Integrating Dentists into HPV Vaccine Promotion: A Cross-Sectional Study in a Dental Academic Institution to Address Gaps in Oral and General Health
Source abstract
Abstract
(1) Background: Human Papillomavirus (HPV)-associated oropharyngeal cancer is the fastest-growing head and neck malignancy, yet vaccination coverage remains suboptimal. (2) Methods: In this cross-sectional survey conducted from April 2022 to April 2023, 400 parents of patients aged 8–18 years (mean ± SD = 12.8 ± 2.6; 59.3% female) reported their child’s HPV vaccination status and willingness to initiate or complete the vaccine series at a dental clinic. For those who were not fully vaccinated, reasons for refusal were documented. (3) Results: Over half (54.5%, n = 218) of the children were not fully vaccinated. Notably, 21% (46/218) of parents indicated an immediate willingness to vaccinate their child if the dentist offered it—a significant potential for improvement compared to general healthcare settings. Reported barriers included preference for a physician’s office (43.6%), indecision (20.3%), unspecified concerns (14.5%), safety worries (8.1%), and religious objections (5.2%). Male and younger patients (9–11 years) showed significantly lower vaccination coverage (p < 0.05). (4) Conclusions: Dentists can substantially impact public health by integrating immunization counseling, interprofessional collaboration, and vaccine administration, thereby addressing critical gaps in HPV-related cancer prevention. These findings highlight the opportunity for dental offices to enhance vaccination rates and prompt further research, education, and policy initiatives to advance the oral and general health of our patients.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Cervical Cancer and HPV Research · Dental Research and COVID-19 · HIV/AIDS oral health manifestations
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Pediatric Dentistry, UTHealth Houston, Houston, TX 77054, USA
Department of Diagnostic and Biomedical Sciences, UTHealth Houston, Houston, TX 77054, USA
Department of Technology Service & Informatics, UTHealth Houston, Houston, TX 77054, USA
Department of General Practice and Dental Public Health, School of Dentistry, UTHealth Houston, Houston, TX 77054, USA
Funding
MD Anderson Cancer Center HPV Vaccination Initiative
References (24)
Show source-provided references
1. Role of human papillomaviruses in carcinogenesis10.3332/ecancer.2015.526 ↗
2. HPV vaccines can be the hallmark of cancer prevention10.1016/S0140-6736(19)30549-5 ↗
3. Vaccination Coverage Among Adolescents Aged 13–17 Years—National Immunization Survey-Teen, United States, 202210.15585/mmwr.mm7234a3 ↗
4. Department of Health and Human Services (2020). Healthy People 2030.
5. Projected Association of Human Papillomavirus Vaccination with Oropharynx Cancer Incidence in the US, 2020–204510.1001/jamaoncol.2021.2907 ↗
6. The American Academy of Orthotists and Prosthetists (2022). Policy on human papilloma virus vaccinations. The Reference Manual of Pediatric Dentistry, The American Academy of Orthotists and Prosthetists.
7. American Dental Association (2025, July 17). ADA Continues Support for HPV Vaccine with Participation in Educational Town Hall 2021. Available online: https://adanews.ada.org/ada-news/2021/september/ada-continues-support-for-hpv-vaccine-with-participation-in-educational-town-hall/.
8. Parent perceptions of dental care providers’ role in human papillomavirus prevention and vaccine advocacy10.1016/j.adaj.2020.05.004 ↗
9. Engaging new partners in human papillomavirus (HPV) vaccine promotion: Considerations for training private practice dental professionals in HPV vaccine promotion10.1111/jphd.12566 ↗
10. HPV vaccine knowledge, attitudes, and practices among New York State medical providers, dentists, and pharmacists10.1080/21645515.2023.2219185 ↗
11. Guadiana, D., Kavanagh, N.M., Squarize, C.H., and Carpini, G.D. (2021). Oral health care professionals recommending and administering the HPV vaccine: Understanding the strengths and assessing the barriers. PLoS ONE, 16.10.1371/journal.pone.0248047 ↗
12. Shukla, A., Welch, K., Villa, A., and Ojcius, D.M. (2022). Assessment of the willingness of dentists in the state of Indiana to administer vaccines. PLoS ONE, 17.10.1371/journal.pone.0267167 ↗
13. Texas Department of State Health Services (2020). Survey of Dental Providers: Human Papilloma Virus (HPV).
14. Oral health care practitioners as vaccine administrators: The scenario in the United States10.1016/j.adaj.2023.08.006 ↗
15. Texas Medical Association (2025, July 17). TMA Partners to Boost HPV Vaccination Rates 2018. Available online: https://www.texmed.org/Template.aspx?id=46448.
16. Bello, R.S., Walsh, M.T., Harper, B., Amos, C.E., Oestman, K., Nutt, S., Galindez, M., Block, K., Rechis, R., and Bednar, E.M. (2023). Creating and Activating an Implementation Community to Drive HPV Vaccine Uptake in Texas: The Role of an NCI-Designated Cancer Center. Vaccines, 11.10.3390/vaccines11061128 ↗
17. UTHealth School of Public Health (2019). Health of Houston Survey, HHS 2017–18 a Brief Summary, Institute for Health Policy.
18. Dental Care During the COVID-19 Pandemic: Patient Perceptions of Barriers to Dental Care, COVID-19 Safety Precautions, and Administration of the COVID-19 Vaccine at the Dental Office
19. Texas Department of State Human Services (2025, July 17). Immunization Coverage Among Texas Teens 13–17 Years Old 2021, Available online: https://www.dshs.texas.gov/immunization-unit/immunization-coverage-levels/national-immunization-survey/national-immunization-survey-teen-0.
20. UCSF School of Dentistry (2023). UCSF Sees Benefits and Possibilities After Integrating Dental and Medical Records, UCSF School of Dentistry.
21. Reasons for not receiving the HPV vaccine among eligible adults: Lack of knowledge and of provider recommendations contribute more than safety and insurance concerns10.1002/cam4.3192 ↗
22. Accuracy of parental reports of children’s HPV vaccine status: Implications for estimates of disparities, 2009–201010.1177/003335491412900305 ↗
23. Validity of parent-reported vaccination status for adolescents aged 13–17 years: National Immunization Survey-Teen, 200810.1177/00333549111260S208 ↗
24. Cultural barriers and facilitators of the parents for human papillomavirus (HPV) vaccination uptake by their daughters: A systematic review10.1016/j.jped.2024.07.012 ↗