The Intersection of Problems, Policy, and Politics: The Adoption of an HPV Vaccine School-Entry Requirement in Puerto Rico.
The Intersection of Problems, Policy, and Politics: The Adoption of an HPV Vaccine School-Entry Requirement in Puerto Rico.
复制标题
DOI：
10.1177/1049732321991507
复制
发表时间：
2021-04
影响因子：
3.2
通讯作者：
Martinez Tyson D
中科院分区：
文献类型：
--
作者：
Vázquez-Otero C;Daley EM;Vamos CA;Romero-Daza N;Beckstead J;Martinez Tyson D
人类乳头瘤病毒(HPV)持续感染可导致癌症(例如，宫颈/阴道/阴茎/肛门/口咽部)。HPV疫苗可以预防癌症，但美国的疫苗接种率仍然很低。我们探讨了波多黎各采用HPV疫苗入学要求的社会政治因素。多流框架解释了问题、政策和政治流的交集如何影响政策采纳。政策性企业家正在努力加入这些潮流。访谈(n=20)与利益相关者(例如，医生/研究人员/非营利组织的领导人)进行。采用应用主题分析的方法对数据进行分析。波多黎各人乳头瘤病毒和与人乳头瘤病毒相关的癌症的高发病率是问题的指标。重点活动包括Rhaiza的案例和HPV咨询小组报告。2017年夏天，一个政策窗口打开了；卫生部于2018年夏天通过了这一要求。利益攸关方讨论了政策倡议。政治更替对这一进程产生了积极影响。政策创业者创造了一段较长的交叉期，导致了该要求的采用。这些发现可以为提高HPV疫苗接种率和减少HPV相关癌症的政策倡议提供参考。
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.
登录
查看更多内容
影响因子：
7.6
作者：
Laugesen, Miriam J.;Mistry, Ritesh;Bastani, Roshan
通讯作者：
Bastani, Roshan
影响因子：
3.3
作者：
Barraza, Leila;Weidenaar, Kim;Yang, Y. Tony
通讯作者：
Yang, Y. Tony
影响因子：
12.7
作者：
Averhoff, F;Linton, L;Fishbein, D
通讯作者：
Fishbein, D
影响因子：
158.5
作者：
Colgrove, James;Abiola, Sara;Mello, Michelle M.
通讯作者：
Mello, Michelle M.
影响因子：
3.2
作者：
Pitts, Margaret Jane;Tufts, Kimberly Adams
通讯作者：
Tufts, Kimberly Adams