Overcoming barriers to HPV vaccination in rural Vermont through a multicomponent peer-based approach

Human Papillomavirus (HPV) causes almost all cervical cancers and many cancers of the anus, vagina, vulva, penis, and oropharynx. The HPV vaccine provides protection to all adolescents from a broad spectrum of cancers, yet HPV vaccination rates remain lower than those of other routine vaccines. Deve...

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Published inHuman vaccines & immunotherapeutics Vol. 18; no. 6; p. 2122494
Main Authors Pilcher, Finlay, Carney, Jan Kirk, Stein, Gary S.
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 30.11.2022
Taylor & Francis Group
Subjects
Adolescent
Female
Health Knowledge, Attitudes, Practice
HPV vaccine
HPV – Review
Humans
Male
Papillomavirus Infections - prevention & control
Papillomavirus Vaccines - administration & dosage
parents
Patient Acceptance of Health Care
peer education
Review
rural health
Rural Population
school-based vaccination
stakeholders
Uterine Cervical Neoplasms - prevention & control
Uterine Cervical Neoplasms - virology
Vaccination
vaccine intervention
peer education
school-based vaccination
stakeholders
HPV vaccine
rural health
vaccine intervention
parents
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Summary:Human Papillomavirus (HPV) causes almost all cervical cancers and many cancers of the anus, vagina, vulva, penis, and oropharynx. The HPV vaccine provides protection to all adolescents from a broad spectrum of cancers, yet HPV vaccination rates remain lower than those of other routine vaccines. Developing effective HPV vaccine interventions is particularly important in rural areas, whose residents have lower rates of HPV vaccination and higher cervical cancer incidence and mortality; however, interventional research in these populations is relatively limited. Furthermore, though rural areas are heterogeneous in many regards, few interventions engage stakeholders to develop community-specific solutions to overcome obstacles associated with HPV vaccination. Based on a review of existing literature, we recommend a multicomponent peer-based approach that includes school-based vaccination and awareness, parental involvement, and stakeholder engagement to increase HPV vaccination in rural areas, and we provide an example of such an intervention in rural Vermont.
Bibliography:ObjectType-Article-2
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ISSN:2164-5515
2164-554X
DOI:10.1080/21645515.2022.2122494