HPV Vaccination: Acceptance, Delivery, and Policy Implications

描述（由申请人提供）：该试点项目由马里兰大学医学院（UMSOM）的“马里兰区域社区网络（MRCN）”提交，旨在解决国家优先事项，以减少并最终消除种族/少数民族所经历的癌症健康差距。试点项目是联索援助团与其MRCN社区伙伴之间的合作。试点项目的长期目标是通过以证据为指导的社区和保健专业教育以及州级政策举措，消除宫颈癌发病率和死亡率方面的种族/族裔差异，这些举措可加强人乳头瘤病毒免疫接种的提供和普及：试点项目的短期目标是确定卫生保健专业人员提供HPV疫苗接种和符合条件的青少年接种HPV疫苗的促进因素和障碍，并确定HPV免疫接种的政策和监管障碍。该试点项目的具体目标如下：采用定性方法，确定关键利益相关者（家长、基于信仰和社区的组织[CBO]领导人、青少年和卫生保健专业人员）按种族/民族（非洲裔美国人和非西班牙裔白人）、地理（农村和城市）和实践环境（学术和社区卫生中心）对宫颈癌控制和HPV免疫的认识、社区准备和接受程度方面的促进因素和障碍。具体Airri#2：建立马里兰州宫颈癌政策和相关法规的政策分析模型，并记录实施强制性HPV免疫和宫颈癌控制政策法规的可行性/障碍。具体目标#3：制定专门针对关键利益相关者（家长、教育工作者、信仰和CBO领导人）、青少年、卫生保健专业人员和卫生政策/决策者的教育计划，旨在提高对宫颈癌差异、宫颈癌预防和控制、HPV免疫建议、HPV疫苗可获得性及其在宫颈癌预防中的作用的认识和知识。

DESCRIPTION (provided by applicant): This pilot project, submitted by the University of Maryland School of Medicine's (UMSOM) "Maryland Regional Community Network (MRCN)", addresses the national priority to reduce and eventually eliminate cancer health disparities as experienced by racial/ethnic minorities. The pilot project is collaboration between UMSOM and its MRCN Community Partners. The pilot project's long-term goal is to eliminate racial/ethnic disparities in cervical cancer incidence and mortality through evidence guided community and health care professional education and state-level policy initiatives, which enhance delivery and uptake of HPV immunization: The short-term goals of the pilot project are to determine the facilitators and barriers to HPV vaccination delivery by health care professionals and uptake by eligible adolescents, and to determine policy and regulatory impediments to HPV immunization. The pilot project's specific aims are: Specific Aim#1: To determine, using qualitative methods, facilitators and barriers in terms of awareness, community readiness and acceptance of cervical cancer control and HPV immunization as viewed by key stakeholders (parents, faith based and community-based organization [CBO] leaders, adolescents, and health care professionals) by race/ethnicity (African Americans and non-Hispanic Whites), geography (rural and urban), and practice setting (academic and community health centers). Specific Airri#2: To develop a policy analysis model of Maryland cervical cancer policies and related regulations, and document feasibility/impediments to implement policies and regulations for mandated HPV immunization and cervical cancer control. Specific Aim#3: To develop educational programs specifically tailored for key stakeholders (parents, educators, faith based and CBO leaders), adolescents, health care professionals, and health policy/decision makers and designed to increase awareness and knowledge of cervical cancer disparities, cervical cancer prevention and control, HPV immunization recommendations, HPV vaccine availability and its role in cervical cancer prevention.