Journal of Community Health

, Volume 43, Issue 3, pp 616–624 | Cite as

Human Papillomavirus Vaccine Uptake, Knowledge, and Acceptance for Youth: A Systematic Review of Appalachia

  • Chelsea Ryan
  • Kathryn L. Duvall
  • Emily C. Weyant
  • Kiana R. Johnson
  • David Wood


Though vaccine uptake and public support have risen since the release of the first HPV vaccines, the United States has far lower initiation and completion rates for the HPV vaccine series in comparison to other vaccines indicated for youth. Disparities are even greater in the Appalachian regions. Understanding factors contributing to these discrepancies is vital to improving vaccine rates in Appalachia. A comprehensive literature search identified all articles pertaining to HPV vaccination in children and adolescents living in Appalachia. The final 15 articles were included in a systematic review of the topic.


HPV HPV vaccine Appalachia Cervical cancer 


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Chelsea Ryan
    • 1
  • Kathryn L. Duvall
    • 2
  • Emily C. Weyant
    • 1
  • Kiana R. Johnson
    • 2
  • David Wood
    • 2
  1. 1.Quillen College of MedicineEast Tennessee State UniversityJohnson CityUSA
  2. 2.Department of Pediatrics, Quillen College of MedicineEast Tennessee State UniversityJohnson CityUSA

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