• Harriet Batista Ferrer, Suzanne Audrey, Caroline Trotter, and Matthew Hickman.
• School of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, United Kingdom. Electronic address: Harriet.Batista@bristol.ac.uk.
• Prev Med. 2015 Dec 1; 81: 122-31.

BackgroundInterventions to increase uptake of Human Papillomavirus (HPV) vaccination by young women may be more effective if they are underpinned by an appropriate theoretical model or framework. The aims of this review were: to describe the theoretical models or frameworks used to explain behaviours in relation to HPV vaccination of young women, and: to consider the appropriateness of the theoretical models or frameworks used for informing the development of interventions to increase uptake.MethodsPrimary studies were identified through a comprehensive search of databases from inception to December 2013.ResultsThirty-four relevant studies were identified, of which 31 incorporated psychological health behaviour models or frameworks and three used socio-cultural models or theories. The primary studies used a variety of approaches to measure a diverse range of outcomes in relation to behaviours of professionals, parents, and young women. The majority appeared to use theory appropriately throughout. About half of the quantitative studies presented data in relation to goodness of fit tests and the proportion of the variability in the data.ConclusionDue to diverse approaches and inconsistent findings across studies, the current contribution of theory to understanding and promoting HPV vaccination uptake is difficult to assess. Ecological frameworks encourage the integration of individual and social approaches by encouraging exploration of the intrapersonal, interpersonal, organisational, community and policy levels when examining public health issues. Given the small number of studies using such approach, combined with the importance of these factors in predicting behaviour, more research in this area is warranted.Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

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