Non-Cochrane · other · PM42464262
The role of the dentist in promoting HPV vaccination in adults: a systematic review and meta-analysis.
Fernandes Teixeira Ana Rita, Frias-Bulhosa José, Ruiz Roca Juan Antonio, et al. · BMC oral health · 2026 · PubMed · doi:10.1186/s12903-026-08517-x
Findings
24 findings
| Population | ||||
|---|---|---|---|---|
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of lack of time as a barrier to HPV vaccination counseling Lack of Time | Proportion 0.37 [0.24, 0.52] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of safety concerns as a barrier to HPV vaccination counseling Safety concerns (value stated in text) | Proportion 0.06 [0.02, 0.14] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of lack of time as a barrier to HPV vaccination counseling Lack of Time (value stated in text) | Proportion 0.37 [0.24, 0.52] GRADE not reported 3 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of lack of privacy as a barrier to HPV vaccination counseling Privacy Concerns | Proportion 0.44 [0.29, 0.59] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of discomfort discussing hpv as a barrier to HPV vaccination counseling Don't feel comfortable | Proportion 0.21 [0.12, 0.35] GRADE not reported 3 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of limited hpv knowledge as a barrier to HPV vaccination counseling Lack of knowledge | Proportion 0.43 [0.25, 0.63] GRADE not reported 3 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of religious reasons as a barrier to HPV vaccination counseling Religious reasons | Proportion 0.02 [0.01, 0.04] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of discomfort discussing hpv as a barrier to HPV vaccination counseling Don't feel comfortable (value stated in text) | Proportion 0.21 [0.12, 0.35] GRADE not reported 4 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of lack of privacy as a barrier to HPV vaccination counseling Privacy Concerns (value stated in text) | Proportion 0.44 [0.29, 0.59] GRADE not reported 3 studies |
| Oral health professionals (dentists, hygienists, dental students) | Reported barriers to HPV vaccination counseling (no intervention; single-group prevalence) | None (pooled single-group proportion) | Prevalence of safety concerns as a barrier to HPV vaccination counseling Safety concerns | Proportion 0.06 [0.02, 0.14] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'I don't know' to 'Do you think HPV is a sexually transmitted infection?' Pre-intervention · Pre-intervention | Proportion 0.05 [0.01, 0.2] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental assistants) | HPV educational intervention (lecture, workshop or digital module) | Same participants before the intervention (pre-post, no control group) | Questionnaire response: Do you think an HPV infection can be prevented? (I don't know) Post-intervention · Dental settings, United States · Subgroup = Post | Proportion 0.01 [0.00, 0.02] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental assistants) | HPV educational intervention (lecture, workshop or digital module) | Same participants before the intervention (pre-post, no control group) | Questionnaire response: Do you think an HPV infection can cause genital warts? (I don't know) Post-intervention · Dental settings, United States · Subgroup = Post | Proportion 0.01 [0.00, 0.02] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'Yes' to 'HPV vaccine can reduce or prevent genital warts' Pre-intervention · Pre-intervention | Proportion 0.58 [0.46, 0.69] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'I don't know' to 'Do you think an HPV infection can cause genital warts?' Pre-intervention · Pre-intervention | Proportion 0.21 [0.13, 0.32] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'I don't know' to 'Do you think HPV infection is rare?' Post-intervention · Post-intervention | Proportion 0.01 [0.0, 0.02] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental assistants) | HPV educational intervention (lecture, workshop or digital module) | Same participants before the intervention (pre-post, no control group) | Questionnaire response: Do you think HPV would go away on its own without treatment? (I don't know) Post-intervention · Dental settings, United States · Subgroup = Post | Proportion 0.02 [0.01, 0.05] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental assistants) | HPV educational intervention (lecture, workshop or digital module) | Same participants before the intervention (pre-post, no control group) | Questionnaire response: Do you think HPV is a sexually transmitted infection? (I don't know) Post-intervention · Dental settings, United States · Subgroup = Post | Proportion 0.01 [0.00, 0.02] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'Not comfortable at all' to 'How comfortable do you feel talking to patients about the HPV vaccine?' Post-intervention · Post-intervention | Proportion 0.04 [0.02, 0.06] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'I don't know' to 'Do you think an HPV infection can be prevented?' Pre-intervention · Pre-intervention | Proportion 0.06 [0.04, 0.09] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'Yes' to 'HPV vaccine can reduce or prevent genital warts' Post-intervention · Post-intervention | Proportion 0.89 [0.85, 0.91] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'I don't know' to 'Do you think HPV would go away on its own without treatment?' Pre-intervention · Pre-intervention | Proportion 0.12 [0.08, 0.18] GRADE not reported 2 studies |
| Oral health professionals (Native American and Alaska Native communities) | HPV educational intervention (lecture, workshop or digital module) | Pre-intervention questionnaire (same participants) | Answered 'I don't know' to 'Do you think HPV infection is rare?' Pre-intervention · Pre-intervention | Proportion 0.09 [0.06, 0.13] GRADE not reported 2 studies |
| Oral health professionals (dentists, hygienists, dental assistants) | HPV educational intervention (lecture, workshop or digital module) | Same participants before the intervention (pre-post, no control group) | Questionnaire response: How comfortable do you feel talking to patients about the HPV vaccine? (Not comfortable at all) Pre-intervention · Dental settings, United States · Subgroup = Pre | Proportion 0.09 [0.06, 0.12] GRADE not reported 2 studies |
Included primary studies 19
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Askelson 2023 Engaging new partners in <scp>human papillomavirus (HPV)</scp> vaccine promotion: Considerations for training private practice dental… DOI:10.1111/jphd.12566 | 2023 | this review only | not stated | not extracted yet |
| Askelson 2023 Engaging new partners in human papillomavirus (HPV) vaccine promotion: Considerations for training private practice dental professionals… PMID:36891831 | 2023 | this review only | not stated | not extracted yet |
| Guadiana 2021 Oral health care professionals recommending and administering the HPV vaccine: Understanding the strengths and assessing the barriers DOI:10.1371/journal.pone.0248047 | 2021 | this review only | not stated | not extracted yet |
| Guadiana 2021 Oral health care professionals recommending and administering the HPV vaccine: Understanding the strengths and assessing the barriers. PMID:33662007 | 2021 | this review only | not stated | not extracted yet |
| Kline 2018 Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs DOI:10.1016/j.pvr.2018.03.002 | 2018 | this review only | not stated | not extracted yet |
| Kline 2018 Are dental providers the next line of HPV-related prevention? Providers' perceived role and needs. PMID:29524676 | 2018 | this review only | not stated | not extracted yet |
| Merrell 2022 Exploring Young Adult Comfort with Oral Health Care Providers' Discussions Related to HPV: A mixed methods study. PMID:36224083 | 2022 | this review only | not stated | not extracted yet |
| Naavaal 2023 Perceptions about human papillomavirus vaccine and oropharyngeal cancers, and the role of dental care providers in human papillomavirus… DOI:10.1016/j.adaj.2022.12.006 | 2023 | this review only | not stated | not extracted yet |
| Naavaal 2023 Perceptions about human papillomavirus vaccine and oropharyngeal cancers, and the role of dental care providers in human papillomavirus… PMID:36754721 | 2023 | this review only | not stated | not extracted yet |
| Pampena 2019 Educational Interventions on Human Papillomavirus for Oral Health Providers DOI:10.1007/s13187-019-01512-7 | 2019 | this review only | not stated | not extracted yet |
| Pampena 2020 Educational Interventions on Human Papillomavirus for Oral Health Providers. PMID:30868480 | 2020 | this review only | not stated | not extracted yet |
| Patel 2019 Dental professionals' knowledge, attitudes, and practice behaviors related to human papillomavirus vaccination DOI:10.1111/jphd.12350 | 2019 | this review only | not stated | not extracted yet |
| Patel 2020 Dental professionals' knowledge, attitudes, and practice behaviors related to human papillomavirus vaccination. PMID:31788802 | 2020 | this review only | not stated | not extracted yet |
| Salous 2020 An educational intervention on HPV knowledge and comfortability discussing vaccination among oral health care professionals of the… DOI:10.1080/21645515.2020.1752595 | 2020 | this review only | not stated | not extracted yet |
| Salous 2020 An educational intervention on HPV knowledge and comfortability discussing vaccination among oral health care professionals of the… PMID:32401662 | 2020 | this review only | not stated | not extracted yet |
| Shukla 2018 Assessing the Effectiveness of Web-Based Modules on Human Papillomavirus Among Dental and Dental Hygiene Students DOI:10.1007/s13187-022-02144-0 | 2022 | this review only | not stated | not extracted yet |
| Shukla 2023 Assessing the Effectiveness of Web-Based Modules on Human Papillomavirus Among Dental and Dental Hygiene Students. PMID:35296971 | 2023 | this review only | not stated | not extracted yet |
| Steinbaum 2023 Oral healthcare providers play a vital role in vaccination efforts: Patient perspectives DOI:10.1002/cre2.777 | 2023 | this review only | not stated | not extracted yet |
| Steinbaum 2023 Oral healthcare providers play a vital role in vaccination efforts: Patient perspectives. PMID:37803883 | 2023 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Oral health professionals (dentists, dental hygienists, dental and hygiene students) and adult patients aged 18 years or older | Dentists, hygienists, dental assistants, dental and hygiene students; some studies adults from the general population or university students (n=10 studies, 9,575 participants) |
| Intervention | HPV vaccination counseling provided by oral health professionals and students to adults | Educational interventions on HPV for oral health professionals (3 pre-post studies); observational surveys on counseling practices and barriers (7 studies) |
| Comparison | Absence of such counseling | Pre-intervention status (pre-post studies); no comparison group in cross-sectional studies |
| Outcomes | Adoption of a positive attitude towards HPV vaccination by adults | Pooled proportions of barriers to counseling (5 studies in meta-analysis: privacy, knowledge, time, discomfort, safety, religious reasons); pre-post knowledge and comfort proportions (2 studies) |
| Study designs | Cross-sectional and interventional studies; English, Portuguese or Spanish; last 10 years | Cross-sectional (n=7) and pre-post (n=3) studies, all conducted in the United States |
| Timing | Not specified | Pre-intervention and post-intervention questionnaires |
AMSTAR 2 items
Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.
| Item | Extractor A | Extractor B | Agree |
|---|---|---|---|
| 1Research question includes PICO components | NR | Yes | no |
| 2Protocol established before the reviewcritical | NR | Partial Yes | no |
| 3Choice of study designs explained | NR | No | no |
| 4Comprehensive literature searchcritical | NR | No | no |
| 5Study selection in duplicate | NR | Yes | no |
| 6Data extraction in duplicate | NR | Yes | no |
| 7List of excluded studies with reasonscritical | NR | No | no |
| 8Included studies described in detail | NR | Partial Yes | no |
| 9Risk of bias assessed satisfactorilycritical | NR | RCT: N/A · NRSI: Partial Yes | no |
| 10Funding of included studies reported | NR | No | no |
| 11Appropriate meta-analysis methodscritical | NR | RCT: N/A · NRSI: Partial Yes | no |
| 12Impact of risk of bias on the pooled results | NR | No | no |
| 13Risk of bias accounted for in interpretationcritical | NR | Yes | no |
| 14Heterogeneity explained | NR | Yes | no |
| 15Publication bias investigatedcritical | NR | Yes | no |
| 16Conflicts of interest reported | NR | Yes | no |
| Overall | NR | Critically Low | no |