y, Daniel C, Wang K, Ikenberg C. Is HPV vaccine awareness associated with HPV knowledge level? Findings from HINTS data across racial/ethnic groups in the US. Ethn Health. 2022;27(5):1166-77. doi: https://doi.org/10.1080/13557858.2020.1850648

28. Xu MA, Pant S, DiClemente RJ. Factors affecting human papillomavirus vaccination: a review of individual, interpersonal, and structural factors affecting vaccine uptake among adolescents. Vaccine. 2026;81:128563. doi: https://doi.org/10.1016/j.vaccine.2026.128563

29. Iezadi S, Kolivand P, Namdar P, Saberian P, Gholipour K, Azari S. Racial and ethnic disparities in COVID-19 vaccination: a systematic review and meta-analysis. Arch Public Health. 2025;83(1):261. doi: http://dx.doi.org/10.1186/s13690-025-01740-y

30. Washington A, Chabaan J, Fakih A, Ford S, Rutledge L, Lilly J, et al. “Why is it so necessary?”: African American parents’ perspectives on delaying and refusing HPV vaccination. J Pediatr Health Care. 2023;37(4):373-80. doi: https://doi.org/10.1016/j.pedhc.2023.01.002

31. Gray A, Fisher CB. Factors associated with HPV vaccine acceptability and hesitancy among Black mothers with young daughters in the United States. Front Public Health. 2023;11:1124206. doi: https://doi.org/10.3389/fpubh.2023.1124206

32. Jin SW, Lattimore DC, Harlin E, Davis L, Erholtz V, Brandt HM. Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus vaccination among African American adolescents in Shelby County, Tennessee. BMC Health Serv Res. 2023;23(1):469. doi: https://doi.org/10.1186/s12913-023-09415-6

33. Kyei GK, Kyei EF, Ansong R. Determinants of HPV vaccine uptake in women in the United States: a scoping review of socioecological influences. Policy Polit Nurs Pract. 2025;26(4):256-72. doi: https://doi.org/10.1177/15271544251364251

34. Odubia JS, Ajileye SE, Oyediran MO, Adagbon BO, Samuel FA, Nureni DH. Multi-level determinants of HPV vaccine uptake in Sub-Saharan Africa: socio-cultural, structural, and systemic perspectives. World J Biol Pharm Health Sci. 2025;23(3):6-24. doi: https://doi.org/10.30574/wjbphs.2025.23.3.0791

35. Xu MA, Choi J, Capasso A, DiClemente R. Patient-provider health communication strategies: enhancing HPV vaccine uptake among adolescents of color. Healthcare (Basel). 2023;11(12):1702. doi: http://doi.org/10.3390/healthcare11121702

36. Maina S, M’mayi C, Masinde LJA. Health system factors that influence HPV vaccine uptake in Kiambu County. EPRA Int J Multidiscip Res. 2025;11(7):949-52. doi: https://dx.doi.org/10.36713/epra23421

37. Adegboyega A, Adeyimika D, Omoadoni O, Dignan M. HPV vaccination and cervical cancer screening promotion among Black individuals: social ecological perspectives from key informants interviews. Ethn Health. 2023;28(7):1026-40. doi: http://doi.org/10.1080/13557858.2023.2193360

38. Sato PM, Lopes F, English S, Silva SO, Lalane JB, Deivanayagam TA, et al. Mapping the expressions and impacts of racism on health in Brazil: a scoping review. Lancet Reg Health Am. 2026;54:101323. doi: https://doi.org/10.1016/j.lana.2025.101323

39. Kisa A, Kisa S. Structural racism as a fundamental cause of health inequities: a scoping review. Int J Equity Health. 2025;24(1):257. doi: https://doi.org/10.1186/s12939-025-02644-7

40. Wien S, Miller AL, Kramer MR. Structural racism theory, measurement, and methods: a scoping review. Front Public Health. 2023;11:1069476. doi: https://doi.org/10.3389/fpubh.2023.1069476

Published

2026-10-06

Data Availability Statement

The authors state that the dataset supporting the results is available within the body of the article.

Issue

Section

Review Article

How to Cite

1.
Sousa AM, Martins MAL, Falcão ACS, Ribeiro SG, Lessa PRA. Knowledge, attitudes, and practices regarding the human papillomavirus vaccine among black adolescents: a scoping review. Rev Rene [Internet]. 2026 Oct. 6 [cited 2026 Oct. 9];27:e97348. Available from: https://periodicos.ufc.br/rene/article/view/97348