Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota
Human papillomavirus (HPV) vaccination can dramatically reduce the incidence of HPV-associated cancers. However, HPV vaccination coverage in rural areas is lower than in urban areas, and overall HPV vaccination coverage in the United States remains lower than other adolescent vaccines. We conducted...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Human Vaccines & Immunotherapeutics |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/21645515.2023.2291859 |
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| author | Elizabeth J. Polter Ben Christianson Anne Steinberg Melody Doan Hanna Ljungman Maria E. Sundaram Jeffrey J. VanWormer Charnetta L. Williams Huong Q. McLean Casper Bendixsen |
| author_facet | Elizabeth J. Polter Ben Christianson Anne Steinberg Melody Doan Hanna Ljungman Maria E. Sundaram Jeffrey J. VanWormer Charnetta L. Williams Huong Q. McLean Casper Bendixsen |
| author_sort | Elizabeth J. Polter |
| collection | DOAJ |
| description | Human papillomavirus (HPV) vaccination can dramatically reduce the incidence of HPV-associated cancers. However, HPV vaccination coverage in rural areas is lower than in urban areas, and overall HPV vaccination coverage in the United States remains lower than other adolescent vaccines. We conducted 20 qualitative interviews with adolescent healthcare providers and clinic staff in urban and rural Minnesota and assessed their perspectives on HPV vaccination. Guiding interview topics included: strategies to persuade families to vaccinate their children, the impact of the patient-provider relationship and the clinical environment on vaccination uptake, and provider perceptions of parents’ vaccine attitudes. In thematic analysis, all participants reported using common vaccination strategies, such as framing the HPV vaccine in terms of cancer prevention. The analysis also revealed three themes described as occurring uniquely or more intensely in rural communities than urban communities: the rural value of choice or independence, the spread of misinformation, and close-knit, multifaceted patient-provider relationships in clinical practice. Interventions aimed at increasing HPV vaccination should consider the distinctive circumstances of rural healthcare providers and patients. |
| format | Article |
| id | doaj-art-6932eff36e834164921c8952bdeb0cb5 |
| institution | Kabale University |
| issn | 2164-5515 2164-554X |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj-art-6932eff36e834164921c8952bdeb0cb52025-08-20T03:24:35ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-12-0119310.1080/21645515.2023.2291859Urban and rural healthcare providers’ perspectives on HPV vaccination in MinnesotaElizabeth J. Polter0Ben Christianson1Anne Steinberg2Melody Doan3Hanna Ljungman4Maria E. Sundaram5Jeffrey J. VanWormer6Charnetta L. Williams7Huong Q. McLean8Casper Bendixsen9Minnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division, St. Paul, MN, USAMinnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division, St. Paul, MN, USAMinnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division, St. Paul, MN, USAMinnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division, St. Paul, MN, USAMinnesota Department of Health, Infectious Disease Epidemiology, Prevention and Control Division, St. Paul, MN, USACenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, WI, USACenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, WI, USAImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USACenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, WI, USANational Farm Medicine Center, Marshfield Clinic Research Institute, Marshfield, WI, USAHuman papillomavirus (HPV) vaccination can dramatically reduce the incidence of HPV-associated cancers. However, HPV vaccination coverage in rural areas is lower than in urban areas, and overall HPV vaccination coverage in the United States remains lower than other adolescent vaccines. We conducted 20 qualitative interviews with adolescent healthcare providers and clinic staff in urban and rural Minnesota and assessed their perspectives on HPV vaccination. Guiding interview topics included: strategies to persuade families to vaccinate their children, the impact of the patient-provider relationship and the clinical environment on vaccination uptake, and provider perceptions of parents’ vaccine attitudes. In thematic analysis, all participants reported using common vaccination strategies, such as framing the HPV vaccine in terms of cancer prevention. The analysis also revealed three themes described as occurring uniquely or more intensely in rural communities than urban communities: the rural value of choice or independence, the spread of misinformation, and close-knit, multifaceted patient-provider relationships in clinical practice. Interventions aimed at increasing HPV vaccination should consider the distinctive circumstances of rural healthcare providers and patients.https://www.tandfonline.com/doi/10.1080/21645515.2023.2291859HPVhuman papillomavirusrural healthrural health servicesvaccine hesitancy |
| spellingShingle | Elizabeth J. Polter Ben Christianson Anne Steinberg Melody Doan Hanna Ljungman Maria E. Sundaram Jeffrey J. VanWormer Charnetta L. Williams Huong Q. McLean Casper Bendixsen Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota Human Vaccines & Immunotherapeutics HPV human papillomavirus rural health rural health services vaccine hesitancy |
| title | Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota |
| title_full | Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota |
| title_fullStr | Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota |
| title_full_unstemmed | Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota |
| title_short | Urban and rural healthcare providers’ perspectives on HPV vaccination in Minnesota |
| title_sort | urban and rural healthcare providers perspectives on hpv vaccination in minnesota |
| topic | HPV human papillomavirus rural health rural health services vaccine hesitancy |
| url | https://www.tandfonline.com/doi/10.1080/21645515.2023.2291859 |
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