Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study
Abstract Background Human Papillomavirus (HPV) vaccination among adolescents is an important strategy to prevent cervical and other cancers in adulthood. However, uptake remains far below the Healthy People 2020 targets for the US. Given the barriers to population-level vaccination policies and chal...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-10-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09632-2 |
| _version_ | 1818972571915255808 |
|---|---|
| author | Shoba Ramanadhan Constance Fontanet Marina Teixeira Sitara Mahtani Ingrid Katz |
| author_facet | Shoba Ramanadhan Constance Fontanet Marina Teixeira Sitara Mahtani Ingrid Katz |
| author_sort | Shoba Ramanadhan |
| collection | DOAJ |
| description | Abstract Background Human Papillomavirus (HPV) vaccination among adolescents is an important strategy to prevent cervical and other cancers in adulthood. However, uptake remains far below the Healthy People 2020 targets for the US. Given the barriers to population-level vaccination policies and challenges to incorporating additional action items during clinical visits, we sought to explore alternative delivery mechanisms, specifically delivery of the vaccine in community settings. Methods We conducted six focus groups (three with adolescents aged 11–14 who had not received the HPV vaccine and three with caregivers of adolescents meeting those criteria) from Black, Latino, and Brazilian communities in Massachusetts. We utilized a framework analysis approach that involved a multi-stage coding process employing both prefigured and emergent codes. Initial interpretations were refined through consultation with an advisory board. Results Adolescents and caregivers expressed a range of concerns about the HPV vaccine and also described interest in learning more about the vaccine, emphasizing the importance of a relationship with a trusted provider as a facilitator of vaccine acceptance. Regarding community-based delivery of the vaccine, reactions were mainly negative. However, adolescents and caregivers noted that receiving information in community settings that could seed a conversation with a trusted provider would be welcome. Interestingly, the notion of a trusted provider seemed to extend broadly to practitioners linked to the trusted main provider. Conclusions The study highlights an opportunity for increasing HPV vaccination among some racial and ethnic minority populations by leveraging trusted community organizations to provide information and seed conversations with a potentially broad group of trusted providers. A task-shifting approach, or reliance on staff with fewer formal credentials, may offer opportunities to support vaccination in resource-constrained settings. |
| first_indexed | 2024-12-20T15:10:24Z |
| format | Article |
| id | doaj.art-22df586729524356b0b0beedc3384dd0 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T15:10:24Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-22df586729524356b0b0beedc3384dd02022-12-21T19:36:21ZengBMCBMC Public Health1471-24582020-10-0120111010.1186/s12889-020-09632-2Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative studyShoba Ramanadhan0Constance Fontanet1Marina Teixeira2Sitara Mahtani3Ingrid Katz4Harvard T.H. Chan School of Public HealthBrigham and Women’s HospitalDana-Farber Cancer InstituteDana-Farber Cancer InstituteBrigham and Women’s HospitalAbstract Background Human Papillomavirus (HPV) vaccination among adolescents is an important strategy to prevent cervical and other cancers in adulthood. However, uptake remains far below the Healthy People 2020 targets for the US. Given the barriers to population-level vaccination policies and challenges to incorporating additional action items during clinical visits, we sought to explore alternative delivery mechanisms, specifically delivery of the vaccine in community settings. Methods We conducted six focus groups (three with adolescents aged 11–14 who had not received the HPV vaccine and three with caregivers of adolescents meeting those criteria) from Black, Latino, and Brazilian communities in Massachusetts. We utilized a framework analysis approach that involved a multi-stage coding process employing both prefigured and emergent codes. Initial interpretations were refined through consultation with an advisory board. Results Adolescents and caregivers expressed a range of concerns about the HPV vaccine and also described interest in learning more about the vaccine, emphasizing the importance of a relationship with a trusted provider as a facilitator of vaccine acceptance. Regarding community-based delivery of the vaccine, reactions were mainly negative. However, adolescents and caregivers noted that receiving information in community settings that could seed a conversation with a trusted provider would be welcome. Interestingly, the notion of a trusted provider seemed to extend broadly to practitioners linked to the trusted main provider. Conclusions The study highlights an opportunity for increasing HPV vaccination among some racial and ethnic minority populations by leveraging trusted community organizations to provide information and seed conversations with a potentially broad group of trusted providers. A task-shifting approach, or reliance on staff with fewer formal credentials, may offer opportunities to support vaccination in resource-constrained settings.http://link.springer.com/article/10.1186/s12889-020-09632-2Human papillomavirusHPVCancer preventionRacial and ethnic minoritiesCommunity-engaged researchAdolescents |
| spellingShingle | Shoba Ramanadhan Constance Fontanet Marina Teixeira Sitara Mahtani Ingrid Katz Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study BMC Public Health Human papillomavirus HPV Cancer prevention Racial and ethnic minorities Community-engaged research Adolescents |
| title | Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study |
| title_full | Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study |
| title_fullStr | Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study |
| title_full_unstemmed | Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study |
| title_short | Exploring attitudes of adolescents and caregivers towards community-based delivery of the HPV vaccine: a qualitative study |
| title_sort | exploring attitudes of adolescents and caregivers towards community based delivery of the hpv vaccine a qualitative study |
| topic | Human papillomavirus HPV Cancer prevention Racial and ethnic minorities Community-engaged research Adolescents |
| url | http://link.springer.com/article/10.1186/s12889-020-09632-2 |
| work_keys_str_mv | AT shobaramanadhan exploringattitudesofadolescentsandcaregiverstowardscommunitybaseddeliveryofthehpvvaccineaqualitativestudy AT constancefontanet exploringattitudesofadolescentsandcaregiverstowardscommunitybaseddeliveryofthehpvvaccineaqualitativestudy AT marinateixeira exploringattitudesofadolescentsandcaregiverstowardscommunitybaseddeliveryofthehpvvaccineaqualitativestudy AT sitaramahtani exploringattitudesofadolescentsandcaregiverstowardscommunitybaseddeliveryofthehpvvaccineaqualitativestudy AT ingridkatz exploringattitudesofadolescentsandcaregiverstowardscommunitybaseddeliveryofthehpvvaccineaqualitativestudy |