Early Policy Responses to the Human Papillomavirus Vaccine in the United States, 2006-2010

Early Policy Responses to the Human Papillomavirus Vaccine in the United States, 2006-2010
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DOI:
10.1016/j.jadohealth.2014.04.015
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发表时间:
2014-11-01
影响因子:
7.6
通讯作者:
Bastani, Roshan
Bastani, Roshan
中科院分区:
医学2区
文献类型:
--
作者:
Laugesen, Miriam J.;Mistry, Ritesh;Bastani, Roshan

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研究目的:考察美国联邦政府在1998年12月15日颁布的《联邦政府法》之后的5年里,美国各州政府在全国范围内推行和实施的政策。S.方法:对美国50个州和哥伦比亚特区在2006 - 2010年期间出台的与HPV疫苗相关的州级法案进行内容提炼和分析。结果:除了五个州(阿拉斯加、特拉华州、爱达荷州、新罕布什尔州和怀俄明州)外,所有州都在2006年至2010年期间推出了HPV疫苗法案。2007年提出了三分之二的法案。总共提出了141条法案,23%或32条法案获得通过。在颁布的法案中,43.8%为家长和学校提供了有关疫苗的信息; 37.5%为HPV疫苗提供了公共资金; 34.4%被归类为其他政策; 25%创建了宣传活动; 25%要求HPV疫苗接种的私人保险; 12.5%包括自愿接种,9.4%强制接种入学疫苗。一项法案推翻了先前的强制性疫苗接种政策。总体而言,91%的HPV疫苗法案没有提到强制接种疫苗,但采取了替代政策策略,以应对新的HPV疫苗的可用性。结论:在全国范围内,各州通过引入旨在增加疫苗信息的可用性的政策来应对新的HPV疫苗,提供资金,并规范私人保险覆盖范围,而不是要求入学接种疫苗。(C)2014年青少年健康和医学协会。All rights reserved.
Purpose: To examine the policies state governments pursued and enacted across the United States in the 5-year period after the U. S. Food and Drug Administration licensed the human papillomavirus (HPV) vaccine in 2006, including the timing and number of bills introduced, the policies proposed, and the legislative success of HPV vaccine policy proposals.Methods: Content abstraction and analysis of state-level HPV vaccine-related bills across the 50 states and the District of Columbia introduced between 2006 and 2010.Results: All but five states (Alaska, Delaware, Idaho, New Hampshire, and Wyoming) introduced HPV vaccine bills between 2006 and 2010. Two-thirds of all bills were introduced in 2007. In all, 141 bills were introduced and 23% or 32 bills were enacted. Of the bills that were enacted, 43.8% provided information for parents and schools about the vaccine; 37.5% provided public financing for HPV vaccines; 34.4% were classified as other policies; 25% created awareness campaigns; 25% required private insurance coverage of the HPV vaccination; 12.5% included voluntary vaccination, and 9.4% mandated vaccination for school entry. One bill reversed prior mandatory vaccination policies. Overall, 91% of enacted HPV vaccine bills did not refer to mandated vaccinations but adopted alternate policy strategies in response to the availability of the new HPV vaccine.Conclusions: Nationwide, states responded to the new HPV vaccine by introducing policies designed to increase the availability of information about the vaccine, provide funding, and regulate private insurance coverage rather than require vaccination for school entry. (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.