在医疗服务不足的青少年中改善HPV疫苗接种的学校机会的多层次观点:超越学校入学任务
Michelle B Shin1, Kylie Sloan2, Lourdes Baezconde-Garbanati2,3
1Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, WA USA.
Human vaccines & immunotherapeutics
|September 4, 2023
概括
学校和学校医疗中心可以改善青少年对人类乳头瘤病毒 (HPV) 疫苗的接种率. 探索这些场地为解决HPV疫苗接种教育和接种方面的差异提供了机会.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 疫苗学 疫苗学 疫苗学
背景情况:
- 全球范围内,基于学校的人类乳头瘤病毒 (HPV) 疫苗接种计划的接种率有所增加.
- 美国的战略主要依赖于学校入学任务,仅在五个州颁布.
- 学校和学校医疗中心 (SBHC) 为医疗服务不足的青少年提供服务,为减少HPV疫苗差异提供了尚未探索的机会.
研究的目的:
- 评估学校内外潜在的机会,以增加HPV疫苗接种.
- 探索临床和社区成员对改善HPV疫苗教育和在医疗服务不足的人群中接种疫苗的观点.
主要方法:
- 用较大的混合方法研究中的缩小数据集进行定性研究.
- 针对30次深入访谈和7个聚焦小组的指导内容分析与洛杉矶和新泽西的诊所和社区成员 (2020年12月-2022年1月).
- 专注于与学校和SBHC相关的文本.
主要成果:
- 学校和SBHC被视为达到医疗服务不足的青少年,面临初级保健准入障碍的理想环境.
- 家长和提供者对学校内的HPV疫苗接种服务表现出强烈兴趣.
- 倡导者和政策制定者注意到疫苗政治化带来的挑战,但强调了政策需求,如未成年人同意和增加SBHC资金.
结论:
- 学校和SBHC代表了重要的,但尚未探索的机会,以加强HPV疫苗接种教育和管理医疗服务不足的青少年.
- 政策和资金举措对于利用这些环境至关重要.
- 需要对基础设施和伙伴关系进行进一步的研究,以优化超出任务范围的HPV疫苗接种战略.
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