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Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina.

Publication ,  Journal Article
Fish, LJ; Harrison, SE; McDonald, J-A; Yelverton, V; Williams, C; Walter, EB; Vasudevan, L
Published in: Hum Vaccin Immunother
November 30, 2022

The objective of this study was to identify factors at the individual, provider, and systems levels that serve as challenges or opportunities for increasing adolescent vaccination-including Human Papillomavirus (HPV) vaccination-in rural communities in the southern United States (US). As part of a broader study to increase HPV vaccine uptake in the southern US, we conducted in-depth interviews with vaccination stakeholders representing public health and education agencies in North Carolina (NC) and South Carolina (SC). Fourteen key stakeholders were recruited using purposive sampling to obtain insights into challenges and solutions to rural-urban disparities in HPV vaccination coverage. Stakeholders were also queried about their experiences and attitudes toward school-based vaccination promotion programs and campaigns. We used a rapid qualitative approach to analyze the data. Stakeholders identified factors at the individual, provider, and systems levels that serve as challenges to vaccination in rural communities. Similar to previous studies, stakeholders mentioned challenges with healthcare access and vaccine-related misconceptions that pose barriers to HPV vaccination for rural residents. Systems-level challenges identified included limited access to high-speed internet in rural areas that may impact providers' ability to interface with state-level digital systems such as the vaccination registry. Stakeholders identified a number of opportunities to increase HPV vaccination coverage, including through school-based health promotion programs. Stakeholders strongly supported school-based programs and approaches to strengthen confidence and demand for HPV vaccination and to help address persistent social determinants and system level factors that pose challenges to HPV vaccination coverage in many rural areas.

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Published In

Hum Vaccin Immunother

DOI

EISSN

2164-554X

Publication Date

November 30, 2022

Volume

18

Issue

5

Start / End Page

2058264

Location

United States

Related Subject Headings

  • Vaccination
  • United States
  • South Carolina
  • Rural Population
  • Patient Acceptance of Health Care
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Adolescent
 

Citation

APA
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Fish, L. J., Harrison, S. E., McDonald, J.-A., Yelverton, V., Williams, C., Walter, E. B., & Vasudevan, L. (2022). Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina. Hum Vaccin Immunother, 18(5), 2058264. https://doi.org/10.1080/21645515.2022.2058264
Fish, Laura J., Sayward E. Harrison, Jodi-Ann McDonald, Valerie Yelverton, Charnetta Williams, Emmanuel B. Walter, and Lavanya Vasudevan. “Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina.Hum Vaccin Immunother 18, no. 5 (November 30, 2022): 2058264. https://doi.org/10.1080/21645515.2022.2058264.
Fish LJ, Harrison SE, McDonald J-A, Yelverton V, Williams C, Walter EB, et al. Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina. Hum Vaccin Immunother. 2022 Nov 30;18(5):2058264.
Fish, Laura J., et al. “Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina.Hum Vaccin Immunother, vol. 18, no. 5, Nov. 2022, p. 2058264. Pubmed, doi:10.1080/21645515.2022.2058264.
Fish LJ, Harrison SE, McDonald J-A, Yelverton V, Williams C, Walter EB, Vasudevan L. Key stakeholder perspectives on challenges and opportunities for rural HPV vaccination in North and South Carolina. Hum Vaccin Immunother. 2022 Nov 30;18(5):2058264.

Published In

Hum Vaccin Immunother

DOI

EISSN

2164-554X

Publication Date

November 30, 2022

Volume

18

Issue

5

Start / End Page

2058264

Location

United States

Related Subject Headings

  • Vaccination
  • United States
  • South Carolina
  • Rural Population
  • Patient Acceptance of Health Care
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Adolescent