{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:40:28Z","timestamp":1787841628372,"version":"build-2784847793"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To analyze the presence, framing, and cultural accessibility of HPV vaccination messaging related to oropharyngeal squamous cell carcinoma (OPSCC) prevention among health institutions serving Middle Eastern and North African (MENA) populations in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional content analysis of publicly available HPV vaccination materials from 37 MENA\u2010serving institutions (24 health systems, eight public health departments, five community\u2010based organizations) across eight U.S. metropolitan counties selected using 2020 U.S. Census\u2010derived MENA population estimates. Reporting followed SRQR guidelines. Primary outcomes included presence of head and neck cancer language, HPV\u201016 mention, cervical cancer\u2010dominant framing, Arabic\/Farsi\/Turkish language access, and cultural tailoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010six of 37 institutions (70.3%) provided HPV vaccination content. Among these, 14 (53.8%) included head and neck cancer language and only 4 (15.4%) mentioned HPV\u201016. A cervical cancer\u2010dominant framework was present in 13 (50.0%). Eight institutions (30.8%) offered Arabic, Farsi, or Turkish language access. Cultural tailoring was present in 12 (46.2%). No community\u2010based organizations provided HPV vaccination content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HPV vaccination messaging among MENA\u2010serving institutions inadequately reflects OPSCC epidemiology. Head and neck cancer language, HPV\u201016 mention, language access, and cultural tailoring remain inconsistent. Otolaryngologists are well positioned to advocate for cancer\u2010inclusive, culturally responsive HPV prevention messaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70513","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:37:58Z","timestamp":1784295478000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Missed Opportunities in Head and Neck Cancer Prevention: Human Papillomavirus Vaccination Messaging in\n                    <scp>MENA<\/scp>\n                    \u2010Serving Health Systems"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9509-5764","authenticated-orcid":false,"given":"Yehya Main","family":"Maitah","sequence":"first","affiliation":[{"name":"Albany Medical College  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9290-5888","authenticated-orcid":false,"given":"Natalia N.","family":"Youssef","sequence":"additional","affiliation":[{"name":"Albany Medical College  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4009-4681","authenticated-orcid":false,"given":"Amira","family":"Elfergani","sequence":"additional","affiliation":[{"name":"Albany Medical College  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0265-4936","authenticated-orcid":false,"given":"Tarick","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Albany Medical College  Albany New York 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