The most effective and promising population health strategies to advance human papillomavirus vaccination.

The most effective and promising population health strategies to advance human papillomavirus vaccination.
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DOI:
10.1586/14760584.2016.1116947
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发表时间:
2016
影响因子:
6.2
通讯作者:
Finney Rutten LJ
Finney Rutten LJ
中科院分区:
医学2区
文献类型:
--
作者:
Jacobson RM;Agunwamba AA;St Sauver JL;Finney Rutten LJ

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美国未能在提高人乳头瘤病毒疫苗接种率方面取得实质性进展。虽然2020年人类乳头瘤病毒(HPV)疫苗接种的健康人群目标是80%,但2014年美国13至17岁女性的三剂完成率不到40%,男性的比例略高于20%。专家指出,HPV疫苗接种率低的原因有很多,包括父母对安全性、必要性和时机的担忧。然而,反驳这些担忧的证据是大量的。注重教育和沟通的努力尚未显示出希望,但一些人口健康战略有提醒/召回系统;针对工作人员,临床医生和家长的以实践为重点的战略;评估和反馈活动;以及以学校为基础的HPV疫苗接种计划。
The US is failing to make substantive progress toward improving rates of human papillomavirus vaccine uptake. While the Healthy People 2020 goal for human papillomavirus (HPV) vaccination is 80%, the three-dose completion rate in the US in 2014 for 13- to 17-year-old females is less than 40%, and the rate for males is just above 20%. Experts point to a number of reasons for the poor HPV vaccination rates including parental concerns about safety, necessity, and timing. However, the evidence refuting these concerns is substantial. Efforts focusing on education and communication have not shown promise, but several population health strategies have reminder/recall systems; practice-focused strategies targeting staff, clinicians, and parents; assessment and feedback activities; and school-based HPV vaccination programs.
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