Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee
Abstract Human papillomavirus (HPV) infects nearly 85% of sexually active Americans during their lifetime, causing most cervical and five other cancers. Routine HPV vaccination is recommended for adolescents to prevent HPV-attributable cancers, but HPV vaccination coverage remains low, especially in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09415-6 |
| _version_ | 1797827621481873408 |
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| author | Seok Won Jin Daniel Cruz Lattimore Eric Harlin Levonna Davis Virginia Erholtz Heather M. Brandt |
| author_facet | Seok Won Jin Daniel Cruz Lattimore Eric Harlin Levonna Davis Virginia Erholtz Heather M. Brandt |
| author_sort | Seok Won Jin |
| collection | DOAJ |
| description | Abstract Human papillomavirus (HPV) infects nearly 85% of sexually active Americans during their lifetime, causing most cervical and five other cancers. Routine HPV vaccination is recommended for adolescents to prevent HPV-attributable cancers, but HPV vaccination coverage remains low, especially in Tennessee. In 2021, 54.6% of the population in Shelby County, Tennessee was Black or African American, reporting higher rates of new cervical cancer cases than other counties in Tennessee. While medical and public health professionals (HPs) play a critical role in promoting vaccination coverage, little is known about the factors HPs perceive to influence HPV vaccination for this population. This study sought to explore HPs’ perceived facilitators and barriers of HPV vaccination among African American adolescents. Qualitative individual interviews with 26 HPs in Shelby County were conducted between October 2019 and February 2020. Interpretive content analysis of the interview data guided by the socio-ecological model revealed several important themes regarding the facilitators and barriers across the individual, interpersonal, and community levels. At the individual level, parental vaccine hesitancy emerged as a leading barrier to HPV vaccination, while appropriate education facilitated the vaccination. At the interpersonal level, a lack of strong provider recommendations impeded HPV vaccination, whereas improved communication skills with patients facilitated the vaccination. Finally, the community-level barriers included a lack of education and social/religious norms; the community-level facilitators included community outreach efforts. HPs should consider development of comprehensive community-based approaches that leverage the facilitators and barriers at multiple levels to increase HPV vaccination among African American adolescents in this region. |
| first_indexed | 2024-04-09T12:51:16Z |
| format | Article |
| id | doaj.art-14c4bf9dc1a042b5badd0ee153491bd2 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T12:51:16Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-14c4bf9dc1a042b5badd0ee153491bd22023-05-14T11:12:17ZengBMCBMC Health Services Research1472-69632023-05-0123111110.1186/s12913-023-09415-6Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, TennesseeSeok Won Jin0Daniel Cruz Lattimore1Eric Harlin2Levonna Davis3Virginia Erholtz4Heather M. Brandt5School of Social Work, The University of MemphisThe University of MemphisSchool of Social Work, The University of MemphisSchool of Social Work, The University of MemphisThe University of MemphisHPV Cancer Prevention Program, St. Jude Children’s Research HospitalAbstract Human papillomavirus (HPV) infects nearly 85% of sexually active Americans during their lifetime, causing most cervical and five other cancers. Routine HPV vaccination is recommended for adolescents to prevent HPV-attributable cancers, but HPV vaccination coverage remains low, especially in Tennessee. In 2021, 54.6% of the population in Shelby County, Tennessee was Black or African American, reporting higher rates of new cervical cancer cases than other counties in Tennessee. While medical and public health professionals (HPs) play a critical role in promoting vaccination coverage, little is known about the factors HPs perceive to influence HPV vaccination for this population. This study sought to explore HPs’ perceived facilitators and barriers of HPV vaccination among African American adolescents. Qualitative individual interviews with 26 HPs in Shelby County were conducted between October 2019 and February 2020. Interpretive content analysis of the interview data guided by the socio-ecological model revealed several important themes regarding the facilitators and barriers across the individual, interpersonal, and community levels. At the individual level, parental vaccine hesitancy emerged as a leading barrier to HPV vaccination, while appropriate education facilitated the vaccination. At the interpersonal level, a lack of strong provider recommendations impeded HPV vaccination, whereas improved communication skills with patients facilitated the vaccination. Finally, the community-level barriers included a lack of education and social/religious norms; the community-level facilitators included community outreach efforts. HPs should consider development of comprehensive community-based approaches that leverage the facilitators and barriers at multiple levels to increase HPV vaccination among African American adolescents in this region.https://doi.org/10.1186/s12913-023-09415-6AdolescentsAfrican AmericansHealth ProfessionalHuman papillomavirus vaccineQualitative research |
| spellingShingle | Seok Won Jin Daniel Cruz Lattimore Eric Harlin Levonna Davis Virginia Erholtz Heather M. Brandt Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee BMC Health Services Research Adolescents African Americans Health Professional Human papillomavirus vaccine Qualitative research |
| title | Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee |
| title_full | Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee |
| title_fullStr | Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee |
| title_full_unstemmed | Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee |
| title_short | Medical and public health professionals’ perceived facilitators and barriers of human papillomavirus (HPV) vaccination among African American adolescents in Shelby County, Tennessee |
| title_sort | medical and public health professionals perceived facilitators and barriers of human papillomavirus hpv vaccination among african american adolescents in shelby county tennessee |
| topic | Adolescents African Americans Health Professional Human papillomavirus vaccine Qualitative research |
| url | https://doi.org/10.1186/s12913-023-09415-6 |
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