scholarly journals Content Analysis of Digital Media Coverage of the Human Papillomavirus Vaccine School-Entry Requirement Policy in Puerto Rico

2020 ◽  
Author(s):  
Vivian Colón-López ◽  
Vilnery Rivera-Figueroa ◽  
Glizette O Arroyo-Morales ◽  
Diana T Medina-Laabes ◽  
Roxana Soto-Abreu ◽  
...  

Abstract BackgroundIn August 2018, Puerto Rico (PR) became the 4th state or territory in the United States to adopt a human papillomavirus (HPV) vaccine school-entry requirement, for students 11-12 years old. Evidence suggests that the content of media coverage may impact people's perception of HPV vaccine and their willingness to vaccinate. This study aimed to analyze the content of digital news coverage related to the implementation of the policy in PR.MethodsA content review was conducted of digital media published from January 2017 through December 2018. The content reviewed was carried out in two steps: 1) creating a matrix to summarize each article’s content about the policy and 2) qualitative analysis using a grounded theory approach. ResultsThe search resulted in 34 articles in 17 online local and international news outlets that reported on the implementation of the policy. Analyses showed that 61% of the news articles did not mention the number of required doses, and 79% discussed the new policy concerning cancer prevention. In 2017, news coverage focused mostly on describing the policy, while 2018 coverage focused on controversies surrounding the implementation. Negative emergent codes included: 1) infringement to patient and parental autonomy; 2) Hesitancy from the political sector 3) Hesitancy from groups and coalitions. Positive content included: 1) knowledge and acceptance of HPV vaccine for cancer prevention; 2) importance of education and protective sexual behaviors; and 3) new vaccination law proposal. Neutral emergent codes included: 1) Description of the policy; 2) Information about HPV related cancers; and 3) General information about HPV vaccine.ConclusionsMost of the media coverage in PR was neutral and included limited information related to the vaccine, HPV, and HPV-related cancers. Neutral and negative themes could influence public concerns regarding the new policy, as well as HPV vaccination rates in PR.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vivian Colón-López ◽  
Vilnery Rivera-Figueroa ◽  
Glizette O. Arroyo-Morales ◽  
Diana T. Medina-Laabes ◽  
Roxana Soto-Abreu ◽  
...  

Abstract Background In August 2018, Puerto Rico (PR) became the 4th state or territory in the United States to adopt a human papillomavirus (HPV) vaccine school-entry requirement, for students 11–12 years old. Evidence suggests that the content of media coverage may impact people’s perception of HPV vaccine and their willingness to vaccinate. This study aimed to analyze the content of digital news coverage related to the implementation of the policy in PR. Methods A content review was conducted of digital media published from January 2017 through December 2018. The content reviewed was carried out in two steps: 1) creating a matrix to summarize each article’s content about the policy and 2) qualitative analysis using a grounded theory approach. Results The search resulted in 34 articles obtained from 17 online local and international news outlets that reported the policy's implementation. Analyses showed that 61% of the news articles did not mention the number of required doses, and 79% discussed the new policy concerning cancer prevention. In 2017, news coverage focused mostly on describing the policy, while 2018 coverage focused on controversies surrounding the implementation. Neutral emergent codes included: 1) Description of the policy; 2) Information about HPV related cancers; and 3) General information about HPV vaccine. Negative emergent codes included: 1) infringement to patient and parental autonomy; 2) Hesitancy from the political sector, and 3) Hesitancy from groups and coalitions. Positive content included: 1) knowledge and acceptance of HPV vaccine for cancer prevention; 2) importance of education and protective sexual behaviors; and 3) new vaccination law proposal. Conclusions Most of the media coverage in PR was neutral and included limited information related to the vaccine, HPV, and HPV-related cancers. Neutral and negative themes could influence public concerns regarding the new policy, as well as HPV vaccination rates in PR.


2021 ◽  
Author(s):  
Vivian Colón-López ◽  
Roxana Soto-Abreu ◽  
Diana T. Medina-Laabes ◽  
Olga L. Díaz-Miranda ◽  
Ana P. Ortiz ◽  
...  

Abstract Background: In 2018, Puerto Rico (PR) enacted a Human papillomavirus (HPV) vaccine school-entry requirement for students ages 11 to 12. Using the Consolidated Framework for Implementation Research (CFIR), we aimed to identify potential barriers and facilitators of this implementation.Methods: We conducted a total of 36 qualitative interviews with key informants who were stakeholders from different organizations (Department of Health, Schools, Healthcare Providers, and Community organizations in favor of the requirement) from July 2018 to January 2020. Three researchers performed the interview guide, data coding, and analysis according to the CFIR framework. We evaluated construct rating variability between the organizations to determine barriers and facilitators. Results: The strongest facilitators determined under the CFIR construct include the stakeholder's awareness of the parent's and student's needs to meet the HPV school-entry requirement. Other facilitators include initiatives for school-entry policies and the relative advantage of this requirement over different strategies. The strongest barriers included the cost for private providers to administer the HPV vaccine, the negative influence of social media about the vaccine, which affected parents' acceptance, and the lack of school nurses as available staff resources for the school entry requirement. Conclusions: Findings from this study can be used to improve implementation (adaptations/modifications) and inform other US states and countries in earlier stages of consideration of the adoption of similar immunization policies. Most barriers can be modifiable with the implementation of educational programs/training across schools, considering that they are the first line of response to parents of this school entry requirement.


2020 ◽  
Author(s):  
Vilnery Rivera-Figueroa ◽  
Glizette O Arroyo-Morales ◽  
Roxana Soto-Abreu ◽  
Manuel E Rivera-Encarnación ◽  
Olga L Díaz-Miranda ◽  
...  

2021 ◽  
Vol 31 (5) ◽  
pp. 859-870
Author(s):  
Coralia Vázquez-Otero ◽  
Ellen M. Daley ◽  
Cheryl A. Vamos ◽  
Nancy Romero-Daza ◽  
Jason Beckstead ◽  
...  

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.


2021 ◽  
pp. 0272989X2110035
Author(s):  
Maria Knoth Humlum ◽  
Niels Skipper ◽  
Peter Rønø Thingholm

Objectives To investigate whether negative media coverage of the human papillomavirus (HPV) vaccine led to a decrease in the uptake of the first dose of the HPV vaccine (HPV1) in Denmark and, importantly, whether some groups of individuals were more susceptible to negative media coverage. Methods We measured HPV vaccine uptake of 12-year-old girls born in 2001 to 2004 using Danish administrative data. A quasi-experimental design was employed to assess whether a documentary that was critical of the HPV vaccine and aired in March 2015 affected HPV uptake. Results The documentary led to a quick and substantial decrease in the monthly propensity to vaccinate, which dropped 3 percentage points—or about 50%—in response to the documentary. Responses differed substantially across subgroups, and girls from families with high socioeconomic status (SES) were more susceptible to the negative media coverage. Conclusions Susceptibility to negative media coverage varied substantially across subgroups, highlighting the need for policy makers to appropriately target and differentiate initiatives to improve vaccine compliance rates.


2021 ◽  
pp. 2046147X2199601
Author(s):  
Diana Zulli ◽  
Kevin Coe ◽  
Zachary Isaacs ◽  
Ian Summers

Public relations research has paid considerable attention to foreign terrorist crises but relatively little attention to domestic ones—despite the growing salience of domestic terrorism in the United States. This study content analyzes 30 years of network television news coverage of domestic terrorism to gain insight into four theoretical issues of enduring interest within the literature on news framing and crisis management: sourcing, contextualization, ideological labeling, and definitional uncertainty. Results indicate that the sources called upon to contextualize domestic terrorism have shifted over time, that ideological labels are more often applied on the right than the left, and that definitional uncertainty has increased markedly in recent years. Implications for the theory and practice of public relations and crisis management are discussed.


2022 ◽  
Author(s):  
Gloriany Rivas ◽  
Roxana Soto-Abreu ◽  
Glizette O. Arroyo-Morales ◽  
Diana T. Medina-Laabes ◽  
Olga L. Díaz-Miranda ◽  
...  
Keyword(s):  

Author(s):  
Toby Bolsen ◽  
Matthew A. Shapiro

This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Climate Science. Please check back later for the full article. Most of what people think about politics comes from information acquired via exposure to mass media. Media thus serve a vital role in democracy as a fundamental conduit of political information. Scholars study the factors that drive news coverage about political issues, including the rise of discourse on climate change and shifts in media coverage over time. Climate change first received sustained attention in the U.S. press in the late 1980s and early 1990s. As scientific consensus emerged on the issue, interest groups and other actors emerged who accentuated the inherent uncertainty of climate science as a way to cast doubt on the existence of scientific consensus. The politicization of climate science has resulted in uncertainty among the public about its existence, anxiety about the effects of a fundamental transformation of U.S. energy systems, and support for the status quo in terms of the use of traditional energy sources. Media coverage often magnified the voices of contrarian scientists and skeptics because journalistic norms provided equal space to all sides, a semblance of false balance in news coverage that has persisted through the mid 2000s. By this time, the U.S. public had fractured along partisan lines due to rhetoric employed to generate support by elites. Media fragmentation and the rise of partisan news outlets further contributed to polarization, especially given the tendency of individuals to seek political information about climate change from trusted and credible sources. More recently, new media has come to play an increasingly significant role in communicating information on climate change to the public. Ultimately, there is a need for knowledge-based journalism in communicating climate change and energy alternatives to all segments of the U.S. public, but doing this effectively requires engagement with a broader audience in the debate over how best to address climate change. “Honest brokers” must be referenced in the media as they are best equipped to discuss the issue with citizens of different political identities and cultural worldviews. The success of collective efforts to mitigate and adapt to climate change requires not only scientific consensus but the ability to communicate the science in a way that generates greater consensus among the public.


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