Challenges to Adolescent HPV Vaccination and Implementation of Evidence-Based Interventions to Promote Vaccine Uptake During the COVID-19 Pandemic: "HPV Is Probably Not at the Top of Our List".
Challenges to Adolescent HPV Vaccination and Implementation of Evidence-Based Interventions to Promote Vaccine Uptake During the COVID-19 Pandemic: "HPV Is Probably Not at the Top of Our List".
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DOI：
10.5888/pcd19.210378
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发表时间：
2022-03-31
影响因子：
5.5
通讯作者：
Askelson NM
中科院分区：
文献类型：
--
作者：
Ryan G;Gilbert PA;Ashida S;Charlton ME;Scherer A;Askelson NM
COVID-19大流行使许多青少年无法按时接种疫苗，包括人乳头瘤病毒（HPV）疫苗。然而，关于大流行对实施有助于提高HPV疫苗接种率的临床循证干预措施（EBI）的影响，人们知之甚少。在这项定性研究中，我们探讨了疫情对EBI实施和HPV疫苗接种的影响。在2020年8月至11月期间，我们采访了中西部一个农村州的诊所经理，了解他们在COVID-19大流行期间实施HPV疫苗接种EBI的经验。我们采用分层和目的抽样的多管齐下的抽样方法，从儿童疫苗诊所招募参与者。然后，我们对成绩单进行了主题分析。在访谈（N = 18）中，出现了2个主要主题：HPV疫苗接种机会减少和HPV相关实施工作中断。大多数参与者报告说，由于他们提供护理的方式发生了结构性变化（例如，转向远程医疗访问）以及患者害怕接触COVID-19，导致接种疫苗的机会减少。EBI实施中断的主要原因是后勤方面的挑战（如人员减少）和优先事项的变化。在大流行期间，诊所难以提供常规护理，因此，许多青少年错过了HPV疫苗接种。为了确保这些青少年不会落后于这个疫苗系列，供应商和研究人员将需要重新致力于EBI的实施，并利用现有的战略来促进疫苗接种。从长远来看，需要改进EBI的实施，使其更具弹性，以确保在未来的大流行事件中不会停止进展。
The COVID-19 pandemic has prevented many adolescents from receiving their vaccines, including the human papillomavirus (HPV) vaccine, on time. However, little is known about the impact of the pandemic on implementation of clinic-level evidence-based interventions (EBIs) that help to improve HPV vaccine uptake. In this qualitative study, we explored the pandemic’s impact on EBI implementation and HPV vaccine delivery. During August–November 2020, we interviewed clinic managers in a rural, midwestern state about their experiences implementing EBIs for HPV vaccination during the COVID-19 pandemic. We used a multipronged sampling approach with both stratified and purposive sampling to recruit participants from Vaccines for Children clinics. We then conducted a thematic analysis of transcripts. In interviews (N = 18), 2 primary themes emerged: decreased opportunities for HPV vaccination and disruption to HPV-related implementation work. Most participants reported decreases in opportunities to vaccinate caused by structural changes in how they delivered care (eg, switched to telehealth visits) and patient fear of exposure to COVID-19. Disruptions to EBI implementation were primarily due to logistical challenges (eg, decreases in staffing) and shifting priorities. During the pandemic, clinics struggled to provide routine care, and as a result, many adolescents missed HPV vaccinations. To ensure these adolescents do not fall behind on this vaccine series, providers and researchers will need to recommit to EBI implementation and use existing strategies to promote vaccination. In the long term, improvements are needed to make EBI implementation more resilient to ensure that progress does not come to a halt in future pandemic events.
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影响因子：
6.4
作者：
Racey, C. Sarai;Albert, Arianne;Ogilvie, Gina
通讯作者：
Ogilvie, Gina
影响因子：
5.5
作者：
Escoffery, Cam;Riehman, Kara;Kegler, Michelle C.
通讯作者：
Kegler, Michelle C.
影响因子：
4.8
作者：
Calo, William A.;Shah, Parth D.;Brewer, Noel T.
通讯作者：
Brewer, Noel T.
影响因子：
5.9
作者：
Askelson, Natoshia M.;Ryan, Grace;Callaghan, Donald
通讯作者：
Callaghan, Donald
DOI：
10.1016/j.jadohealth.2020.08.013
发表时间：
2020-11
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Gilkey MB;Bednarczyk RA;Gerend MA;Kornides ML;Perkins RB;Saslow D;Sienko J;Zimet GD;Brewer NT
通讯作者：
Brewer NT