Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties
Human papillomavirus (HPV) infection is an important public health concern, with nearly 2,900 cases of HPV-related cancers reported in New York State (NYS) each year. Despite concerted efforts to enhance vaccine uptake in NYS, HPV vaccination rates among 13–15-year-olds failed to meet the 2020 healt...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Human Vaccines & Immunotherapeutics |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/21645515.2024.2407666 |
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| author | Samantha E. Hanley Karina Ohri Telisa Stewart Maribel Vargas Arielle Hanley Elena C. Shaw Nicholas Allis Michael Seserman Jana Shaw |
| author_facet | Samantha E. Hanley Karina Ohri Telisa Stewart Maribel Vargas Arielle Hanley Elena C. Shaw Nicholas Allis Michael Seserman Jana Shaw |
| author_sort | Samantha E. Hanley |
| collection | DOAJ |
| description | Human papillomavirus (HPV) infection is an important public health concern, with nearly 2,900 cases of HPV-related cancers reported in New York State (NYS) each year. Despite concerted efforts to enhance vaccine uptake in NYS, HPV vaccination rates among 13–15-year-olds failed to meet the 2020 healthy People target, and continue to lag behind the 2030 goal, of 80%. In counties with low immunization levels, understanding factors influencing decision-making among unvaccinated adolescents is crucial. This study aimed to identify barriers, facilitators, and potential interventions to improve HPV vaccine uptake. Qualitative semi-structured interviews were conducted with key informants in 15 NYS counties within the lowest quartile of HPV vaccine coverage among 13-year-old adolescents. Public health representatives, including Immunization Quality Improvement for Providers (IQIP) consultants, vaccine coordinators, medical directors, and primary care providers, were identified through purposive and snowball sampling. Interviews explored vaccination coverage knowledge, barriers and facilitating factors, and recommended strategies for improvement. All conversations were audio-recorded, transcribed, and analyzed using ATLAS.ti. Forty-four interviews were conducted, revealing barriers to HPV vaccination such as limited vaccine knowledge, vaccine misinformation, and accessibility. Key informants asserted barriers could be primarily addressed through education efforts, such increased public awareness, improved parent–doctor conversations, additional provider education on vaccine benefits, and supplementary education in patient spaces. Targeted education efforts and improved provider communication strategies have the potential to bolster HPV vaccination rates in NYS. These findings offer valuable insights for guiding future initiatives in communities facing significant barriers to vaccination. |
| format | Article |
| id | doaj-art-b4a2e221d5684bf2990f293b4012ce88 |
| institution | DOAJ |
| issn | 2164-5515 2164-554X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj-art-b4a2e221d5684bf2990f293b4012ce882025-08-20T03:12:56ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2407666Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY countiesSamantha E. Hanley0Karina Ohri1Telisa Stewart2Maribel Vargas3Arielle Hanley4Elena C. Shaw5Nicholas Allis6Michael Seserman7Jana Shaw8Norton College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USANorton College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USADepartment of Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY, USAAmerican Cancer Society, Northeast Region, Latham, NY, USAOther, University of Florida, Gainesville, FL, USAOther, St. Lawrence University, Canton, NY, USADepartment of Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY, USAAmerican Cancer Society, Northeast Region, Latham, NY, USADepartment of Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY, USAHuman papillomavirus (HPV) infection is an important public health concern, with nearly 2,900 cases of HPV-related cancers reported in New York State (NYS) each year. Despite concerted efforts to enhance vaccine uptake in NYS, HPV vaccination rates among 13–15-year-olds failed to meet the 2020 healthy People target, and continue to lag behind the 2030 goal, of 80%. In counties with low immunization levels, understanding factors influencing decision-making among unvaccinated adolescents is crucial. This study aimed to identify barriers, facilitators, and potential interventions to improve HPV vaccine uptake. Qualitative semi-structured interviews were conducted with key informants in 15 NYS counties within the lowest quartile of HPV vaccine coverage among 13-year-old adolescents. Public health representatives, including Immunization Quality Improvement for Providers (IQIP) consultants, vaccine coordinators, medical directors, and primary care providers, were identified through purposive and snowball sampling. Interviews explored vaccination coverage knowledge, barriers and facilitating factors, and recommended strategies for improvement. All conversations were audio-recorded, transcribed, and analyzed using ATLAS.ti. Forty-four interviews were conducted, revealing barriers to HPV vaccination such as limited vaccine knowledge, vaccine misinformation, and accessibility. Key informants asserted barriers could be primarily addressed through education efforts, such increased public awareness, improved parent–doctor conversations, additional provider education on vaccine benefits, and supplementary education in patient spaces. Targeted education efforts and improved provider communication strategies have the potential to bolster HPV vaccination rates in NYS. These findings offer valuable insights for guiding future initiatives in communities facing significant barriers to vaccination.https://www.tandfonline.com/doi/10.1080/21645515.2024.2407666Human papillomavirusvaccinekey informantbarrierseducationqualitative interview |
| spellingShingle | Samantha E. Hanley Karina Ohri Telisa Stewart Maribel Vargas Arielle Hanley Elena C. Shaw Nicholas Allis Michael Seserman Jana Shaw Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties Human Vaccines & Immunotherapeutics Human papillomavirus vaccine key informant barriers education qualitative interview |
| title | Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties |
| title_full | Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties |
| title_fullStr | Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties |
| title_full_unstemmed | Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties |
| title_short | Key informant perspectives on overcoming HPV vaccination barriers in low-immunization NY counties |
| title_sort | key informant perspectives on overcoming hpv vaccination barriers in low immunization ny counties |
| topic | Human papillomavirus vaccine key informant barriers education qualitative interview |
| url | https://www.tandfonline.com/doi/10.1080/21645515.2024.2407666 |
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