{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:21:28Z","timestamp":1793762488820,"version":"4.6.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Health Equity Research &amp; Policy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Human Papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Specifically, HPV is responsible for a large proportion of anal, cervical, vaginal, vulvar, penile and oropharyngeal cancers, highlighting the importance of optimizing the prevention of this public health issue. To date, vaccination is the most effective method for preventing HPV-related infections and associated diseases; however, vaccine uptake remains well below national targets. In Canada, gender-neutral HPV vaccination is recommended for all individuals between nine and 26\u00a0years, but can also be administered to adults until the age of 45. Despite widespread adoption of publicly-funded school-based vaccination programs, some populations report disproportionately lower rates of HPV vaccine uptake, including young adults, transgender peoples and men who have sex with men (MSM), rendering them vulnerable to morbidity and mortality. Addressing HPV-related disparities requires a coordinated, multi-level call to action involving collaboration between academic and community partners to normalize inclusive, gender-neutral vaccination. This paper explores opportunities for optimizing HPV vaccine uptake in Canada by emphasizing the importance of healthcare provider recommendation, improved access to community-based vaccination services, and representation of diverse populations (e.g., young adults, transgender peoples, MSM) in the development and delivery of vaccine communication\/messaging. The time is now to normalize inclusive HPV vaccination in order to mitigate the persistence of vaccine-related disparities and strive toward global initiatives of health equity.<\/jats:p>","DOI":"10.1177\/2752535x251368427","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T07:34:16Z","timestamp":1755156856000},"page":"77-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Improving Human Papillomavirus (HPV) Vaccine Uptake in Canada: A Call for Equity and Inclusivity"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4577-7059","authenticated-orcid":false,"given":"Noah","family":"Doucette","sequence":"first","affiliation":[{"name":", Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Steenbeek","sequence":"additional","affiliation":[{"name":", Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.IJPVM_49_17"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2021.1895806"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30488-7"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-022-01396-2"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-024-02278-1"},{"key":"e_1_3_3_7_2","unstructured":"Government of Canada. Updated recommendations of human papillomavirus vaccines. https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/vaccines-immunization\/national-advisory-committee-immunization-updated-recommendations-hpv-vaccines.html Accessed November 22 2024."},{"key":"e_1_3_3_8_2","unstructured":"World Health Organization. Global strategy to accelerate the elimination of cervical cancer as a public health problem. https:\/\/www.who.int\/publications\/i\/item\/9789240014107 Accessed December 18 2024."},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Government of Canada. Release notice: Canadian cancer statistics 2023. https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-44-no-1-2024\/canadian-cancer-statistics-2023.html Accessed January 17 2025.","DOI":"10.24095\/hpcdp.44.1.04"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-4866-y"},{"issue":"1112","key":"e_1_3_3_11_2","first-page":"380","article-title":"Human papillomavirus and oral health","volume":"46","author":"Office of the Chief Dental Officer of Canada","year":"2020","unstructured":"Office of the Chief Dental Officer of Canada. Human papillomavirus and oral health. Can Commun Dis Rep 2020; 46(1112): 380\u2013383.","journal-title":"Can Commun Dis Rep"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1067299"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djab080"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1128\/CVI.05208-11"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol28010097"},{"key":"e_1_3_3_16_2","unstructured":"Canadian Partnership Against Cancer. HPV vaccine access in Canada. https:\/\/www.partnershipagainstcancer.ca\/topics\/hpv-vaccine-access-2022\/ (2022). Accessed Oct 19 2024."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2023.2239085"},{"key":"e_1_3_3_18_2","unstructured":"Government of Canada. Adult national immunization coverage survey (aNICS): 2023 results. https:\/\/www.canada.ca\/en\/public-health\/services\/immunization-vaccines\/vaccination-coverage\/adult-national-immunization-coverage-survey-2023- Accessed Dec 17 2024."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/cyber.2023.0707"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2021.1873350"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1557988320925691"},{"key":"e_1_3_3_22_2","unstructured":"Kiran T Davie S Singh D et al. Cancer screening rates among transgender adults: cross-sectional analysis of primary care data. Can Fam Physician 2019; 65(1): e30\u2013e37. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6347308\/ Accessed Jan 2 2025."},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2021.0077"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/idr13040079"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pvr.2017.04.004"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.2219"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.05.031"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.05.013"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113441"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1067-2"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-017-1223-6"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10060930"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2020.100608"},{"issue":"1","key":"e_1_3_3_34_2","first-page":"11","article-title":"Improving healthcare providers\u2019 interactions with trans patients: recommendations to promote cultural competence","volume":"14","author":"Vermeir E","year":"2018","unstructured":"Vermeir E, Jackson LA, Marshall EG. Improving healthcare providers\u2019 interactions with trans patients: recommendations to promote cultural competence. Healthc Policy 2018; 14(1): 11\u201318.","journal-title":"Healthc Policy"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2018.1564440"},{"key":"e_1_3_3_36_2","unstructured":"Steenbeek A Karabanow J. Enhancing vaccine acceptance and delivery among youth who experience homelessness. Royal Society of Canada. https:\/\/rsc-src.ca\/en\/voices\/enhancing-vaccine-acceptance-and-delivery-among-youth-who-experience-homelessness Accessed February 28 2025."},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-020-01360-1"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/17151635221090212"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibab129"}],"container-title":["Community Health Equity Research &amp; Policy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2752535X251368427","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2752535X251368427","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2752535X251368427","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:04:37Z","timestamp":1788433477000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2752535X251368427"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/2752535X251368427"],"URL":"https:\/\/doi.org\/10.1177\/2752535x251368427","relation":{},"ISSN":["2752-535X","2752-5368"],"issn-type":[{"value":"2752-535X","type":"print"},{"value":"2752-5368","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]}}}