School-Entry Policies and Skill Accumulation Across Directly and Indirectly Affected Individuals

2012 ◽  
Vol 47 (3) ◽  
pp. 643-683 ◽  
Author(s):  
Kelly Bedard ◽  
Elizabeth Dhuey
Keyword(s):  
School Entry ◽  
Skill Accumulation

The Intersection of Problems, Policy, and Politics: The Adoption of an HPV Vaccine School-Entry Requirement in Puerto Rico

2021 ◽  
Vol 31 (5) ◽  
pp. 859-870
Author(s):  
Coralia Vázquez-Otero ◽  
Ellen M. Daley ◽  
Cheryl A. Vamos ◽  
Nancy Romero-Daza ◽  
Jason Beckstead ◽  
...  
Keyword(s):  
Puerto Rico ◽  
Nonprofit Organizations ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
School Entry ◽  
Advisory Panel ◽  
Policy Entrepreneurs ◽  
Vaccination Rates ◽  
Policy Initiatives ◽  
Policy Window

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.

scholarly journals School-entry requirements for HPV vaccination: part of the patchwork for HPV-related cancer prevention

2020 ◽  
pp. 1-5
Author(s):  
Erika L. Thompson ◽  
Ellen M. Daley ◽  
Tricia Washburn ◽  
Kim Salisbury-Keith ◽  
Debbie Saslow ◽  
...  
Keyword(s):  
Cancer Prevention ◽  
Hpv Vaccination ◽  
School Entry ◽  
Entry Requirements
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