University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.
Wisconsin Comprehensive Cancer Control Program, Madison, Wisconsin.
Prev Chronic Dis. 2017 Sep 28;14:E85. doi: 10.5888/pcd14.160610.
Infection with human papillomavirus (HPV) is common and can progress to various types of cancer. HPV infection can be prevented through vaccination; however, vaccination rates among adolescents are low. The objective of this study was to assess efforts among Wisconsin stakeholders in HPV vaccination and organizational capacity for future collaborative work.
We conducted a cross-sectional online survey of 277 stakeholders in HPV vaccination activities, from April 30, 2015, through June 30, 2015. Stakeholders were public health professionals, health care providers, educators, quality improvement professionals, researchers, and advocates identified as engaged in HPV vaccination work.
Of the 277 invited stakeholders, 117 (42%) responded to the survey. Findings showed that most current HPV vaccination activities targeted 3 groups: adolescents and parents, clinical and health professionals, and communities and health systems. The main activities directed at these groups were providing printed educational materials, professional education, and media campaigns to raise awareness. Common barriers reported were lack of understanding about the link between HPV and cancer, requests to delay vaccination, difficulty completing the 3-dose vaccine series, and reluctance to discuss sexuality.
HPV vaccination rates are far below those of other vaccinations administered to adolescents in Wisconsin. Our study showed that various local efforts were being made to increase HPV vaccination uptake; however, many barriers exist to initiation and completion of the vaccine series. Future interventions should address barriers and employ evidence-based strategies for increasing HPV vaccination rates.
人乳头瘤病毒（HPV）感染很常见，并且可能发展为各种类型的癌症。HPV 感染可以通过接种疫苗来预防；然而，青少年的疫苗接种率却很低。本研究的目的是评估威斯康星州 HPV 疫苗接种利益相关者的努力以及未来合作工作的组织能力。
我们对 277 名参与 HPV 疫苗接种活动的利益相关者进行了横断面在线调查，调查时间为 2015 年 4 月 30 日至 6 月 30 日。利益相关者是公共卫生专业人员、医疗保健提供者、教育工作者、质量改进专业人员、研究人员和倡导者，他们被认为从事 HPV 疫苗接种工作。
在 277 名受邀的利益相关者中，有 117 名（42%）人回应了这项调查。研究结果表明，目前大多数 HPV 疫苗接种活动针对 3 个群体：青少年及其父母、临床和卫生专业人员以及社区和卫生系统。针对这些群体的主要活动是提供印刷教育材料、专业教育和媒体宣传活动以提高认识。报告的常见障碍包括缺乏对 HPV 与癌症之间关联的理解、要求推迟接种疫苗、难以完成 3 剂疫苗系列接种以及不愿讨论性行为。
威斯康星州青少年 HPV 疫苗接种率远低于其他疫苗接种率。我们的研究表明，当地正在做出各种努力来提高 HPV 疫苗接种率；然而，在启动和完成疫苗系列接种方面存在许多障碍。未来的干预措施应该解决这些障碍，并采用循证策略来提高 HPV 疫苗接种率。
