{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T17:00:41Z","timestamp":1780765241429,"version":"3.54.1"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J. Racial and Ethnic Health Disparities"],"DOI":"10.1007\/s40615-026-03054-3","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T16:27:31Z","timestamp":1780763251000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unmet Social Needs and HPV Vaccination Among Parents and Children Residing in a Major Metropolitan Area"],"prefix":"10.1007","author":[{"given":"Sahana","family":"Arumani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Marcelo M.","family":"Sleiman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muriel R.","family":"Statman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiranjeev","family":"Dash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilona","family":"Argirion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0274-556X","authenticated-orcid":false,"given":"Kenneth P.","family":"Tercyak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,6]]},"reference":[{"key":"3054_CR1","unstructured":"Centers for Disease Control and Prevention, About HPV. 2024. https:\/\/www.cdc.gov\/hpv\/about\/index.html. Accessed Feb 2025."},{"key":"3054_CR2","unstructured":"National Cancer Institute. HPV and, Cancer. 2019. https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/risk\/infectious-agents\/hpv-and-cancer. Accessed Feb 2025."},{"issue":"2","key":"3054_CR3","doi-asserted-by":"publisher","first-page":"2239085","DOI":"10.1080\/21645515.2023.2239085","volume":"19","author":"MK Ellingson","year":"2023","unstructured":"Ellingson MK, Sheikha H, Nyhan K, Oliveira CR, Niccolai LM. Human papillomavirus vaccine effectiveness by age at vaccination: A systematic review. Hum Vaccines Immunother. 2023;19(2):2239085.","journal-title":"Hum Vaccines Immunother"},{"issue":"RR\u20132","key":"3054_CR4","first-page":"1","volume":"56","author":"LE Markowitz","year":"2007","unstructured":"Markowitz LE, Dunne EF, Saraiya M, Lawson HW, Chesson H, Unger ER, et al. Quadrivalent human papillomavirus vaccine: recommendations of the advisory committee on immunization practices (ACIP). Morb Mortal Wkly Rep. 2007;56(RR\u20132):1\u201324.","journal-title":"Morb Mortal Wkly Rep"},{"key":"3054_CR5","unstructured":"Advisory Committee on Immunization Practices (ACIP). Recommendations on the use of quadrivalent human papillomavirus vaccine in males. 2011. https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6050a3.htm. Accessed Feb 2025."},{"key":"3054_CR6","unstructured":"CDC. Advisory Committee on Immunization Practices (ACIP) summary report: June 26\u201327, 2019, Atlanta, Georgia. https:\/\/stacks.cdc.gov\/view\/cdc\/82365.\u00a0Jun 2019."},{"key":"3054_CR7","doi-asserted-by":"crossref","unstructured":"Pingali C. National Vaccination Coverage among Adolescents Aged 13\u201317 Years \u2014 National Immunization Survey-Teen, States U. 2023. MMWR Morb Mortal Wkly Rep. 2024;73. https:\/\/www.cdc.gov\/mmwr\/volumes\/73\/wr\/mm7333a1.htm. Accessed Apr 2025.","DOI":"10.15585\/mmwr.mm7333a1"},{"issue":"RR\u20133","key":"3054_CR8","first-page":"1","volume":"55","author":"KR Broder","year":"2006","unstructured":"Broder KR, Cortese MM, Iskander JK, Kretsinger K, Slade BA, Brown KH, et al. Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccines recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep. 2006;55(RR\u20133):1\u201334.","journal-title":"MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep"},{"key":"3054_CR9","unstructured":"CDC. Sexually Transmitted Infections (STIs). 2024. How to Prevent STIs. https:\/\/www.cdc.gov\/sti\/prevention\/index.html. Accessed Feb 2025."},{"key":"3054_CR10","unstructured":"O\u2019Leary ST, Opel DJ, Cataldi JR, Hackell JM, Committee on Practice and Ambulatory Medicine, et al. Strategies for Improving Vaccine Communication and Uptake. Pediatrics. 2024;153(3):e2023065483."},{"issue":"38","key":"3054_CR11","doi-asserted-by":"publisher","first-page":"6027","DOI":"10.1016\/j.vaccine.2020.06.074","volume":"38","author":"PG Szilagyi","year":"2020","unstructured":"Szilagyi PG, Albertin CS, Gurfinkel D, Saville AW, Vangala S, Rice JD, et al. Prevalence and characteristics of HPV vaccine hesitancy among parents of adolescents across the US. Vaccine. 2020;38(38):6027\u201337.","journal-title":"Vaccine"},{"issue":"11","key":"3054_CR12","first-page":"1981","volume":"30","author":"WY Kong","year":"2021","unstructured":"Kong WY, Bustamante G, Pallotto IK, Margolis MA, Carlson R, McRee AL, et al. Disparities in healthcare providers\u2019 recommendation of HPV vaccination for U.S. adolescents: A systematic review. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol. 2021;30(11):1981\u201392.","journal-title":"Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol"},{"key":"3054_CR13","unstructured":"CDC. Social Determinants of Health. 2024. https:\/\/www.cdc.gov\/public-health-gateway\/php\/about\/social-determinants-of-health.html. Accessed Aug 2025."},{"key":"3054_CR14","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.ypmed.2019.03.037","volume":"123","author":"JC Spencer","year":"2019","unstructured":"Spencer JC, Calo WA, Brewer NT. Disparities and reverse disparities in HPV vaccination: A systematic review and meta-analysis. Prev Med. 2019;123:197\u2013203.","journal-title":"Prev Med"},{"issue":"1","key":"3054_CR15","doi-asserted-by":"publisher","first-page":"2313249","DOI":"10.1080\/21645515.2024.2313249","volume":"20","author":"NL Rincon","year":"2024","unstructured":"Rincon NL, McDowell KR, Weatherspoon D, Ritchwood TD, Rocke DJ, Adjei Boakye E, et al. Racial and ethnic disparities in human papillomavirus (HPV) vaccine uptake among United States adults, aged 27\u201345 years. Hum Vaccines Immunother. 2024;20(1):2313249.","journal-title":"Hum Vaccines Immunother"},{"issue":"1","key":"3054_CR16","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1007\/s10900-018-0565-2","volume":"44","author":"EL Thompson","year":"2019","unstructured":"Thompson EL, Rosen BL, Maness SB. Social determinants of health and human papillomavirus vaccination among young adults, national health interview survey 2016. J Community Health. 2019;44(1):149\u201358.","journal-title":"J Community Health"},{"issue":"12","key":"3054_CR17","doi-asserted-by":"publisher","first-page":"5390","DOI":"10.1080\/21645515.2021.1989919","volume":"17","author":"K Goel","year":"2021","unstructured":"Goel K, Vasudevan L. Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States. Hum Vaccines Immunother. 2021;17(12):5390\u20136.","journal-title":"Hum Vaccines Immunother"},{"key":"3054_CR18","unstructured":"A Conceptual Framework for Action on the Social Determinants of Health. Geneva: World Health Organization. 2010. https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/ca294183-3263-470f-a5fe-8e124ec48c72\/content"},{"key":"3054_CR19","unstructured":"CDC. PLACES: Local Data for Better Health. Health-Related Social Needs. 2025. https:\/\/www.cdc.gov\/places\/measure-definitions\/health-related-social-needs.html. Accessed Feb 2025."},{"key":"3054_CR20","unstructured":"CDC. Vaccination Coverage among Adolescents (13\u201317 Years). https:\/\/www.cdc.gov\/teenvaxview\/interactive\/index.html. Accessed Feb 2025."},{"key":"3054_CR21","unstructured":"Virginia Department of Health. HPV \u2013, Immunization. Apr. https:\/\/www.vdh.virginia.gov\/immunization\/datamanagement\/hpv\/. Accessed 2025."},{"key":"3054_CR22","unstructured":"DC Health. School Immunization Requirements Guide. 2022. https:\/\/dchealth.dc.gov\/sites\/default\/files\/dc\/sites\/doh\/publication\/attachments\/DC%20Health_School%20Immunization%20Requirements%20Guide_r7_0.pdf. Accessed Apr 2025."},{"key":"3054_CR23","doi-asserted-by":"publisher","unstructured":"Meta, Platforms. Jun, Inc. Meta Content Library API version v5.0. https:\/\/doi.org\/10.48680\/meta.metacontentlibraryapi.5.0. Accessed 2024.","DOI":"10.48680\/meta.metacontentlibraryapi.5.0"},{"key":"3054_CR24","doi-asserted-by":"publisher","first-page":"1422839","DOI":"10.3389\/fonc.2024.1422839","volume":"14","author":"MM Sleiman","year":"2025","unstructured":"Sleiman MM, Yockel MR, Liu M, Wendolowski J, Adams-Campbell LL, Dash C, et al. Impact of social determinants and medical mistrust on parent-child HPV vaccination in economically disadvantaged communities: implications for cancer prevention. Front Oncol. 2025;14:1422839.","journal-title":"Front Oncol"},{"key":"3054_CR25","unstructured":"Billioux A, Verlander K, Anthony S, Alley D. Standardized screening for health-related social needs in clinical settings. Natl Acad of Medicine. https:\/\/nam.edu\/wp-content\/uploads\/2017\/05\/Standardized-Screening-for-Health-Related-Social-Needs-in-Clinical-Settings.pdf.\u00a0May\u00a02017."},{"key":"3054_CR26","unstructured":"2023 National Health Interview Survey (NHIS) Questionnaire. 2023. https:\/\/ftp.cdc.gov\/pub\/Health_Statistics\/NCHS\/Survey_Questionnaires\/NHIS\/2023\/EnglishQuest-508.pdf"},{"key":"3054_CR27","unstructured":"Medical Expenditures Panel Survey. 2022. https:\/\/meps.ahrq.gov\/survey_comp\/hc_survey\/2022\/AC_2022.htm"},{"issue":"8","key":"3054_CR28","doi-asserted-by":"publisher","first-page":"e0182266","DOI":"10.1371\/journal.pone.0182266","volume":"12","author":"M Barnard","year":"2017","unstructured":"Barnard M, George P, Perryman ML, Wolff LA. Human papillomavirus (HPV) vaccine knowledge, attitudes, and uptake in college students: Implications from the precaution adoption process model. PLoS ONE. 2017;12(8):e0182266.","journal-title":"PLoS ONE"},{"key":"3054_CR29","unstructured":"National Health and Nutrition Examination Survey 2013\u20132014. https:\/\/wwwn.cdc.gov\/Nchs\/Data\/Nhanes\/Public\/2013\/DataFiles\/ACQ_H.htm.\u00a0Mar\u00a02016."},{"issue":"1","key":"3054_CR30","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/s40615-014-0050-2","volume":"2","author":"SK Kolar","year":"2015","unstructured":"Kolar SK, Wheldon C, Hernandez ND, Young L, Romero-Daza N, Daley EM. Human papillomavirus vaccine knowledge and attitudes, preventative health behaviors, and medical mistrust among a racially and ethnically diverse sample of college women. J Racial Ethn Health Disparities. 2015;2(1):77\u201385.","journal-title":"J Racial Ethn Health Disparities"},{"issue":"6","key":"3054_CR31","doi-asserted-by":"publisher","first-page":"2093","DOI":"10.1111\/j.1475-6773.2009.01017.x","volume":"44","author":"TA LaVeist","year":"2009","unstructured":"LaVeist TA, Isaac LA, Williams KP. Mistrust of Health Care Organizations Is Associated with Underutilization of Health Services. Health Serv Res. 2009;44(6):2093\u2013105.","journal-title":"Health Serv Res"},{"issue":"5","key":"3054_CR32","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1016\/j.vaccine.2017.12.043","volume":"36","author":"GK Shapiro","year":"2018","unstructured":"Shapiro GK, Tatar O, Dube E, Amsel R, Knauper B, Naz A, et al. The vaccine hesitancy scale: Psychometric properties and validation. Vaccine. 2018;36(5):660\u20137.","journal-title":"Vaccine"},{"key":"3054_CR33","doi-asserted-by":"publisher","first-page":"107951","DOI":"10.1016\/j.ypmed.2024.107951","volume":"182","author":"IN Akpan","year":"2024","unstructured":"Akpan IN, Taskin T, Wheldon CW, Rossheim ME, Thompson EL. Human papillomavirus vaccination uptake among 27-to-45-year-olds in the United States. Prev Med. 2024;182:107951.","journal-title":"Prev Med"},{"key":"3054_CR34","first-page":"100694","volume":"31","author":"K Sonawane","year":"2024","unstructured":"Sonawane K, Zhu Y, Damgacioglu H, Garg A, Graboyes EM, Montealegre JR, et al. Factors associated with parental human papillomavirus vaccination intentions among adolescents from socioeconomically advantaged versus deprived households: a nationwide, cross-sectional survey. Lancet Reg Health - Am. 2024;31:100694.","journal-title":"Lancet Reg Health - Am"},{"issue":"7\u20138","key":"3054_CR35","doi-asserted-by":"publisher","first-page":"1824","DOI":"10.1080\/21645515.2019.1625642","volume":"15","author":"M Kornides","year":"2019","unstructured":"Kornides M, Head KJ, Feemster K, Zimet GD, Panozzo CA. Associations between HPV vaccination among women and their 11\u201314-year-old children. Hum Vaccines Immunother. 2019;15(7\u20138):1824\u201330.","journal-title":"Hum Vaccines Immunother"},{"key":"3054_CR36","unstructured":"Wagmiller RL, Adelman RM. Childhood and Intergenerational Poverty: The long-term consequences of growing up poor. National center for children in poverty; 2009 Nov. https:\/\/www.nccp.org\/publication\/childhood-and-intergenerational-poverty\/. Accessed Jun 2025."},{"issue":"6","key":"3054_CR37","doi-asserted-by":"publisher","first-page":"2135930","DOI":"10.1080\/21645515.2022.2135930","volume":"18","author":"V Bhoopathi","year":"2022","unstructured":"Bhoopathi V, Bhagavatula P, Singh M. Health literacy and its association with human papilloma virus vaccination among adults: Findings from the behavioral risk factor surveillance system. Hum Vaccines Immunother. 2022;18(6):2135930.","journal-title":"Hum Vaccines Immunother"},{"issue":"1","key":"3054_CR38","first-page":"3061","volume":"6","author":"SS Coughlin","year":"2020","unstructured":"Coughlin SS, Vernon M, Hatzigeorgiou C, George V. Health literacy, social determinants of health, and disease prevention and control. J Environ Health Sci. 2020;6(1):3061.","journal-title":"J Environ Health Sci"},{"issue":"4","key":"3054_CR39","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5153\/sro.3491","volume":"19","author":"J Bone","year":"2014","unstructured":"Bone J. Neoliberal Nomads: Housing insecurity and the revival of private renting in the UK. Sociol Res Online. 2014;19(4):1\u201314.","journal-title":"Sociol Res Online"},{"issue":"11","key":"3054_CR40","doi-asserted-by":"publisher","first-page":"2177","DOI":"10.1016\/j.jand.2021.06.001","volume":"121","author":"J Jia","year":"2021","unstructured":"Jia J, Fung V, Meigs JB, Thorndike AN. Food insecurity, dietary quality, and health care utilization in lower-income adults: A cross-sectional study. J Acad Nutr Diet. 2021;121(11):2177\u2013e21863.","journal-title":"J Acad Nutr Diet"},{"key":"3054_CR41","doi-asserted-by":"publisher","first-page":"101082","DOI":"10.1016\/j.ssmph.2022.101082","volume":"18","author":"LN Mansfield","year":"2022","unstructured":"Mansfield LN, Chung RJ, Silva SG, Merwin EI, Gonzalez-Guarda RM. Social determinants of human papillomavirus vaccine series completion among U.S. adolescents: A mixed-methods study. SSM - Popul Health. 2022;18:101082.","journal-title":"SSM - Popul Health"},{"key":"3054_CR42","unstructured":"American Academy of Pediatrics. Recommendations for Preventive Pediatric Health Care. 2025. https:\/\/downloads.aap.org\/AAP\/PDF\/periodicity_schedule.pdf. Accessed Apr 2025."}],"container-title":["Journal of Racial and Ethnic Health Disparities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40615-026-03054-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40615-026-03054-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40615-026-03054-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T16:27:35Z","timestamp":1780763255000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40615-026-03054-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,6]]},"references-count":42,"alternative-id":["3054"],"URL":"https:\/\/doi.org\/10.1007\/s40615-026-03054-3","relation":{},"ISSN":["2197-3792","2196-8837"],"issn-type":[{"value":"2197-3792","type":"print"},{"value":"2196-8837","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,6]]},"assertion":[{"value":"25 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 May 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 June 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study adhered to the principles of the Declaration of Helsinki. Approval was granted by the Institutional Review Board at Georgetown University (STUDY00003772, 10\/25\/2022). Informed consent was obtained from all individual participants included in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"The authors report there are no competing interests to declare.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}