Barriers and Facilitators to Improving Virginia's HPV Vaccination Rate: A Stakeholder Analysis With Implications for Pediatric Nurses.
Barriers and Facilitators to Improving Virginia's HPV Vaccination Rate: A Stakeholder Analysis With Implications for Pediatric Nurses.
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DOI：
10.1016/j.pedn.2018.05.008
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Keim-Malpass J
中科院分区：
文献类型：
--
作者：
Carhart MY;Schminkey DL;Mitchell EM;Keim-Malpass J
尽管有证据表明，自2006年以来，人类乳头瘤病毒（HPV）疫苗的可用性，以及许多专业组织的强烈建议，但在全国范围内，HPV疫苗的接种率很低，而在弗吉尼亚州，这种趋势甚至更低。我们探讨了在社会生态模型（SEM）框架内组织的弗吉尼亚州中部和南部影响HPV疫苗接种因素的关键利益相关者的观点。我们对31名参与HPV疫苗接种或癌症预防的利益相关者进行了半结构化的关键信息提供者访谈。利益相关者确定了所有SEM层面的障碍：知识差距和性别问题（亲子双层面），时间限制和不一致的建议（人际层面），缺乏领导和信息支持（组织和社区层面），以及无效的授权（政策层面）。促进因素包括现实/接受态度（亲子双层面）、提供者的强烈推荐和教育支持（人际层面）、团队方法和有用数据（组织层面）、教育推广和社区资源（社区层面）、联邦和专业组织的支持（政策层面）。利益相关者分析提供了障碍和促进因素的环境扫描，以便公共卫生护士可以在弗吉尼亚州规划和实施有效的人乳头瘤病毒疫苗接种战略。
Despite the evidence, the availability since 2006, and strong recommendations from many professional organizations, the human papillomavirus (HPV) vaccine has had a low uptake rate nationally and these trends have been even lower in the state of Virginia. We explored key stakeholders’ perspectives on factors influencing HPV vaccination in central and southern Virginia organized within the socio-ecological model (SEM) framework. We conducted semi-structured key informant interviews with 31 stakeholders involved in HPV vaccination or cancer prevention. Stakeholders identified barriers at all SEM levels: Knowledge gaps and sexuality concerns (parent-child dyad level), time constraint and inconsistent recommendation (interpersonal level), lack of leadership and informational support (organizational and community level), and an ineffective mandate (policy level). Facilitators identified were realistic/receptive attitude (parent-child dyad level), provider’s strong recommendation and educational support (interpersonal level), team approach and useful data (organizational level), educational outreach and community resources (community level), and support from federal and professional organizations (policy level). The stakeholder analysis provided an environmental scan of the barriers and facilitators so that an effective HPV vaccination strategy can be planned and implemented in the Commonwealth of Virginia by public health nurses.
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DOI：
10.15585/mmwr.mm6429a3
发表时间：
2015-07-31
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Reagan-Steiner S;Yankey D;Jeyarajah J;Elam-Evans LD;Singleton JA;Curtis CR;MacNeil J;Markowitz LE;Stokley S
通讯作者：
Stokley S
影响因子：
5.5
作者：
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通讯作者：
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影响因子：
158.5
作者：
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通讯作者：
Mello, Michelle M.
影响因子：
3.2
作者：
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通讯作者：
Tufts, Kimberly Adams
影响因子：
5.5
作者：
Rahman, Mahbubur;Laz, Tabassum H.;Berenson, Abbey B.
通讯作者：
Berenson, Abbey B.