Nodulman Jessica A, Starling Randall, Kong Alberta S, Buller David B, Wheeler Cosette M, Woodall W Gill
Department of Communication Studies, Augustana College, Old Main Office 212, 639 38th Street, Rock Island, IL 61201.
J Sch Health. 2015 May;85(5):289-98. doi: 10.1111/josh.12253.
In several countries worldwide, school-based human papillomavirus (HPV) vaccination programs have been successful; however, little research has explored US stakeholders' acceptance toward school-based HPV vaccination programs.
A total of 13 focus groups and 12 key informant interviews (N = 117; 85% females; 66% racial/ethnic minority) were conducted with 5 groups of stakeholders: parents of adolescent girls, parents of adolescent boys, adolescent girls, middle school nurses, and middle school administrators throughout the 5 public health regions of New Mexico.
All groups of stakeholders lacked knowledge on HPV and HPV vaccines. Stakeholders were interested in--but apprehensive about--the benefits of HPV vaccination. Despite previous literature showing the benefits of using middle schools as an HPV vaccination site, stakeholders did not deem middle schools as a viable site for vaccination. Nurses reported that using the school as an HPV vaccination site had not occurred to them; parents and adolescents stated they were uncertain about using this type of program. School administrators indicated that they lacked implementation authority.
Our study uncovered barriers to using middle schools as a site of HPV vaccination. Resources should be directed toward increased support and education for middle school nurses who function as opinion leaders relevant to the uptake of HPV vaccination.
在全球多个国家，以学校为基础的人乳头瘤病毒（HPV）疫苗接种计划已取得成功；然而，很少有研究探讨美国利益相关者对以学校为基础的HPV疫苗接种计划的接受程度。
在新墨西哥州的5个公共卫生区域，对5组利益相关者进行了总共13次焦点小组讨论和12次关键信息访谈（N = 117；85%为女性；66%为少数种族/族裔），这5组利益相关者包括青春期女孩的父母、青春期男孩的父母、青春期女孩、中学护士和中学管理人员。
所有利益相关者群体都缺乏关于HPV和HPV疫苗的知识。利益相关者对HPV疫苗接种的益处感兴趣，但也有所担忧。尽管先前的文献表明将中学作为HPV疫苗接种地点有诸多益处，但利益相关者并不认为中学是一个可行的接种地点。护士报告说他们从未考虑过将学校作为HPV疫苗接种地点；家长和青少年表示他们对使用这种类型的计划不确定。学校管理人员表示他们缺乏实施权。
我们的研究揭示了将中学作为HPV疫苗接种地点的障碍。应将资源用于增加对中学护士的支持和教育，这些护士是与HPV疫苗接种接受情况相关的意见领袖。
