Baezconde-Garbanati Lourdes, Lienemann Brianna A, Robles Marisela, Johnson Ethel, Sanchez Kathleen, Singhal Rita, Steinberg Jane, Jaque Jenny M, Pentz Mary Ann, Gruber Stephen
University of Southern California, Keck School of Medicine, 2001 N Soto St., Los Angeles, CA 90033, USA.
University of Southern California, Keck School of Medicine, 2001 N Soto St., Los Angeles, CA 90033, USA.
Vaccine. 2017 Sep 5;35(37):4930-4935. doi: 10.1016/j.vaccine.2017.07.080. Epub 2017 Jul 31.
Research shows that vaccination against human papillomavirus (HPV) infection is one of the most effective methods for reducing risk for cervical cancer; it also protects against other HPV-related cancers. Controversies exist regarding HPV vaccination in several communities; which may in part explain why although rates of HPV vaccination are increasing nationwide, Los Angeles County (LAC) data show that many adolescents are still not vaccinated. These adolescents remain at high-risk for infection. Using community-based participatory principles, we conducted an environmental scan that included a literature review, the development of a community advisory board, community feedback from HPV community meetings, and interviews with stakeholders to understand attitudes toward HPV vaccination and their impact in follow through with HPV vaccines. Twenty-eight key stakeholders participated in our coalition comprised of community organizations and clinics with strong ties to the local community. This is the only coalition dedicated exclusively to improving HPV vaccine uptake in LAC. Of these, twenty-one participated in an environmental scan via qualitative interviews about HPV vaccination programs, service delivery priorities, and proposed steps to increase HPV vaccination uptake in LAC. The environmental scan revealed targets for future efforts, barriers to HPV uptake, and next steps for improving local HPV vaccination uptake rates. The environmental scan also identified local HPV vaccination interventions and resources. Although LAC has developed important efforts for vaccination, some interventions are no longer being implemented due to lack of funds; others have not been evaluated with sufficient outcome data. The risk for cervical and other HPV-related cancers could be greatly reduced in LAC if a multilevel, multicultural, and multilingual approach is taken to better understand rates of HPV vaccination uptake, particularly among racial/ethnic minorities and LGBTQ youth. Our environmental scan provides guidance on attitudes toward vaccination, and how best to address the needs of LAC families and providers.
研究表明，接种人乳头瘤病毒（HPV）疫苗是降低宫颈癌风险最有效的方法之一；它还能预防其他与HPV相关的癌症。在几个社区中，HPV疫苗接种存在争议；这可能部分解释了为什么尽管全国范围内HPV疫苗接种率在上升，但洛杉矶县（LAC）的数据显示，许多青少年仍未接种疫苗。这些青少年仍处于高感染风险中。我们运用基于社区参与的原则进行了一次环境扫描，其中包括文献综述、成立社区咨询委员会、HPV社区会议的社区反馈，以及与利益相关者进行访谈，以了解他们对HPV疫苗接种的态度及其对HPV疫苗后续接种的影响。28名关键利益相关者参与了我们的联盟，该联盟由与当地社区联系紧密的社区组织和诊所组成。这是唯一一个专门致力于提高洛杉矶县HPV疫苗接种率的联盟。其中，21人通过关于HPV疫苗接种计划、服务提供重点以及提高洛杉矶县HPV疫苗接种率的拟议步骤的定性访谈参与了环境扫描。环境扫描揭示了未来工作的目标、HPV疫苗接种的障碍以及提高当地HPV疫苗接种率的后续步骤。环境扫描还确定了当地HPV疫苗接种干预措施和资源。尽管洛杉矶县在疫苗接种方面已经做出了重要努力，但由于缺乏资金，一些干预措施不再实施；其他措施也没有得到足够的结果数据评估。如果采取多层次、多文化和多语言的方法来更好地了解HPV疫苗接种率，尤其是在少数族裔和 LGBTQ 青年中，洛杉矶县宫颈癌和其他与HPV相关癌症的风险可能会大大降低。我们的环境扫描为疫苗接种态度以及如何最好地满足洛杉矶县家庭和提供者的需求提供了指导。
