title: Modifiable influences on female HPV vaccine uptake at the clinic encounter level: a literature review.
abstract: OBJECTIVE
  A review of the literature to identify modifiable influences on female human papillomavirus (HPV) vaccine uptake relevant to clinical practice in order to support nurse practitioners (NPs) in the prevention of cervical cancer.
  
  
  METHODS
  PubMed, CINAHL, reference lists of publications that surfaced in the electronic search.
  
  
  CONCLUSIONS
  Six influences are modifiable and potentially amenable to being addressed at the clinic encounter level: (a) cost and insurance coverage, (b) provider recommendation, (c) vaccination opportunity, (d) HPV and HPV vaccine knowledge, (e) vaccine safety concerns, and (f) HPV risk.
  
  
  CONCLUSIONS
  NPs have an important role in improving HPV vaccine uptake and research suggests several areas they can address to increase vaccination during clinic visits.
authors.affiliation: (Nurse Practitioner), (Professor), University of Michigan School of Nursing, Ann Arbor, Michigan, (Associate Professor), University of Colorado, Denver, Colorado.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Small
authors.forename: Carolyn M
authors.initials: CM
authors.lastname: Sampselle
authors.forename: Kristy K
authors.initials: KK
authors.lastname: Martyn
authors.forename: Amanda F
authors.initials: AF
authors.lastname: Dempsey
mesh_terms: D000553:Ambulatory Care / Q000639:trends*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010465:Perception; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy / Q000517:prevention & control*
chemical_list: D053918:Papillomavirus Vaccines
keywords: Human papilloma virus (HPV); immunization; prevention; vaccination