{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:27:31Z","timestamp":1787034451020,"version":"build-2736575974"},"reference-count":77,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Community Engagement Alliance (CEAL) Against COVID-19 Disparities","award":["NIH 10T2HL156812-01"],"award-info":[{"award-number":["NIH 10T2HL156812-01"]}]},{"DOI":"10.13039\/100015220","name":"Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015220","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["P20 GM103429"],"award-info":[{"award-number":["P20 GM103429"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR003107"],"award-info":[{"award-number":["UL1 TR003107"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Despite the availability of a highly effective human papillomavirus (HPV) vaccine, uptake remains below Healthy People 2030 targets, particularly in rural areas where HPV-related cancers are more prevalent. This study aimed to explore how social processes influence parents\u2019 HPV vaccination decisions, focusing on vaccine-hesitant parents who vaccinated their child(ren) against HPV despite their hesitancy, eg, \u201chesitant adopters.\u201d We conducted a qualitative exploratory analysis of in-depth interviews with hesitant adopter parents (n = 8) to explore how social interactions with trusted interlocutors influenced their decision-making. Hesitant adopter parents identified relevant professional expertise, direct experience with the HPV vaccine, and social proximity to interlocutors as influential factors. We argue that rather than a single moment or decision, vaccination decision-making is a dynamic, ongoing process affected by social processes. This study adds nuance to our understanding of how prior vaccination behavior functions in future vaccine acceptance.<\/jats:p>","DOI":"10.1177\/00099228251335851","type":"journal-article","created":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T03:47:29Z","timestamp":1746330449000},"page":"1388-1399","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Qualitative Study of Social Processes, HPV Vaccine Attitudes, and Vaccination Behavior Among Hesitant Adopter Parents"],"prefix":"10.1177","volume":"64","author":[{"given":"Ramey","family":"Moore","sequence":"first","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel S.","family":"Purvis","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don E.","family":"Willis","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji","family":"Li","sequence":"additional","affiliation":[{"name":"Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Sorrell","sequence":"additional","affiliation":[{"name":"Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon Craddock","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas School of Medicine, Kansas City, KS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin P.","family":"Finley","sequence":"additional","affiliation":[{"name":"Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Sexton","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Kraleti","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u2019Asia","family":"James","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4033-6241","authenticated-orcid":false,"given":"Pearl A.","family":"McElfish","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2017.08.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30007"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2018.1512453"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12353"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_325319"},{"key":"e_1_3_2_7_2","unstructured":"Centers for Disease Control Prevention. Cancers associated with human papillomavirus United States\u20142013\u20132017. USCS Data Brief no 18 Atlanta GA: Centers for Disease Control and Prevention US Department of Health and Human Services. Published September 2020."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6832a3"},{"key":"e_1_3_2_9_2","unstructured":"Office of Disease Prevention Health Promotion. Healthy people 2030: HPV vaccination target. 2020. Accessed February 7 2023. https:\/\/survey.alchemer.com\/s3\/6526245\/HP2030-Data-Survey."},{"key":"e_1_3_2_10_2","unstructured":"Arkansas Department of Health Family Health Branch Arkansas Department of Human Services Children with Chronic Health Conditions Program. Maternal and child health services title v block grant. Accessed April 8 2022. https:\/\/healthy.arkansas.gov\/programs-services\/community-family-child-health\/family-health\/maternal-child-health\/title-v-and-family-health-programs\/."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2020.09.005"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-020-00886-5"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.03.037"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7035a1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2019.1671765"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18206-5"},{"key":"e_1_3_2_17_2","unstructured":"US Cancer Statistics Working Group. Rate of new cancers in the United States 2019. USCS Data Visualizations Tool. 2021. Accessed February 7 2023. https:\/\/www.cdc.gov\/united-states-cancer-statistics\/dataviz\/index.html"},{"key":"e_1_3_2_18_2","unstructured":"Sage Working Group. Report of the Sage working group on vaccine hesitancy. Strategic advisory group of experts on immunization. Geneva Switzerland: World Health Organization; 2024. 1-63."},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/cts.13385"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1529100618760521"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-022-01484-7"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-021-00270-6"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-022-01431-6"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2017.09.088"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiad055"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.01.068"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.4161\/hv.26224"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.11.065"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208601"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-021-01037-5"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2021.2010427"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines9121418"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-021-01661-7"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2019.1575711"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2017.04.060"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2021.01.017"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170550"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines9060607"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2015.1129090"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2017.09.001"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2023.05.072"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2022.10.048"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.09.010"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2021.1954444"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21768"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.1177\/1937586715614171"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-024-01340-x"},{"key":"e_1_3_2_48_2","unstructured":"Centers for Disease Control Prevention. 2021 BRFSS Questionnaire. Published June 2022. Accessed April 8 2025. https:\/\/www.cdc.gov\/brfss\/questionnaires\/pdf-ques\/2021-brfss-questionnaire-1-19-2022-508.pdf."},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2012.10.028"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-15671-8"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v9.26152"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1108\/QMR-06-2016-0053"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.30574\/wjarr.2021.10.3.0277"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.1177\/104973200129118183"},{"key":"e_1_3_2_56_2","doi-asserted-by":"publisher","DOI":"10.2991\/jegh.k.191117.001"},{"key":"e_1_3_2_57_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-006860"},{"key":"e_1_3_2_58_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2106441"},{"key":"e_1_3_2_59_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12502"},{"key":"e_1_3_2_60_2","doi-asserted-by":"publisher","DOI":"10.4172\/2472-1654.100146"},{"key":"e_1_3_2_61_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.02.009"},{"key":"e_1_3_2_62_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2020.1740559"},{"key":"e_1_3_2_63_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1728"},{"key":"e_1_3_2_64_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2022.102467"},{"key":"e_1_3_2_65_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2021.10.009"},{"issue":"29","key":"e_1_3_2_66_2","first-page":"620","article-title":"Human papillomavirus vaccination coverage among adolescents, 2007\u20132013, and postlicensure vaccine safety monitoring, 2006\u20132014\u2014United States","volume":"63","author":"Stokley S","year":"2014","unstructured":"Stokley S, Jeyarajah J, Yankey D, et al. Human papillomavirus vaccination coverage among adolescents, 2007\u20132013, and postlicensure vaccine safety monitoring, 2006\u20132014\u2014United States. MMWR Morb Mortal Wkly Rep. 2014;63(29):620-624.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_3_2_67_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2018.04.085"},{"key":"e_1_3_2_68_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2017.04.023"},{"key":"e_1_3_2_69_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106407"},{"key":"e_1_3_2_70_2","doi-asserted-by":"publisher","DOI":"10.1177\/0963662520921537"},{"key":"e_1_3_2_71_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.5408"},{"key":"e_1_3_2_72_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20043376"},{"key":"e_1_3_2_73_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.03.063"},{"key":"e_1_3_2_74_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232076"},{"key":"e_1_3_2_75_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobe.2014.12.001"},{"key":"e_1_3_2_76_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0594-7"},{"key":"e_1_3_2_77_2","doi-asserted-by":"publisher","DOI":"10.1177\/0539018406069584"},{"key":"e_1_3_2_78_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251335851","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228251335851","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251335851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:04:52Z","timestamp":1787033092000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228251335851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,4]]},"references-count":77,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1177\/00099228251335851"],"URL":"https:\/\/doi.org\/10.1177\/00099228251335851","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,4]]}}}