Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado

Introducción: La vacuna contra el VPH en niñas de 9 a 14 años es una estrategia fundamental para lograr la eliminación del cáncer cervical, sin embargo, su cobertura en Colombia se encuentra muy por debajo de lo recomendado por la Organización Mundial de la Salud. Objetivo: Evaluar el efecto de una...

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Autores:
Córdoba Sánchez, Verónica
Tipo de recurso:
Doctoral thesis
Fecha de publicación:
2025
Institución:
Universidad de San Buenaventura
Repositorio:
Repositorio USB
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.usb.edu.co:10819/25165
Acceso en línea:
https://hdl.handle.net/10819/25165
Palabra clave:
150 - Psicología
Vacunación
Prevención
Salud
Vacunación contra el VPH
Comportamiento saludable
Reticencia a la vacunación
Cáncer cervical
Ensayo clínico comporamental
HPV vaccination
Healthy behavior
Vaccine hesitancy
Cervical cancer
Behavioral clinical trial
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http://purl.org/coar/access_right/c_14cb
id SANBUENAV2_d0b5dfcdc5b5337e1a03cd1e460b320b
oai_identifier_str oai:bibliotecadigital.usb.edu.co:10819/25165
network_acronym_str SANBUENAV2
network_name_str Repositorio USB
repository_id_str
dc.title.spa.fl_str_mv Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
title Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
spellingShingle Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
150 - Psicología
Vacunación
Prevención
Salud
Vacunación contra el VPH
Comportamiento saludable
Reticencia a la vacunación
Cáncer cervical
Ensayo clínico comporamental
HPV vaccination
Healthy behavior
Vaccine hesitancy
Cervical cancer
Behavioral clinical trial
title_short Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
title_full Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
title_fullStr Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
title_full_unstemmed Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
title_sort Implementación del protocolo Superprotegidas para incrementar la vacunación contra el VPH en niñas y adolescentes de 9 a 14 años del municipio de Envigado
dc.creator.fl_str_mv Córdoba Sánchez, Verónica
dc.contributor.advisor.none.fl_str_mv Gaviria Gómez, Ana Milena
Lemos Hoyos, Mariantonia
dc.contributor.author.none.fl_str_mv Córdoba Sánchez, Verónica
dc.contributor.jury.none.fl_str_mv Martínez Villareal, Deborah
Díaz Soto, Cecilia Maria
Rodríguez Rodríguez, Ivonne Maritza
dc.contributor.researchgroup.none.fl_str_mv Grupo de Investigación Salud Comportamental y Organizacional (Medellín)
dc.subject.ddc.none.fl_str_mv 150 - Psicología
topic 150 - Psicología
Vacunación
Prevención
Salud
Vacunación contra el VPH
Comportamiento saludable
Reticencia a la vacunación
Cáncer cervical
Ensayo clínico comporamental
HPV vaccination
Healthy behavior
Vaccine hesitancy
Cervical cancer
Behavioral clinical trial
dc.subject.other.none.fl_str_mv Vacunación
Prevención
Salud
dc.subject.proposal.spa.fl_str_mv Vacunación contra el VPH
Comportamiento saludable
Reticencia a la vacunación
Cáncer cervical
Ensayo clínico comporamental
dc.subject.proposal.eng.fl_str_mv HPV vaccination
Healthy behavior
Vaccine hesitancy
Cervical cancer
Behavioral clinical trial
description Introducción: La vacuna contra el VPH en niñas de 9 a 14 años es una estrategia fundamental para lograr la eliminación del cáncer cervical, sin embargo, su cobertura en Colombia se encuentra muy por debajo de lo recomendado por la Organización Mundial de la Salud. Objetivo: Evaluar el efecto de una intervención comportamental denominada Superprotegidas para incrementar la tasa de vacunación contra el VPH en niñas y adolescentes de 9 a 14 años estudiantes de instituciones educativas oficiales del municipio de Envigado. Metodología: Estudio experimental clínico controlado de dos brazos. La muestra estuvo compuesta por 154 participantes, de los cuales 42 pares de niñas y cuidadores (n=84) estuvieron en el grupo de intervención y 35 pares (n=70) en el grupo de control. La conceptualización del problema se desarrolló bajo el modelo teórico COM-B. Se midió la línea de base para datos sociodemográficos y factores comportamentales para todos los participantes, el desenlace primario fue la aplicación de la vacuna. Resultado: En el grupo de intervención 52.4% se vacunaron, frente a 28.6% en el grupo de control, con un OR de 2.75 (95% IC: 1.06-7.12). Los factores predictores de la vacunación fueron el haber participado en la intervención y el nivel educativo de la menor. La evaluación post intervención de los factores comportamentales en los padres demostró cambios significativos en la capacidad, motivación, oportunidad y autoeficacia. Conclusiones: La intervención Superprotegidas tuvo un efecto positivo en los participantes que la recibieron y podría ser implementada en contextos con características sociodemográficas similares.
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-06-16T17:04:20Z
dc.date.available.none.fl_str_mv 2025-06-16T17:04:20Z
dc.date.issued.none.fl_str_mv 2025
dc.type.none.fl_str_mv Trabajo de grado - Doctorado
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_db06
dc.type.content.none.fl_str_mv Text
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/doctoralThesis
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TD
dc.type.version.none.fl_str_mv info:eu-repo/semantics/acceptedVersion
format http://purl.org/coar/resource_type/c_db06
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10819/25165
url https://hdl.handle.net/10819/25165
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.accessrights.none.fl_str_mv info:eu-repo/semantics/closedAccess
dc.rights.coar.none.fl_str_mv http://purl.org/coar/access_right/c_14cb
eu_rights_str_mv closedAccess
rights_invalid_str_mv http://purl.org/coar/access_right/c_14cb
dc.format.extent.none.fl_str_mv 118 páginas
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.branch.none.fl_str_mv Medellín
dc.publisher.faculty.none.fl_str_mv Facultad de Psicología
dc.publisher.program.none.fl_str_mv Doctorado en Psicología
institution Universidad de San Buenaventura
dc.source.bibliographicCitation.spa.fl_str_mv Abdullahi, L. H., Kagina, B. M., Ndze, V. N., Hussey, G. D., & Wiysonge, C. S. (2020). Improving vaccination uptake among adolescents. Cochrane Database of Systematic Reviews, 2020(1), 1–89. https://doi.org/10.1002/14651858.CD011895.pub2
Arbyn, M., Xu, L., Simoens, C., & Martin-Hirsch, P. P. L. (2018). Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors. Cochrane Database of Systematic Reviews, 2018(5), 1–184. https://doi.org/10.1002/14651858.CD009069.pub3
Ault, K. A. (2006). Epidemiology and Natural History of Human Papillomavirus Infections in the Female Genital Tract. Infectious Diseases in Obstetrics and Gynecology, 2006(1), 1–5. https://doi.org/10.1155/IDOG/2006/40470
Baandrup, L., Valentiner-Branth, P., & Kjaer, S. K. (2021). HPV vaccination crisis and recovery: the Danish case. HPV World Newsletter, 149, 1–5.
Benavides Cabuya, H. J., Polo Peña, E. Y., Rodríguez Araujo, D. M., Tovar Rodríguez, P., & Pineda-Marín, C. (2020). Estrategias de aceptabilidad de la vacunación contra el virus del papiloma humano: una revisión sistemática. Suma Psicológica, 27(2), 125–141. https://doi.org/10.14349/SUMAPSI.2020.V27.N2.7
BMJ. (1996). The Nuremberg Code (1947). BMJ, 313(7070), 1448–1448. https://doi.org/10.1136/bmj.313.7070.1448
Bocquier, A., Bruel, S., Michel, M., Le Duc-Banaszuk, A. S., Bonnay, S., Branchereau, M., Chevreul, K., Chyderiotis, S., Gauchet, A., Giraudeau, B., Hagiu, D. P., Mueller, J. E., Gagneux-Brunon, A., & Thilly, N. (2023). Co-development of a school-based and primary care-based multicomponent intervention to improve HPV vaccine coverage amongst French adolescents (the PrevHPV Study). Health Expectations, 26(5), 1843–1853. https://doi.org/10.1111/hex.13778
Brandt, H. M., Footman, A., Adsul, P., Ramanadhan, S., & Kepka, D. (2023). Implementing interventions to start HPV vaccination at age 9: Using the evidence we have. Human Vaccines and Immunotherapeutics, 19(1), 1–8. https://doi.org/10.1080/21645515.2023.2180250
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/CAAC.21492
Brewer, N. T. (2021). What Works to Increase Vaccination Uptake. Academic pediatrics, 21(4S), S9–S16. https://doi.org/10.1016/J.ACAP.2021.01.017
Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017). Increasing Vaccination: Putting Psychological Science Into Action. Psychological science in the public interest : a journal of the American Psychological Society, 18(3), 149–207. https://doi.org/10.1177/1529100618760521
Bruni, L., Albero, G., Serrano, B., Mena, M., Collado, J. J., Gómez, D., Muñoz, J., Bosch, F. X., de Sanjose, S., & ICO/IARC Information Centre on HPV and Cancer. (2023). Human Papillomavirus and Related Diseases in Colombia.
Bruni, L., Saura-Lázaro, A., Montoliu, A., Brotons, M., Alemany, L., Diallo, M. S., Afsar, O. Z., LaMontagne, D. S., Mosina, L., Contreras, M., Velandia-González, M., Pastore, R., Gacic Dobo, M., & Bloem, P. (2021). HPV vaccination introduction worldwide and WHO and UNICEF estimates of national HPV immunization coverage 2010–2019. Preventive Medicine, 144, 1–12. https://doi.org/10.1016/j.ypmed.2020.106399
Carvalho, A. M. C. de, Andrade, E. M. L. R., Nogueira, L. T., & Araújo, T. M. E. De. (2019). HPV vaccine adherence among adolescents: integrative review. Texto & Contexto Enfermagem, 28, 1–15. https://doi.org/10.1590/1980-265x-tce-2018-0257
Celentano, I., Winer, R. L., Jang, S. H., Ibrahim, A., Mohamed, F. B., Lin, J., Amsalu, F., Ali, A. A., Taylor, V. M., & Ko, L. K. (2021). Development of a theory-based HPV vaccine promotion comic book for East African adolescents in the US. BMC Public Health, 21(1), 1– 12. https://doi.org/10.1186/S12889-021-11005-2/TABLES/4
Chandeying, N., & Thongseiratch, T. (2023). Systematic review and meta-analysis comparing educational and reminder digital interventions for promoting HPV vaccination uptake. npj Digital Medicine, 6(1), 1–8. https://doi.org/10.1038/s41746-023-00912-w
Colombia Congreso de la República. (2006). Ley 1090 de 2006 (septiembre 6): Por la cual se reglamenta el ejercicio de la profesión de Psicología, se dicta el Código Deontológico y Bioético y otras disposiciones.
Colombia Congreso de la República. (2012). Ley 1581 (octubre 17): Por la cual se dictan disposiciones generales para la protección de datos personales.
Colombia Congreso de la República. (2013). Ley 1626 (Abril 30): por medio de la cual se garantiza la vacunación gratuita y obligatoria a la población colombiana objeto de la misma, se adoptan medidas integrales para la prevención del cáncer cérvico uterino y se dictan otras disposiciones.
Colombia Ministerio de Salud y Protección Social. (1993). Resolución 8430 de 1993 por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Ministerio de Salud y Protección Social.
Cordoba-Sanchez, V., Lemos, M., & Sheinfeld Gorin, S. (2025). Development of an intervention to increase HPV vaccine uptake in Colombia. Pilot and Feasibility Studies, 11(1), 1–12. https://doi.org/10.1186/s40814-025-01609-5
Cordoba-Sanchez, V., Lemos, M., Tamayo-Lopera, D. A., & Sheinfeld Gorin, S. (2022). HPV Vaccine Hesitancy in Colombia: A Mixed-Methods Study. Vaccines, 10(8), 1–16. https://doi.org/10.3390/vaccines10081187
Cordoba-Sanchez, V., Tovar-Aguirre, O. L., Franco, S., Arias Ortiz, N. E., Louie, K., Sanchez, G. I., & Garces-Palacio, I. C. (2019). Perception about barriers and facilitators of the school based HPV vaccine program of Manizales, Colombia: A qualitative study in school-enrolled girls and their parents. Preventive Medicine Reports, 16, 1–9. https://doi.org/10.1016/j.pmedr.2019.100977
Cordoba Sanchez, V., Lemos, M., & Sheinfeld Gorin, S. (2024). A Feasibility Study of a Behavioral Intervention to Increase Uptake of Human Papillomavirus (HPV) Vaccination in Envigado, Colombia. JCO Global Oncology, 10(Supplement_1), 12–12. https://doi.org/10.1200/GO-24-14000
Craig, P., Dieppe, P., Macintyre, S., Mitchie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ, 337(7676), 979–983. https://doi.org/10.1136/BMJ.A1655
Czajkowski, S. M., Powell, L. H., Adler, N., Naar-King, S., Reynolds, K. D., Hunter, C. M., Laraia, B., Olster, D. H., Perna, F. M., Peterson, J. C., Epel, E., Boyington, J. E., & Charlson, M. E. (2015). From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychology, 34(10), 971–982. https://doi.org/10.1037/HEA0000161
DANE. (2018). Censo Nacional de Población y Vivienda Colombia 2018.
Dean, A. G., Sullivan, K. M., & Soe, M. . (2013, abril 6). OpenEpi: Open Source Epidemiologic Statistics for Public Health. OpenEpi: Open Source Epidemiologic Statistics for Public Health. https://www.openepi.com/Menu/OE_Menu.htm
Dempsey, A. F. (2017). On the implications of desexualizing vaccines against sexually transmitted diseases: reflections from a practicing pediatrician. Israel Journal of Health Policy Research, 6(1), 56. https://doi.org/10.1186/s13584-017-0181-0
Díaz, L., Martínez Villareal, D., Márquez, K., & Scartascini, C. (2025). Combating Vaccine Hesitancy: The Case of HPV Vaccination.
Díaz, L., Martínez Villareal, D., Márquez, K., & Scartascini, C. (2025). Combating Vaccine Hesitancy: The Case of HPV Vaccination.
Drolet, M., Bénard, É., Pérez, N., Brisson, M., Ali, H., Boily, M. C., Baldo, V., Brassard, P., Brotherton, J. M. L., Callander, D., Checchi, M., Chow, E. P. F., Cocchio, S., Dalianis, T., Deeks, S. L., Dehlendorff, C., Donovan, B., Fairley, C. K., Flagg, E. W., … Yu, B. N. (2019). Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis. The Lancet, 394(10197), 497–509. https://doi.org/10.1016/S0140-6736(19)30298-3
Duckworth, A. L., & Gross, J. J. (2020). Behavior Change. Organizational behavior and human decision processes, 161(Suppl), 39–49. https://doi.org/10.1016/J.OBHDP.2020.09.002
Escoffery, C., Petagna, C., Agnone, C., Perez, S., Saber, L. B., Ryan, G., Dhir, M., Sekar, S., Yeager, K. A., Biddell, C. B., Madhivanan, P., Lee, S., English, A. S., Savas, L., Daly, E., Vu, T., & Fernandez, M. E. (2023). A systematic review of interventions to promote HPV vaccination globally. BMC public health, 23(1), 1–57. https://doi.org/10.1186/S12889-023- 15876-5
Eskola, J., Duclos, P., Schuster, M., MacDonald, N. E., Liang, X., Chaudhuri, M., Dube, E., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Zhou, Y., Guirguis, S., & Hickler, B. (2015). How to deal with vaccine hesitancy? Vaccine, 33(34), 4215–4217. https://doi.org/10.1016/J.VACCINE.2015.04.043
Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Piñeros, M., Znaor, A., Soerjomataram, I., & Bray, F. (2024). Global Cancer Observatory: Cancer Today.
Fleiss, J. L. (1981). Statistical methods for rates and proportions. John Wiley & Sons, Inc.
Flood, T., Hughes, C. M., Wilson, I., & McLaughlin, M. (2024). Applying the COM-B behaviour model to understand factors which impact 15-16 year old students’ ability to protect themselves against acquirement of Human Papilloma virus (HPV) in Northern Ireland, UK. PLOS Global Public Health, 4(4), 1–30. https://doi.org/10.1371/journal.pgph.0003100
Francis, D. B., Cates, J. R., Wagner, K. P. G., Zola, T., Fitter, J. E., & Coyne-Beasley, T. (2017). Communication technologies to improve HPV vaccination initiation and completion: A systematic review. Patient Education and Counseling, 100(7), 1280–1286. https://doi.org/10.1016/J.PEC.2017.02.004
Franco, J. G., Gaviria, A. M., Torres, Y., & Cotes, J. M. (2007). Regresión logística en la literatura psiquiátrica: evaluación de los artículos publicados entre 2002 y 2005 en una prominente revista. Revista Brasileira de Epidemiologia, 10(3), 370–379. https://doi.org/10.1590/s1415- 790x2007000300008
Fu, L. Y., Bonhomme, L. A., Cooper, S. C., Joseph, J. G., & Zimet, G. D. (2014). Educational interventions to increase HPV vaccination acceptance: a systematic review. Vaccine, 32(17), 1901–1920. https://doi.org/10.1016/J.VACCINE.2014.01.091
Gamboa, O., & Murillo, R. (2016). Estimación de la carga económica de las lesiones preneoplásicas y el cáncer de cuello uterino en Colombia. Implicaciones para la vacunación contra el VPH. Revista Colombiana de Cancerología, 20(2), 61–72. https://doi.org/10.1016/J.RCCAN.2016.02.004
Gamboa, O., & Murillo, R. (2016). Estimación de la carga económica de las lesiones preneoplásicas y el cáncer de cuello uterino en Colombia. Implicaciones para la vacunación contra el VPH. Revista Colombiana de Cancerología, 20(2), 61–72. https://doi.org/10.1016/J.RCCAN.2016.02.004
Glenn, B. A., Crespi, C. M., Herrmann, A. K., Nonzee, N. J., Rosen, D. L., Park, C. L., Johnson, G., Chang, L. C., Singhal, R., Taylor, V. M., & Bastani, R. (2023). Effectiveness and feasibility of three types of parent reminders to increase adolescent human papillomavirus (HPV) vaccination. Preventive Medicine, 169(107448), 1–13. https://doi.org/10.1016/j.ypmed.2023.107448
Grant, S., Mayo-Wilson, E., Montgomery, P., Macdonald, G., Michie, S., Hopewell, S., & Moher, D. (2018). CONSORT-SPI 2018 Explanation and Elaboration: guidance for reporting social and psychological intervention trials. Trials, 19(1), 1–18. https://doi.org/10.1186/s13063- 018-2735-z
Grillo-Ardila, C. F. (2014). El Carmen de Bolívar: una lección que no debemos olvidar. Revista Colombiana de Obstetricia y Ginecología, 65(3), 198–201. https://doi.org/10.18597/RCOG.46
Hanley, S. J. B., Yoshioka, E., Ito, Y., & Kishi, R. (2015). HPV vaccination crisis in Japan. The Lancet, 385(9987), 2571–2571. https://doi.org/10.1016/S0140-6736(15)61152-7
Haruyama, R., Obara, H., & Fujita, N. (2021). What is the current status of Japan’s efforts to meet global goals and targets to eliminate cervical cancer? Global Health & Medicine, 3(1), 44. https://doi.org/10.35772/GHM.2020.01070
Henrikson, N. B., Zhu, W., Baba, L., Nguyen, M., Berthoud, H., Gundersen, G., & Hofstetter, A. M. (2018). Outreach and Reminders to Improve Human Papillomavirus Vaccination in an Integrated Primary Care System. Clinical Pediatrics, 57(13), 1523–1531. https://doi.org/10.1177/0009922818787868
Hernández Vargas, J. A., Ramírez Barbosa, P. X., Gil Quijano, A. M., Valbuena, A. M., Acuña, L., & González, J. A. (2020). Patterns of breast, prostate and cervical cancer incidence and mortality in Colombia: an administrative registry data analysis. BMC Cancer, 20(1), 1–9. https://doi.org/10.1186/S12885-020-07611-9/FIGURES/2
Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., MacDonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan Phelan, A. W., Michie, S., & Voigt-Radloff, S. (2016). Better Reporting of Interventions: Template for Intervention Description and Replication (TIDieR) Checklist and Guide. Gesundheitswesen, 78(3), 175–188. https://doi.org/10.1055/S-0041-111066
Lee, H., Kim, M., Cooley, M. E., Kiang, P. N. chu, Kim, D., Tang, S., Shi, L., Thiem, L., Kan, P., Peou, S., Touch, C., Chea, P., & Allison, J. (2018). Using narrative intervention for HPV vaccine behavior change among Khmer mothers and daughters: A pilot RCT to examine feasibility, acceptability, and preliminary effectiveness. Applied nursing research, 40, 51–60. https://doi.org/10.1016/J.APNR.2017.12.008
Lee, H. Y., Xiong, S., Sur, A., Khang, T., Vue, B., Culhane-Pera, K. A., Pergament, S., Torres, M. B., Koopmeiners, J. S., & Desai, J. (2023). Evaluating Human Papillomavirus eHealth in Hmong Adolescents to Promote Vaccinations: Pilot Feasibility Study. JMIR Formative Research, 7(1), 1–15. https://doi.org/10.2196/38388
Lennon, T., Gundacker, C., Nugent, M., Simpson, P., Magallanes, N. K., West, C., & Willis, E. (2019). Ancillary Benefit of Increased HPV Immunization Rates Following a CBPR Approach to Address Immunization Disparities in Younger Siblings. Journal of Community Health, 44(3), 544–551. https://doi.org/10.1007/S10900-018-00610-9/METRICS
Liga Colombiana Contra el Cáncer. (2022). Regalo de vida. http://regalodevida.co/
MacDonald, N. E., Eskola, J., Liang, X., Chaudhuri, M., Dube, E., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Zhou, Y., Duclos, P., Guirguis, S., Hickler, B., & Schuster, M. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161–4164. https://doi.org/10.1016/J.VACCINE.2015.04.036
Mahmoodabad, S. S. M., Mahmoodabadi, H. Z., Majd, H. M., Miri, M. R., & Mandegar, M. (2023). The Effect of Educational Program Based on the COM-B Model on the Adoption of Preventive Behaviors against the Tendency for Addiction in Sensation-Seeking Male Students of Junior School. The Journal of Tolooebehdasht, 22(3), 1–15. https://doi.org/10.18502/TBJ.V22I3.13681
Marshall, S., Fleming, A., Sahm, L. J., & Moore, A. C. (2023). Identifying intervention strategies to improve HPV vaccine decision-making using behaviour change theory. Vaccine, 41(7), 1368–1377. https://doi.org/10.1016/J.VACCINE.2023.01.025
Martinez, D., Díaz, L., Maldonado, S., Anand, M., Rees-Punia, E., Castro, C., & Marin, M. (2021). Nudging parents with tailored informational SMS can increase HPV vaccinations.
Martinez, M., Estevez, A., Quijada, H., Walteros, D., Tolosa, N., Paredes, A., Alvarez, C., Armenta, A., Osorio, L., Castillo, O., & DelaHoz, F. (2015). Brote de evento de etiología desconocida en el municipio de El Carmen de Bolívar, Bolívar, 2014. Informe Quincenal Epidemiológico Nacional, 20(3–4), 41–76.
Martinez Villarreal, D. (2023). Nudging Vaccination in Latin America: Insights from Three Field Experiments in Behavioral Economics [Doctoral dissertation, George Mason University]. https://doi.org/10.13021/MARS/2474
Mavundza, E. J., Iwu-Jaja, C. J., Wiyeh, A. B., Gausi, B., Abdullahi, L. H., Halle-Ekane, G., & Wiysonge, C. S. (2021). A Systematic Review of Interventions to Improve HPV Vaccination Coverage. Vaccines, 9(7). https://doi.org/10.3390/VACCINES9070687
McGlone, M. S., Stephens, K. K., Rodriguez, S. A., & Fernandez, M. E. (2017). Persuasive texts for prompting action: Agency assignment in HPV vaccination reminders. Vaccine, 35(34), 4295–4297. https://doi.org/10.1016/J.VACCINE.2017.06.080
McLean, H. Q., VanWormer, J. J., Chow, B. D. W., Birchmeier, B., Vickers, E., DeVries, E., Meyer, J., Moore, J., McNeil, M. M., Stokley, S., Gee, J., & Belongia, E. A. (2017). Improving Human Papillomavirus Vaccine Use in an Integrated Health System: Impact of a Provider and Staff Intervention. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 61(2), 252–258. https://doi.org/10.1016/J.JADOHEALTH.2017.02.019
Michie, S., Atkins, L., & West, R. (2014). The behaviour change wheel : a guide to designing interventions. Silverback Publishing.
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 46(1), 81–95. https://doi.org/10.1007/S12160-013-9486-6
Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), 42. https://doi.org/10.1186/1748-5908-6-42
Ministerio de Salud y Proteccion Social. (2019). Cáncer de cuello uterino. https://shorturl.at/Z2Vjx
Ministerio de Salud y Proteccion Social. (2024). Ministerio de Salud y Protección Social amplía la edad de vacunación contra el VPH para jóvenes de 15 a 17 años.
Ministerio de Salud y Protección Social. (2025). Resolución Número 309 de 2025. Ministerio de Salud y Protección Social.
Minsalud. (2023, agosto 16). Minsalud fortalece esquema de vacunación ante alertas por picos de enfermedades prevenibles. Boletín de Prensa No 186 de 2023.
Mitchell, H., Lim, R., Gill, P. K., Dhanoa, J., Dubé, È., & Bettinger, J. A. (2022). What do adolescents think about vaccines? Systematic review of qualitative studies. PLOS Global Public Health, 2(9), 1–30. https://doi.org/10.1371/journal.pgph.0001109
Mohamed, R., Kelly, K. M., Nili, M., & Kelley, G. A. (2022). A systematic review with meta analysis of parental interventions for human papillomavirus vaccine uptake. Journal of the American Pharmacists Association : JAPhA, 62(4), 1142–1153. https://doi.org/10.1016/J.JAPH.2022.04.004
Muñoz, N., Bosch, F. X., de Sanjosé, S., Herrero, R., Castellsagué, X., Shah, K. V., Snijders, P. J. F., & Meijer, C. J. L. M. (2003). Epidemiologic classification of human papillomavirus types associated with cervical cancer. The New England journal of medicine, 348(6), 518–527. https://doi.org/10.1056/NEJMOA021641
Munoz, N., Bosch, F. X., de Sanjose, S., Tafur, L., Izarzugaza, I., Gili, M., Viladiu, P., Navarro, C., Martos, C., Ascunce, N., Gonzalez, L. C., Kaldor, J. M., Guerrero, E., Lorincz, A., Santamaria, M., De Ruiz, P. A., Aristizabal, N., & Shah, K. (1992). The causal link between human papillomavirus and invasive cervical cancer: a population-based case-control study in Colombia and Spain. International journal of cancer, 52(5), 743–749. https://doi.org/10.1002/IJC.2910520513
Muñoz, N., & Bravo, L. E. (2012). Epidemiology of cervical cancer in Colombia. Colombia Medica, 43(4), 298–304.
Muñoz, N., Castro, C., Marin, M., & Torres-Agredo, M. (2020). Vacunación contra el VPH en Colombia. De la pesadilla a un resplandeciente y prometedor amanecer. HPV World Newsletter, 142, 1–6.
Murillo, R., Wiesner, C., Cendales, R., Piñeros, M., & Tovar, S. (2011). Comprehensive evaluation of cervical cancer screening programs: the case of Colombia. Salud Pública de México, 53(6), 469–477.
Murillo, R., Wiesner, C., Cendales, R., Piñeros, M., & Tovar, S. (2011). Comprehensive evaluation of cervical cancer screening programs: the case of Colombia. Salud Pública de México, 53(6), 469–477.
National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research.
Organización Mundial de la Salud. (2020a). Agenda de Inmunización 2030. Una estrategia mundial para no dejar a nadie atrás.
Organización Mundial de la Salud. (2020b). Por un futuro sin cáncer del cuello uterino: por primera vez el mundo se ha comprometido a eliminar un cáncer. 2020. https://www.who.int/es/news/item/17-11-2020-a-cervical-cancer-free-future-first-ever global-commitment-to-eliminate-a-cance
Parra-Medina, D., Morales-Campos, D. Y., Mojica, C., & Ramirez, A. G. (2015). Promotora Outreach, Education and Navigation Support for HPV Vaccination to Hispanic Women with Unvaccinated Daughters. Journal of Cancer Education, 30(2), 353–359. https://doi.org/10.1007/s13187-014-0680-4
Patel, C., Brotherton, J. M. L., Pillsbury, A., Jayasinghe, S., Donovan, B., Macartney, K., & Marshall, H. (2018). The impact of 10 years of human papillomavirus (HPV) vaccination in Australia: what additional disease burden will a nonavalent vaccine prevent? Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 23(41), 30–40. https://doi.org/10.2807/1560-7917.ES.2018.23.41.1700737
Paul, K. T. (2016). “Saving lives”: Adapting and adopting Human Papilloma Virus (HPV) vaccination in Austria. Social Science & Medicine, 153, 193–200. https://doi.org/10.1016/J.SOCSCIMED.2016.02.006
Paul, K. T. (2016). “Saving lives”: Adapting and adopting Human Papilloma Virus (HPV) vaccination in Austria. Social Science & Medicine, 153, 193–200. https://doi.org/10.1016/J.SOCSCIMED.2016.02.006
Powell, L. H., Freedland, K. E., & Kaufmann, P. G. (2021). Behavioral Clinical Trials for Chronic Diseases. Springer International Publishing. https://doi.org/10.1007/978-3-030-39330-4
Rand, C. M., Brill, H., Albertin, C., Humiston, S. G., Schaffer, S., Shone, L. P., Blumkin, A. K., & Szilagyi, P. G. (2015). Effectiveness of centralized text message reminders on human papillomavirus immunization coverage for publicly insured adolescents. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 56(5 Suppl), S17–S20. https://doi.org/10.1016/J.JADOHEALTH.2014.10.273
Real, F. J., Zackoff, M. W., & Rosen, B. L. (2023). Using Technology to Overcome Vaccine Hesitancy. Pediatric Clinics of North America, 70(2), 297–308. https://doi.org/10.1016/j.pcl.2022.11.007
Retegi, A., Sauvage, B., Predan, B., Tomás, E., Schosswohl, G., & Kaltenbrunner, M. (2019). The Co-Create handbook for creative professionals. CO-CREATE.
Richman, A. R., Torres, E., Wu, Q., Carlston, L., O’rorke, S., Moreno, C., & Olsson, J. (2019). Text and Email Messaging for Increasing Human Papillomavirus Vaccine Completion among Uninsured or Medicaid-insured Adolescents in Rural Eastern North Carolina. Journal of Health Care for the Poor and Underserved, 30(4), 1499–1517. https://doi.org/10.1353/HPU.2019.0090
Rockliffe, L., Chorley, A. J., McBride, E., Waller, J., & Forster, A. S. (2018). Assessing the acceptability of incentivising HPV vaccination consent form return as a means of increasing uptake. BMC Public Health, 18(1), 1–9. https://doi.org/10.1186/s12889-018-5278-z
Ruiz Morales, A. J., & Gómez-Restrepo, C. (2015). Epidemiología Clinica. Investigación Clinica Aplicada. Editorial Medica Panamericana.
Scarinci, I. C., Hansen, B., & Kim, Y. il. (2020). HPV vaccine uptake among daughters of Latinx immigrant mothers: Findings from a cluster randomized controlled trial of a community based, culturally relevant intervention. Vaccine, 38(25), 4125–4134. https://doi.org/10.1016/j.vaccine.2020.03.052
Schroeder, S. A. (2007). We Can Do Better — Improving the Health of the American People. New England Journal of Medicine, 357(12), 1221–1228. https://doi.org/10.1056/NEJMsa073350
Singh, D., Vignat, J., Lorenzoni, V., Eslahi, M., Ginsburg, O., Lauby-Secretan, B., Arbyn, M., Basu, P., Bray, F., & Vaccarella, S. (2023). Global estimates of incidence and mortality of cervical cancer in 2020: a baseline analysis of the WHO Global Cervical Cancer Elimination Initiative. The Lancet. Global health, 11(2), e197–e206. https://doi.org/10.1016/S2214- 109X(22)00501-0
Skyles, T. J., Stevens, H. P., Davis, S. C., Obray, A. M., Miner, D. S., East, M. J., Davis, T., Hoelzer, H., Piccolo, S. R., Jensen, J. L., & Poole, B. D. (2024). Comparison of Predictive Factors of Flu Vaccine Uptake Pre- and Post-COVID-19 Using the NIS-Teen Survey. Vaccines, 12(10), 1–11. https://doi.org/10.3390/vaccines12101164
Smulian, E. A., Mitchell, K. R., & Stokley, S. (2016). Interventions to increase HPV vaccination coverage: A systematic review. Human vaccines & immunotherapeutics, 12(6), 1566–1588. https://doi.org/10.1080/21645515.2015.1125055
Suppli, C. H., Hansen, N. D., Rasmussen, M., Valentiner-Branth, P., Krause, T. G., & Mølbak, K. (2018). Decline in HPV-vaccination uptake in Denmark – the association between HPV related media coverage and HPV-vaccination. BMC Public Health, 18(1), 1–8. https://doi.org/10.1186/S12889-018-6268-X
Vale, D. B., Teixeira, J. C., Bragança, J. F., Derchain, S., Sarian, L. O., & Zeferino, L. C. (2021). Elimination of cervical cancer in low- and middle-income countries: Inequality of access and fragile healthcare systems. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 152(1), 7–11. https://doi.org/10.1002/IJGO.13458
Walboomers, J. M. M., Jacobs, M. V., Manos, M. M., Bosch, F. X., Kummer, J. A., Shah, K. V., Snijders, P. J. F., Peto, J., Meijer, C. J. L. M., & Mu�oz, N. (1999). Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. The Journal of Pathology, 189(1), 12–19. https://doi.org/djpf64
World Health Organization. (2017a). HPV vaccine communication. Special considerations for a unique vaccine: 2016 update. World Health Organization.
World Health Organization. (2017b). Human papillomavirus vaccines: WHO position paper, May 2017. https://www.who.int/publications/i/item/who-wer9219-241-268
World Health Organization. (2019). Ten threats to global health in 2019. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
World Health Organization. (2020a). Behavioural considerations for acceptance and uptake of COVID-19 vaccines. World Health Organization.
World Health Organization. (2020b). Global strategy to accelerate the elimination of cervical cancer as a public health problem. World Health Organization.
World Health Organization. (2022). WHO Immunization Data portal. Immunization dashboard Global. https://immunizationdata.who.int/
World Health Organization, & UNICEF. (2024). Human Papillomavirus (HPV) vaccination coverage. Human Papillomavirus (HPV) vaccination coverage. https://shorturl.at/mpUqG
World Medical Association. (2024, octubre). Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Participants – WMA – The World Medical Association. 2024.
Xiao, X., Lee, D. K. L., Wong, R. M., & Borah, P. (2021). The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis. American Journal of Health Promotion, 35(7), 1002–1014. https://doi.org/10.1177/08901171211012524
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spelling Gaviria Gómez, Ana MilenaLemos Hoyos, MariantoniaCórdoba Sánchez, VerónicaMartínez Villareal, DeborahDíaz Soto, Cecilia MariaRodríguez Rodríguez, Ivonne MaritzaGrupo de Investigación Salud Comportamental y Organizacional (Medellín)2025-06-16T17:04:20Z2025-06-16T17:04:20Z2025Introducción: La vacuna contra el VPH en niñas de 9 a 14 años es una estrategia fundamental para lograr la eliminación del cáncer cervical, sin embargo, su cobertura en Colombia se encuentra muy por debajo de lo recomendado por la Organización Mundial de la Salud. Objetivo: Evaluar el efecto de una intervención comportamental denominada Superprotegidas para incrementar la tasa de vacunación contra el VPH en niñas y adolescentes de 9 a 14 años estudiantes de instituciones educativas oficiales del municipio de Envigado. Metodología: Estudio experimental clínico controlado de dos brazos. La muestra estuvo compuesta por 154 participantes, de los cuales 42 pares de niñas y cuidadores (n=84) estuvieron en el grupo de intervención y 35 pares (n=70) en el grupo de control. La conceptualización del problema se desarrolló bajo el modelo teórico COM-B. Se midió la línea de base para datos sociodemográficos y factores comportamentales para todos los participantes, el desenlace primario fue la aplicación de la vacuna. Resultado: En el grupo de intervención 52.4% se vacunaron, frente a 28.6% en el grupo de control, con un OR de 2.75 (95% IC: 1.06-7.12). Los factores predictores de la vacunación fueron el haber participado en la intervención y el nivel educativo de la menor. La evaluación post intervención de los factores comportamentales en los padres demostró cambios significativos en la capacidad, motivación, oportunidad y autoeficacia. Conclusiones: La intervención Superprotegidas tuvo un efecto positivo en los participantes que la recibieron y podría ser implementada en contextos con características sociodemográficas similares.Background: Vaccination against HPV in girls aged 9 to 14 years is a fundamental strategy to achieve the elimination of cervical cancer, however, its coverage in Colombia is far below the World Health Organization's recommendation. Objective: To evaluate the effect of a behavioral intervention named Superprotegidas to increase the rate of vaccination against HPV in girls and adolescents between 9 and 14 years old, students of official educational institutions in the municipality of Envigado. Methods: Two-arm controlled clinical experimental study. The sample consisted of 154 participants, of which 42 pairs of girls and caregivers (n=84) were in the intervention group and 35 pairs (n=70) in the control group. The intervention was developed under the COM-B theoretical model. Baseline was measured for sociodemographic data and behavioral factors for all participants, the primary outcome was the application of the vaccine. Results: In the intervention group 52.4% were vaccinated, compared to 28.6% in the control group, with an OR of 2.75 (95% CI: 1.06-7.12). Predictors of vaccination were participation in the intervention and the educational level of the child. Post-intervention assessment of behavioral factors in parents demonstrated significant changes in capability, motivation, opportunity and self-efficacy. Conclusions: The Superprotegidas intervention had a positive effect on the participants who received it and could be implemented in contexts with similar sociodemographic characteristics.DoctoradoDoctor en PsicologíaSedes::Medellín::Línea de investigación psicología de la salud (Medellín)118 páginasapplication/pdfhttps://hdl.handle.net/10819/25165spaMedellínFacultad de PsicologíaDoctorado en Psicologíainfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbAbdullahi, L. H., Kagina, B. M., Ndze, V. N., Hussey, G. D., & Wiysonge, C. S. (2020). Improving vaccination uptake among adolescents. Cochrane Database of Systematic Reviews, 2020(1), 1–89. https://doi.org/10.1002/14651858.CD011895.pub2Arbyn, M., Xu, L., Simoens, C., & Martin-Hirsch, P. P. L. (2018). Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors. Cochrane Database of Systematic Reviews, 2018(5), 1–184. https://doi.org/10.1002/14651858.CD009069.pub3Ault, K. A. (2006). Epidemiology and Natural History of Human Papillomavirus Infections in the Female Genital Tract. Infectious Diseases in Obstetrics and Gynecology, 2006(1), 1–5. https://doi.org/10.1155/IDOG/2006/40470Baandrup, L., Valentiner-Branth, P., & Kjaer, S. K. (2021). HPV vaccination crisis and recovery: the Danish case. HPV World Newsletter, 149, 1–5.Benavides Cabuya, H. J., Polo Peña, E. Y., Rodríguez Araujo, D. M., Tovar Rodríguez, P., & Pineda-Marín, C. (2020). Estrategias de aceptabilidad de la vacunación contra el virus del papiloma humano: una revisión sistemática. Suma Psicológica, 27(2), 125–141. https://doi.org/10.14349/SUMAPSI.2020.V27.N2.7BMJ. (1996). The Nuremberg Code (1947). BMJ, 313(7070), 1448–1448. https://doi.org/10.1136/bmj.313.7070.1448Bocquier, A., Bruel, S., Michel, M., Le Duc-Banaszuk, A. S., Bonnay, S., Branchereau, M., Chevreul, K., Chyderiotis, S., Gauchet, A., Giraudeau, B., Hagiu, D. P., Mueller, J. E., Gagneux-Brunon, A., & Thilly, N. (2023). Co-development of a school-based and primary care-based multicomponent intervention to improve HPV vaccine coverage amongst French adolescents (the PrevHPV Study). Health Expectations, 26(5), 1843–1853. https://doi.org/10.1111/hex.13778Brandt, H. M., Footman, A., Adsul, P., Ramanadhan, S., & Kepka, D. (2023). Implementing interventions to start HPV vaccination at age 9: Using the evidence we have. Human Vaccines and Immunotherapeutics, 19(1), 1–8. https://doi.org/10.1080/21645515.2023.2180250Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/CAAC.21492Brewer, N. T. (2021). What Works to Increase Vaccination Uptake. Academic pediatrics, 21(4S), S9–S16. https://doi.org/10.1016/J.ACAP.2021.01.017Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017). Increasing Vaccination: Putting Psychological Science Into Action. Psychological science in the public interest : a journal of the American Psychological Society, 18(3), 149–207. https://doi.org/10.1177/1529100618760521Bruni, L., Albero, G., Serrano, B., Mena, M., Collado, J. J., Gómez, D., Muñoz, J., Bosch, F. X., de Sanjose, S., & ICO/IARC Information Centre on HPV and Cancer. (2023). Human Papillomavirus and Related Diseases in Colombia.Bruni, L., Saura-Lázaro, A., Montoliu, A., Brotons, M., Alemany, L., Diallo, M. S., Afsar, O. Z., LaMontagne, D. S., Mosina, L., Contreras, M., Velandia-González, M., Pastore, R., Gacic Dobo, M., & Bloem, P. (2021). HPV vaccination introduction worldwide and WHO and UNICEF estimates of national HPV immunization coverage 2010–2019. Preventive Medicine, 144, 1–12. https://doi.org/10.1016/j.ypmed.2020.106399Carvalho, A. M. C. de, Andrade, E. M. L. R., Nogueira, L. T., & Araújo, T. M. E. De. (2019). HPV vaccine adherence among adolescents: integrative review. Texto & Contexto Enfermagem, 28, 1–15. https://doi.org/10.1590/1980-265x-tce-2018-0257Celentano, I., Winer, R. L., Jang, S. H., Ibrahim, A., Mohamed, F. B., Lin, J., Amsalu, F., Ali, A. A., Taylor, V. M., & Ko, L. K. (2021). Development of a theory-based HPV vaccine promotion comic book for East African adolescents in the US. BMC Public Health, 21(1), 1– 12. https://doi.org/10.1186/S12889-021-11005-2/TABLES/4Chandeying, N., & Thongseiratch, T. (2023). Systematic review and meta-analysis comparing educational and reminder digital interventions for promoting HPV vaccination uptake. npj Digital Medicine, 6(1), 1–8. https://doi.org/10.1038/s41746-023-00912-wColombia Congreso de la República. (2006). Ley 1090 de 2006 (septiembre 6): Por la cual se reglamenta el ejercicio de la profesión de Psicología, se dicta el Código Deontológico y Bioético y otras disposiciones.Colombia Congreso de la República. (2012). Ley 1581 (octubre 17): Por la cual se dictan disposiciones generales para la protección de datos personales.Colombia Congreso de la República. (2013). Ley 1626 (Abril 30): por medio de la cual se garantiza la vacunación gratuita y obligatoria a la población colombiana objeto de la misma, se adoptan medidas integrales para la prevención del cáncer cérvico uterino y se dictan otras disposiciones.Colombia Ministerio de Salud y Protección Social. (1993). Resolución 8430 de 1993 por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Ministerio de Salud y Protección Social.Cordoba-Sanchez, V., Lemos, M., & Sheinfeld Gorin, S. (2025). Development of an intervention to increase HPV vaccine uptake in Colombia. Pilot and Feasibility Studies, 11(1), 1–12. https://doi.org/10.1186/s40814-025-01609-5Cordoba-Sanchez, V., Lemos, M., Tamayo-Lopera, D. A., & Sheinfeld Gorin, S. (2022). HPV Vaccine Hesitancy in Colombia: A Mixed-Methods Study. Vaccines, 10(8), 1–16. https://doi.org/10.3390/vaccines10081187Cordoba-Sanchez, V., Tovar-Aguirre, O. L., Franco, S., Arias Ortiz, N. E., Louie, K., Sanchez, G. I., & Garces-Palacio, I. C. (2019). Perception about barriers and facilitators of the school based HPV vaccine program of Manizales, Colombia: A qualitative study in school-enrolled girls and their parents. Preventive Medicine Reports, 16, 1–9. https://doi.org/10.1016/j.pmedr.2019.100977Cordoba Sanchez, V., Lemos, M., & Sheinfeld Gorin, S. (2024). A Feasibility Study of a Behavioral Intervention to Increase Uptake of Human Papillomavirus (HPV) Vaccination in Envigado, Colombia. JCO Global Oncology, 10(Supplement_1), 12–12. https://doi.org/10.1200/GO-24-14000Craig, P., Dieppe, P., Macintyre, S., Mitchie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ, 337(7676), 979–983. https://doi.org/10.1136/BMJ.A1655Czajkowski, S. M., Powell, L. H., Adler, N., Naar-King, S., Reynolds, K. D., Hunter, C. M., Laraia, B., Olster, D. H., Perna, F. M., Peterson, J. C., Epel, E., Boyington, J. E., & Charlson, M. E. (2015). From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychology, 34(10), 971–982. https://doi.org/10.1037/HEA0000161DANE. (2018). Censo Nacional de Población y Vivienda Colombia 2018.Dean, A. G., Sullivan, K. M., & Soe, M. . (2013, abril 6). OpenEpi: Open Source Epidemiologic Statistics for Public Health. OpenEpi: Open Source Epidemiologic Statistics for Public Health. https://www.openepi.com/Menu/OE_Menu.htmDempsey, A. F. (2017). On the implications of desexualizing vaccines against sexually transmitted diseases: reflections from a practicing pediatrician. Israel Journal of Health Policy Research, 6(1), 56. https://doi.org/10.1186/s13584-017-0181-0Díaz, L., Martínez Villareal, D., Márquez, K., & Scartascini, C. (2025). Combating Vaccine Hesitancy: The Case of HPV Vaccination.Díaz, L., Martínez Villareal, D., Márquez, K., & Scartascini, C. (2025). Combating Vaccine Hesitancy: The Case of HPV Vaccination.Drolet, M., Bénard, É., Pérez, N., Brisson, M., Ali, H., Boily, M. C., Baldo, V., Brassard, P., Brotherton, J. M. L., Callander, D., Checchi, M., Chow, E. P. F., Cocchio, S., Dalianis, T., Deeks, S. L., Dehlendorff, C., Donovan, B., Fairley, C. K., Flagg, E. W., … Yu, B. N. (2019). Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis. The Lancet, 394(10197), 497–509. https://doi.org/10.1016/S0140-6736(19)30298-3Duckworth, A. L., & Gross, J. J. (2020). Behavior Change. Organizational behavior and human decision processes, 161(Suppl), 39–49. https://doi.org/10.1016/J.OBHDP.2020.09.002Escoffery, C., Petagna, C., Agnone, C., Perez, S., Saber, L. B., Ryan, G., Dhir, M., Sekar, S., Yeager, K. A., Biddell, C. B., Madhivanan, P., Lee, S., English, A. S., Savas, L., Daly, E., Vu, T., & Fernandez, M. E. (2023). A systematic review of interventions to promote HPV vaccination globally. BMC public health, 23(1), 1–57. https://doi.org/10.1186/S12889-023- 15876-5Eskola, J., Duclos, P., Schuster, M., MacDonald, N. E., Liang, X., Chaudhuri, M., Dube, E., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Zhou, Y., Guirguis, S., & Hickler, B. (2015). How to deal with vaccine hesitancy? Vaccine, 33(34), 4215–4217. https://doi.org/10.1016/J.VACCINE.2015.04.043Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Piñeros, M., Znaor, A., Soerjomataram, I., & Bray, F. (2024). Global Cancer Observatory: Cancer Today.Fleiss, J. L. (1981). Statistical methods for rates and proportions. John Wiley & Sons, Inc.Flood, T., Hughes, C. M., Wilson, I., & McLaughlin, M. (2024). Applying the COM-B behaviour model to understand factors which impact 15-16 year old students’ ability to protect themselves against acquirement of Human Papilloma virus (HPV) in Northern Ireland, UK. PLOS Global Public Health, 4(4), 1–30. https://doi.org/10.1371/journal.pgph.0003100Francis, D. B., Cates, J. R., Wagner, K. P. G., Zola, T., Fitter, J. E., & Coyne-Beasley, T. (2017). Communication technologies to improve HPV vaccination initiation and completion: A systematic review. Patient Education and Counseling, 100(7), 1280–1286. https://doi.org/10.1016/J.PEC.2017.02.004Franco, J. G., Gaviria, A. M., Torres, Y., & Cotes, J. M. (2007). Regresión logística en la literatura psiquiátrica: evaluación de los artículos publicados entre 2002 y 2005 en una prominente revista. Revista Brasileira de Epidemiologia, 10(3), 370–379. https://doi.org/10.1590/s1415- 790x2007000300008Fu, L. Y., Bonhomme, L. A., Cooper, S. C., Joseph, J. G., & Zimet, G. D. (2014). Educational interventions to increase HPV vaccination acceptance: a systematic review. Vaccine, 32(17), 1901–1920. https://doi.org/10.1016/J.VACCINE.2014.01.091Gamboa, O., & Murillo, R. (2016). Estimación de la carga económica de las lesiones preneoplásicas y el cáncer de cuello uterino en Colombia. Implicaciones para la vacunación contra el VPH. Revista Colombiana de Cancerología, 20(2), 61–72. https://doi.org/10.1016/J.RCCAN.2016.02.004Gamboa, O., & Murillo, R. (2016). Estimación de la carga económica de las lesiones preneoplásicas y el cáncer de cuello uterino en Colombia. Implicaciones para la vacunación contra el VPH. Revista Colombiana de Cancerología, 20(2), 61–72. https://doi.org/10.1016/J.RCCAN.2016.02.004Glenn, B. A., Crespi, C. M., Herrmann, A. K., Nonzee, N. J., Rosen, D. L., Park, C. L., Johnson, G., Chang, L. C., Singhal, R., Taylor, V. M., & Bastani, R. (2023). Effectiveness and feasibility of three types of parent reminders to increase adolescent human papillomavirus (HPV) vaccination. Preventive Medicine, 169(107448), 1–13. https://doi.org/10.1016/j.ypmed.2023.107448Grant, S., Mayo-Wilson, E., Montgomery, P., Macdonald, G., Michie, S., Hopewell, S., & Moher, D. (2018). CONSORT-SPI 2018 Explanation and Elaboration: guidance for reporting social and psychological intervention trials. Trials, 19(1), 1–18. https://doi.org/10.1186/s13063- 018-2735-zGrillo-Ardila, C. F. (2014). El Carmen de Bolívar: una lección que no debemos olvidar. Revista Colombiana de Obstetricia y Ginecología, 65(3), 198–201. https://doi.org/10.18597/RCOG.46Hanley, S. J. B., Yoshioka, E., Ito, Y., & Kishi, R. (2015). HPV vaccination crisis in Japan. The Lancet, 385(9987), 2571–2571. https://doi.org/10.1016/S0140-6736(15)61152-7Haruyama, R., Obara, H., & Fujita, N. (2021). What is the current status of Japan’s efforts to meet global goals and targets to eliminate cervical cancer? Global Health & Medicine, 3(1), 44. https://doi.org/10.35772/GHM.2020.01070Henrikson, N. B., Zhu, W., Baba, L., Nguyen, M., Berthoud, H., Gundersen, G., & Hofstetter, A. M. (2018). Outreach and Reminders to Improve Human Papillomavirus Vaccination in an Integrated Primary Care System. Clinical Pediatrics, 57(13), 1523–1531. https://doi.org/10.1177/0009922818787868Hernández Vargas, J. A., Ramírez Barbosa, P. X., Gil Quijano, A. M., Valbuena, A. M., Acuña, L., & González, J. A. (2020). Patterns of breast, prostate and cervical cancer incidence and mortality in Colombia: an administrative registry data analysis. BMC Cancer, 20(1), 1–9. https://doi.org/10.1186/S12885-020-07611-9/FIGURES/2Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., MacDonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan Phelan, A. W., Michie, S., & Voigt-Radloff, S. (2016). Better Reporting of Interventions: Template for Intervention Description and Replication (TIDieR) Checklist and Guide. Gesundheitswesen, 78(3), 175–188. https://doi.org/10.1055/S-0041-111066Lee, H., Kim, M., Cooley, M. E., Kiang, P. N. chu, Kim, D., Tang, S., Shi, L., Thiem, L., Kan, P., Peou, S., Touch, C., Chea, P., & Allison, J. (2018). Using narrative intervention for HPV vaccine behavior change among Khmer mothers and daughters: A pilot RCT to examine feasibility, acceptability, and preliminary effectiveness. Applied nursing research, 40, 51–60. https://doi.org/10.1016/J.APNR.2017.12.008Lee, H. Y., Xiong, S., Sur, A., Khang, T., Vue, B., Culhane-Pera, K. A., Pergament, S., Torres, M. B., Koopmeiners, J. S., & Desai, J. (2023). Evaluating Human Papillomavirus eHealth in Hmong Adolescents to Promote Vaccinations: Pilot Feasibility Study. JMIR Formative Research, 7(1), 1–15. https://doi.org/10.2196/38388Lennon, T., Gundacker, C., Nugent, M., Simpson, P., Magallanes, N. K., West, C., & Willis, E. (2019). Ancillary Benefit of Increased HPV Immunization Rates Following a CBPR Approach to Address Immunization Disparities in Younger Siblings. Journal of Community Health, 44(3), 544–551. https://doi.org/10.1007/S10900-018-00610-9/METRICSLiga Colombiana Contra el Cáncer. (2022). Regalo de vida. http://regalodevida.co/MacDonald, N. E., Eskola, J., Liang, X., Chaudhuri, M., Dube, E., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Zhou, Y., Duclos, P., Guirguis, S., Hickler, B., & Schuster, M. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161–4164. https://doi.org/10.1016/J.VACCINE.2015.04.036Mahmoodabad, S. S. M., Mahmoodabadi, H. Z., Majd, H. M., Miri, M. R., & Mandegar, M. (2023). The Effect of Educational Program Based on the COM-B Model on the Adoption of Preventive Behaviors against the Tendency for Addiction in Sensation-Seeking Male Students of Junior School. The Journal of Tolooebehdasht, 22(3), 1–15. https://doi.org/10.18502/TBJ.V22I3.13681Marshall, S., Fleming, A., Sahm, L. J., & Moore, A. C. (2023). Identifying intervention strategies to improve HPV vaccine decision-making using behaviour change theory. Vaccine, 41(7), 1368–1377. https://doi.org/10.1016/J.VACCINE.2023.01.025Martinez, D., Díaz, L., Maldonado, S., Anand, M., Rees-Punia, E., Castro, C., & Marin, M. (2021). Nudging parents with tailored informational SMS can increase HPV vaccinations.Martinez, M., Estevez, A., Quijada, H., Walteros, D., Tolosa, N., Paredes, A., Alvarez, C., Armenta, A., Osorio, L., Castillo, O., & DelaHoz, F. (2015). Brote de evento de etiología desconocida en el municipio de El Carmen de Bolívar, Bolívar, 2014. Informe Quincenal Epidemiológico Nacional, 20(3–4), 41–76.Martinez Villarreal, D. (2023). Nudging Vaccination in Latin America: Insights from Three Field Experiments in Behavioral Economics [Doctoral dissertation, George Mason University]. https://doi.org/10.13021/MARS/2474Mavundza, E. J., Iwu-Jaja, C. J., Wiyeh, A. B., Gausi, B., Abdullahi, L. H., Halle-Ekane, G., & Wiysonge, C. S. (2021). A Systematic Review of Interventions to Improve HPV Vaccination Coverage. Vaccines, 9(7). https://doi.org/10.3390/VACCINES9070687McGlone, M. S., Stephens, K. K., Rodriguez, S. A., & Fernandez, M. E. (2017). Persuasive texts for prompting action: Agency assignment in HPV vaccination reminders. Vaccine, 35(34), 4295–4297. https://doi.org/10.1016/J.VACCINE.2017.06.080McLean, H. Q., VanWormer, J. J., Chow, B. D. W., Birchmeier, B., Vickers, E., DeVries, E., Meyer, J., Moore, J., McNeil, M. M., Stokley, S., Gee, J., & Belongia, E. A. (2017). Improving Human Papillomavirus Vaccine Use in an Integrated Health System: Impact of a Provider and Staff Intervention. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 61(2), 252–258. https://doi.org/10.1016/J.JADOHEALTH.2017.02.019Michie, S., Atkins, L., & West, R. (2014). The behaviour change wheel : a guide to designing interventions. Silverback Publishing.Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 46(1), 81–95. https://doi.org/10.1007/S12160-013-9486-6Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), 42. https://doi.org/10.1186/1748-5908-6-42Ministerio de Salud y Proteccion Social. (2019). Cáncer de cuello uterino. https://shorturl.at/Z2VjxMinisterio de Salud y Proteccion Social. (2024). Ministerio de Salud y Protección Social amplía la edad de vacunación contra el VPH para jóvenes de 15 a 17 años.Ministerio de Salud y Protección Social. (2025). Resolución Número 309 de 2025. Ministerio de Salud y Protección Social.Minsalud. (2023, agosto 16). Minsalud fortalece esquema de vacunación ante alertas por picos de enfermedades prevenibles. Boletín de Prensa No 186 de 2023.Mitchell, H., Lim, R., Gill, P. K., Dhanoa, J., Dubé, È., & Bettinger, J. A. (2022). What do adolescents think about vaccines? Systematic review of qualitative studies. PLOS Global Public Health, 2(9), 1–30. https://doi.org/10.1371/journal.pgph.0001109Mohamed, R., Kelly, K. M., Nili, M., & Kelley, G. A. (2022). A systematic review with meta analysis of parental interventions for human papillomavirus vaccine uptake. Journal of the American Pharmacists Association : JAPhA, 62(4), 1142–1153. https://doi.org/10.1016/J.JAPH.2022.04.004Muñoz, N., Bosch, F. X., de Sanjosé, S., Herrero, R., Castellsagué, X., Shah, K. V., Snijders, P. J. F., & Meijer, C. J. L. M. (2003). Epidemiologic classification of human papillomavirus types associated with cervical cancer. The New England journal of medicine, 348(6), 518–527. https://doi.org/10.1056/NEJMOA021641Munoz, N., Bosch, F. X., de Sanjose, S., Tafur, L., Izarzugaza, I., Gili, M., Viladiu, P., Navarro, C., Martos, C., Ascunce, N., Gonzalez, L. C., Kaldor, J. M., Guerrero, E., Lorincz, A., Santamaria, M., De Ruiz, P. A., Aristizabal, N., & Shah, K. (1992). The causal link between human papillomavirus and invasive cervical cancer: a population-based case-control study in Colombia and Spain. International journal of cancer, 52(5), 743–749. https://doi.org/10.1002/IJC.2910520513Muñoz, N., & Bravo, L. E. (2012). Epidemiology of cervical cancer in Colombia. Colombia Medica, 43(4), 298–304.Muñoz, N., Castro, C., Marin, M., & Torres-Agredo, M. (2020). Vacunación contra el VPH en Colombia. De la pesadilla a un resplandeciente y prometedor amanecer. HPV World Newsletter, 142, 1–6.Murillo, R., Wiesner, C., Cendales, R., Piñeros, M., & Tovar, S. (2011). Comprehensive evaluation of cervical cancer screening programs: the case of Colombia. Salud Pública de México, 53(6), 469–477.Murillo, R., Wiesner, C., Cendales, R., Piñeros, M., & Tovar, S. (2011). Comprehensive evaluation of cervical cancer screening programs: the case of Colombia. Salud Pública de México, 53(6), 469–477.National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research.Organización Mundial de la Salud. (2020a). Agenda de Inmunización 2030. Una estrategia mundial para no dejar a nadie atrás.Organización Mundial de la Salud. (2020b). Por un futuro sin cáncer del cuello uterino: por primera vez el mundo se ha comprometido a eliminar un cáncer. 2020. https://www.who.int/es/news/item/17-11-2020-a-cervical-cancer-free-future-first-ever global-commitment-to-eliminate-a-canceParra-Medina, D., Morales-Campos, D. Y., Mojica, C., & Ramirez, A. G. (2015). Promotora Outreach, Education and Navigation Support for HPV Vaccination to Hispanic Women with Unvaccinated Daughters. Journal of Cancer Education, 30(2), 353–359. https://doi.org/10.1007/s13187-014-0680-4Patel, C., Brotherton, J. M. L., Pillsbury, A., Jayasinghe, S., Donovan, B., Macartney, K., & Marshall, H. (2018). The impact of 10 years of human papillomavirus (HPV) vaccination in Australia: what additional disease burden will a nonavalent vaccine prevent? Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 23(41), 30–40. https://doi.org/10.2807/1560-7917.ES.2018.23.41.1700737Paul, K. T. (2016). “Saving lives”: Adapting and adopting Human Papilloma Virus (HPV) vaccination in Austria. Social Science & Medicine, 153, 193–200. https://doi.org/10.1016/J.SOCSCIMED.2016.02.006Paul, K. T. (2016). “Saving lives”: Adapting and adopting Human Papilloma Virus (HPV) vaccination in Austria. Social Science & Medicine, 153, 193–200. https://doi.org/10.1016/J.SOCSCIMED.2016.02.006Powell, L. H., Freedland, K. E., & Kaufmann, P. G. (2021). Behavioral Clinical Trials for Chronic Diseases. Springer International Publishing. https://doi.org/10.1007/978-3-030-39330-4Rand, C. M., Brill, H., Albertin, C., Humiston, S. G., Schaffer, S., Shone, L. P., Blumkin, A. K., & Szilagyi, P. G. (2015). Effectiveness of centralized text message reminders on human papillomavirus immunization coverage for publicly insured adolescents. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 56(5 Suppl), S17–S20. https://doi.org/10.1016/J.JADOHEALTH.2014.10.273Real, F. J., Zackoff, M. W., & Rosen, B. L. (2023). Using Technology to Overcome Vaccine Hesitancy. Pediatric Clinics of North America, 70(2), 297–308. https://doi.org/10.1016/j.pcl.2022.11.007Retegi, A., Sauvage, B., Predan, B., Tomás, E., Schosswohl, G., & Kaltenbrunner, M. (2019). The Co-Create handbook for creative professionals. CO-CREATE.Richman, A. R., Torres, E., Wu, Q., Carlston, L., O’rorke, S., Moreno, C., & Olsson, J. (2019). Text and Email Messaging for Increasing Human Papillomavirus Vaccine Completion among Uninsured or Medicaid-insured Adolescents in Rural Eastern North Carolina. Journal of Health Care for the Poor and Underserved, 30(4), 1499–1517. https://doi.org/10.1353/HPU.2019.0090Rockliffe, L., Chorley, A. J., McBride, E., Waller, J., & Forster, A. S. (2018). Assessing the acceptability of incentivising HPV vaccination consent form return as a means of increasing uptake. BMC Public Health, 18(1), 1–9. https://doi.org/10.1186/s12889-018-5278-zRuiz Morales, A. J., & Gómez-Restrepo, C. (2015). Epidemiología Clinica. Investigación Clinica Aplicada. Editorial Medica Panamericana.Scarinci, I. C., Hansen, B., & Kim, Y. il. (2020). HPV vaccine uptake among daughters of Latinx immigrant mothers: Findings from a cluster randomized controlled trial of a community based, culturally relevant intervention. Vaccine, 38(25), 4125–4134. https://doi.org/10.1016/j.vaccine.2020.03.052Schroeder, S. A. (2007). We Can Do Better — Improving the Health of the American People. New England Journal of Medicine, 357(12), 1221–1228. https://doi.org/10.1056/NEJMsa073350Singh, D., Vignat, J., Lorenzoni, V., Eslahi, M., Ginsburg, O., Lauby-Secretan, B., Arbyn, M., Basu, P., Bray, F., & Vaccarella, S. (2023). Global estimates of incidence and mortality of cervical cancer in 2020: a baseline analysis of the WHO Global Cervical Cancer Elimination Initiative. The Lancet. Global health, 11(2), e197–e206. https://doi.org/10.1016/S2214- 109X(22)00501-0Skyles, T. J., Stevens, H. P., Davis, S. C., Obray, A. M., Miner, D. S., East, M. J., Davis, T., Hoelzer, H., Piccolo, S. R., Jensen, J. L., & Poole, B. D. (2024). Comparison of Predictive Factors of Flu Vaccine Uptake Pre- and Post-COVID-19 Using the NIS-Teen Survey. Vaccines, 12(10), 1–11. https://doi.org/10.3390/vaccines12101164Smulian, E. A., Mitchell, K. R., & Stokley, S. (2016). Interventions to increase HPV vaccination coverage: A systematic review. Human vaccines & immunotherapeutics, 12(6), 1566–1588. https://doi.org/10.1080/21645515.2015.1125055Suppli, C. H., Hansen, N. D., Rasmussen, M., Valentiner-Branth, P., Krause, T. G., & Mølbak, K. (2018). Decline in HPV-vaccination uptake in Denmark – the association between HPV related media coverage and HPV-vaccination. BMC Public Health, 18(1), 1–8. https://doi.org/10.1186/S12889-018-6268-XVale, D. B., Teixeira, J. C., Bragança, J. F., Derchain, S., Sarian, L. O., & Zeferino, L. C. (2021). Elimination of cervical cancer in low- and middle-income countries: Inequality of access and fragile healthcare systems. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 152(1), 7–11. https://doi.org/10.1002/IJGO.13458Walboomers, J. M. M., Jacobs, M. V., Manos, M. M., Bosch, F. X., Kummer, J. A., Shah, K. V., Snijders, P. J. F., Peto, J., Meijer, C. J. L. M., & Mu�oz, N. (1999). Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. The Journal of Pathology, 189(1), 12–19. https://doi.org/djpf64World Health Organization. (2017a). HPV vaccine communication. Special considerations for a unique vaccine: 2016 update. World Health Organization.World Health Organization. (2017b). Human papillomavirus vaccines: WHO position paper, May 2017. https://www.who.int/publications/i/item/who-wer9219-241-268World Health Organization. (2019). Ten threats to global health in 2019. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019World Health Organization. (2020a). Behavioural considerations for acceptance and uptake of COVID-19 vaccines. World Health Organization.World Health Organization. (2020b). Global strategy to accelerate the elimination of cervical cancer as a public health problem. World Health Organization.World Health Organization. (2022). WHO Immunization Data portal. Immunization dashboard Global. https://immunizationdata.who.int/World Health Organization, & UNICEF. (2024). Human Papillomavirus (HPV) vaccination coverage. Human Papillomavirus (HPV) vaccination coverage. https://shorturl.at/mpUqGWorld Medical Association. (2024, octubre). Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Participants – WMA – The World Medical Association. 2024.Xiao, X., Lee, D. K. L., Wong, R. M., & Borah, P. (2021). The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis. American Journal of Health Promotion, 35(7), 1002–1014. https://doi.org/10.1177/08901171211012524Piñeros Petersen, M., Pardo Ramos, C., Gamboa Garay, O., & Hernández Suárez, G. (2010). 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