HPV Vaccine Hesitancy and Uptake: A Conceptual Analysis Using Rodgers' Evolutionary Approach.

This is a concept analysis of published literature, not a study of patients or families, so it describes factors but does not test whether addressing them changes vaccination. The method is meant to clarify a concept and suggest directions for research, not to prove what works. The authors did not include patient or public perspectives, so the map may miss how families actually describe their concerns. The search was limited to English studies from 2019 to 2024 and did not aim to review all literature, so relevant local evidence may be absent. Findings may not apply to all regions because included studies came from varied settings and geographic limitations were noted. Many included studies used self-reported data and cross-sectional designs, so they cannot show cause and effect.

Do not read this as evidence that explaining vaccine safety, correcting myths, or improving access will increase HPV vaccination. It is a concept analysis of factors associated with hesitancy, not a test of interventions.