Could Poor Parental Recall of HPV Vaccination Contribute to Low Vaccination Rates?

Persistent human papillomavirus (HPV) infections can cause cancer (e.g., cervical/vaginal/penile/anal/oropharyngeal). The HPV vaccine prevents cancer, yet U.S. vaccination rates remain low. We explored sociopolitical factors in the adoption of Puerto Rico’s HPV vaccine school-entry requirement. Multiple streams framework explains how the intersection of problems, policy, and politics streams influence policy adoption. Policy entrepreneurs work on joining these streams. Interviews ( n = 20) were conducted with stakeholders (e.g., physicians/researchers/nonprofit organizations’ leaders). Data were analyzed using applied thematic analysis. High incidence of HPV and HPV-related cancers in Puerto Rico were indicators of problems. Focusing events included Rhaiza’s case and the HPV-Advisory Panel Report. During summer 2017, a policy window opened; the Department of Health (DOH) adopted the requirement in summer 2018. Stakeholders discussed policy initiatives. Political turnover positively influenced the process. Policy entrepreneurs created an extended period of intersection resulting in the adoption of the requirement. Findings can inform policy initiatives to improve HPV vaccination rates and reduce HPV-related cancers.

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A 10-year systematic review of theory-driven approaches to increasing catch-up HPV vaccination rates among young adult males in colleges/university settings

Journal of American College Health ◽

10.1080/07448481.2021.1873350 ◽

2021 ◽

pp. 1-13

Author(s):

Hannah C. Balcezak ◽

Olufunto A. Olusanya ◽

Aditi Tomar ◽

Margaret Foster ◽

Lisa T. Wigfall

Keyword(s):

Systematic Review ◽

Young Adult ◽

Hpv Vaccination ◽

Adult Males ◽

Vaccination Rates ◽

Young Adult Males ◽

Catch Up ◽

University Settings

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Coincidence analysis: a new method for causal inference in implementation science

Implementation Science ◽

10.1186/s13012-020-01070-3 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Rebecca Garr Whitaker ◽

Nina Sperber ◽

Michael Baumgartner ◽

Alrik Thiem ◽

Deborah Cragun ◽

...

Keyword(s):

Causal Inference ◽

Media Coverage ◽

Hpv Vaccination ◽

Implementation Strategies ◽

Local Context ◽

Comparative Approach ◽

Vaccination Rates ◽

Vaccination Uptake ◽

Level Data ◽

Working Together

Abstract Background Implementation of multifaceted interventions typically involves many diverse elements working together in interrelated ways, including intervention components, implementation strategies, and features of local context. Given this real-world complexity, implementation researchers may be interested in a new mathematical, cross-case method called Coincidence Analysis (CNA) that has been designed explicitly to support causal inference, answer research questions about combinations of conditions that are minimally necessary or sufficient for an outcome, and identify the possible presence of multiple causal paths to an outcome. CNA can be applied as a standalone method or in conjunction with other approaches and can reveal new empirical findings related to implementation that might otherwise have gone undetected. Methods We applied CNA to a publicly available dataset from Sweden with county-level data on human papillomavirus (HPV) vaccination campaigns and vaccination uptake in 2012 and 2014 and then compared CNA results to the published regression findings. Results The original regression analysis found vaccination uptake was positively associated only with the availability of vaccines in schools. CNA produced different findings and uncovered an additional solution path: high vaccination rates were achieved by either (1) offering the vaccine in all schools or (2) a combination of offering the vaccine in some schools and media coverage. Conclusions CNA offers a new comparative approach for researchers seeking to understand how implementation conditions work together and link to outcomes.

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Impact of Louisiana’s HPV Vaccine Awareness Policy on HPV Vaccination Among 13- to 17-Year-Old Females

Health Education & Behavior ◽

10.1177/1090198116684766 ◽

2017 ◽

Vol 44 (4) ◽

pp. 548-558 ◽

Cited By ~ 3

Author(s):

Dudith Pierre-Victor ◽

Mary Jo Trepka ◽

Timothy F. Page ◽

Tan Li ◽

Dionne P. Stephens ◽

...

Keyword(s):

Hpv Vaccine ◽

Hpv Vaccination ◽

Female Adolescents ◽

Physician Recommendation ◽

Vaccination Rates ◽

National Immunization ◽

Before And After ◽

The Difference ◽

Vaccine Information ◽

The Impact

The Advisory Committee on Immunization Practices recommends routine human papillomavirus (HPV) immunization for 11- to 12-year-old adolescents. In 2008, Louisiana required the school boards to distribute HPV vaccine information to parents or guardian of students in Grades 6 to 12. This article investigates the impact of this policy on HPV vaccination among 13- to 17-year-old female adolescents using National Immunization Survey-Teen (NIS-Teen) data. Drawing on the data from the 2008 to 2012 NIS-Teen, we compared the difference in proportions of females who have been vaccinated before and after the policy. Using difference-indifference estimation, we explored the change in vaccination rates before and after the policy implementation in Louisiana compared with Alabama and Mississippi, two states that did not have such a policy in place. The difference-in-differences estimates for HPV vaccination were not significant. Physician recommendation for HPV vaccination was significantly associated with vaccination among females in Louisiana and Alabama (adjusted odds ratio [aOR] = 7.74; 95% confidence interval [CI; 5.22, 11.5]), and for those in Louisiana and Mississippi (aOR = 7.05; 95% CI [4.6, 10.5]). Compared to the proportion of female adolescents who had received physician recommendation in Alabama or Mississippi, the proportion in Louisiana did not increase significantly in the postpolicy period. HPV vaccination rates did not increase significantly in Louisiana compared to Alabama or Mississippi following the implementation of the policy. Despite Louisiana’s policy, physician recommendation remains the key determinant of HPV vaccination. HPV vaccine awareness does not necessarily result in HPV vaccination.

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Improving HPV Vaccination Rates in Pennsylvania-A Chapter Quality Improvement Project

10.1542/peds.147.3_meetingabstract.132 ◽

2021 ◽

Author(s):

Danielle Casher ◽

Amy Wishner ◽

Samantha Pierpoint

Keyword(s):

Quality Improvement ◽

Hpv Vaccination ◽

Quality Improvement Project ◽

Improvement Project ◽

Vaccination Rates

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Using The Health Belief Model to Explore Female's Perceptions of Male HPV Vaccination

American Journal of Health Studies ◽

10.47779/ajhs.2015.186 ◽

2020 ◽

Vol 30 (4) ◽

Author(s):

Rebecca Vidourek ◽

Keith King ◽

Brittany Rosen ◽

Sara Fehr

Keyword(s):

Hpv Vaccination ◽

Health Belief ◽

Transmitted Infection ◽

Papilloma Virus ◽

Sexually Transmitted ◽

Vaccination Rates ◽

Midwestern University ◽

Belief Model ◽

The Health Belief Model

Background: Human Papilloma Virus (HPV) is a common sexually transmitted infection. The HPV vaccination is an effective method of preventing cervical cancer and genital warts. The present study examined females’ perceptions of male HPV vaccination. Methods: Participants were females (N = 306) from one Midwestern university. Results: Results indicated significant differences in perceived benefits to male HPV vaccination students’ based on grade and knowing a male/female that had the vaccine. No significant differences in perceived barriers were found in the study. Conclusions: These findings should be considered when developing programs aimed at educating students on the male HPV vaccine. The role of females in increasing male HPV vaccination rates should be considered.

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