Participatory Research to Understand the Translation of HPV Vaccine Policy

描述（由申请人提供）：2006年6月，FDA批准了默克公司的疫苗“Guardasil”，该疫苗可预防4种类型的HPV感染，其中两种导致异常宫颈糜烂，两种导致生殖器疣。在免疫实践咨询委员会（ACIP）批准并随后建议对11-12岁女孩常规接种疫苗后的15个月内，41个州和哥伦比亚特区的立法者已经提出立法要求，资助或教育公众关于HPV疫苗，至少有17个州颁布了某种立法，包括新墨西哥州。在本申请中，我们建议研究新墨西哥州实施HPV疫苗相关政策的过程，以及向父母和公众提供疫苗和相关教育的相关计划工作。这项研究是响应呼吁，就三个行动领域进行研究：公共政策，卫生保健和疾病预防。具体目标如下：1.利用参与过程，确定并召集由参与卫生政策的个人组成的利益相关者小组2。探索翻译和关于HPV疫苗的传播卫生政策举措的影响，并在新墨西哥州公立学校和初级保健环境中促进知情决策。a.与卫生政策制定者、初级保健提供者、学校卫生提供者和学校管理者进行半结构化访谈，以确定他们对角色B的看法。与五年级儿童的家长进行焦点小组讨论。对正在进行的关于HPV疫苗传播政策的辩论进行人种学观察3.与利益相关者小组一起，解释数据，制定和传播有关支持HPV疫苗传播和知情决策的倡议的卫生政策建议，从而减少新墨西哥州的宫颈癌健康差距。公共卫生相关性：最近批准的HPV疫苗是一项重要的科学进步，但在传播和实施方面面临挑战。这项研究将有助于更好地了解有助于制定HPV疫苗政策的因素。这些研究结果将用于在初级保健和卫生政策层面制定战略，以促进患者对符合社区价值观的HPV疫苗做出知情决定。

DESCRIPTION (provided by applicant): In June of 2006, the FDA approved Merck's vaccine "Guardasil" which protects against 4 types of HPV infections, two which cause abnormal cervical dysplagia and two which cause genital warts. In the 15 months since the approval and the subsequent recommendation by the Advisory Committee on Immunization Practice (ACIP) that the vaccine be routinely administered to 11-12 year old girls, legislators in 41 states and the District of Columbia have introduced legislation to require, fund, or educate the public about the HPV vaccine, and at least 17 states have enacted some sort of legislation, including the state of New Mexico. In this application we propose to study the process of implementing policy regarding the HPV vaccine in the state of New Mexico, and related programmatic efforts to offer the vaccine and relevant education to parents and the public. This study is responsive to the call for proposals to conduct research on three areas of action: public policy, health care, and disease prevention. The Specific Aims are as follows: 1. Using a participatory process, identify and convene a stakeholder group composed of individuals involved in the health policy context 2. Explore the translation and impact of health policy initiatives regarding the dissemination of HPV vaccine and the promotion of informed decision making in New Mexico public schools and primary care settings. a. Conduct semi structured interviews with health policy makers, primary care providers, school based health providers and school administrators, in order to determine their perceptions of the roles b. Conduct focus group discussions with parents of 5th grade children c. Conduct ethnographic observations of the ongoing debate about the HPV vaccine dissemination policy 3. Together with the stakeholder group, interpret the data, develop and disseminate health policy recommendations regarding initiatives to support HPV vaccine dissemination and informed decision making leading to the reduction of cervical cancer health disparities in New Mexico. PUBLIC HEALTH RELEVANCE: The recent approval of the HPV vaccine is an important scientific advance but faces challenges in dissemination and implementation. This study will help to develop a better understanding of the factors that contribute to the development of HPV vaccine policy. These findings will be used to work toward the creation of strategies, both at the primary care and health policy level, to promote informed decision among patients with regard to the HPV vaccine that are consistent with community values.