Barriers and facilitators to HPV vaccine uptake among US rural populations: a scoping review

Cancer Causes & Control : CCC
Caryn E PetersonJon Andrew Dykens

Abstract

Compared to US urban populations, rural residents have a higher incidence of HPV-related cancer and lower HPV vaccine coverage. This study determined what is known about barriers and facilitators to vaccine uptake in US rural settings. A scoping review was conducted to describe individual, interpersonal, organizational, and community/societal barriers and facilitators to HPV vaccine initiation and completion among US rural populations and to identify gaps in the current research. A systematic search was conducted using PubMed/MEDLINE and CINAHL databases. A total of 1,083 abstracts were reviewed and 13 articles met the inclusion criteria. Major themes at the individual-level included caregiver and vaccine-recipient demographics, other immunizations received, pap test history, awareness/knowledge of cervical cancer, HPV vaccine, or HPV infection, attitudes and motivation to vaccinate, STD diagnosis, sexual behavior, cervical cancer history, contraceptive use, and cancer fatalism. Interpersonal themes focused on provider influence and communication, caregiver and peer influence, and social support for the caregiver. At the organizational-level, themes included health insurance, provider characteristics, school-based interventions...Continue Reading

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Citations

Jan 4, 2021·Preventive Medicine·Heather M BrandtLindsay R Stradtman
Jul 9, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Shauna AyresDeanna Kepka
Jul 20, 2021·Advanced Drug Delivery Reviews·Chao PanHeng-Liang Wang
Aug 4, 2021·Preventive Medicine·Nastaran PourebrahimMargaret M Madeleine
Aug 27, 2021·AIDS and Behavior·Jo A ValentineMatthew Hogben
Jan 16, 2022·Cancer Medicine·Joemy M RamsayAnne C Kirchhoff

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