Barriers to HPV immunization for African American adolescent females

► We investigated lower rates of HPV vaccination in African American adolescent females. ► Physician failure to initiate vaccine discussion is greatest barrier to immunization. ► Unfamiliarity with term 'HPV' and link to cervical disease is also a key barrier. ► Prior maternal HPV trauma and protecting daughter's health motivates immunization. ► Recommend providers initiate discussion and begin vaccine series in first visit.