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实施人乳头瘤病毒疫苗入学强制接种规定:益处与挑战

Implementing a School-Entry Mandate for the Human Papillomavirus Vaccine: Benefits and Challenges.

作者信息

Alzahrani Mohammad S

机构信息

Department of Clinical Pharmacy, College of Pharmacy, Taif University, Taif, SAU.

出版信息

Cureus. 2024 Jun 17;16(6):e62519. doi: 10.7759/cureus.62519. eCollection 2024 Jun.

DOI:10.7759/cureus.62519
PMID:39022520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11253561/
Abstract

Human papillomavirus (HPV), a common sexually transmitted infection, has prompted the development of vaccines to mitigate associated cancer risks, particularly cervical cancer. Regions that have achieved a high rate of vaccination coverage are witnessing a transformative impact on public health, with a notable reduction of up to 30% in the incidence of cervical cancer cases. Emphasizing the broader impact of vaccination on public health, this review investigates the role of a school-entry mandate for the HPV vaccine, aiming to inform decisions about its potential benefits and challenges. With a focus on understanding the significance of vaccination, the review delves into its potential to reduce the physical, emotional, and financial burdens associated with HPV-associated cancers. Implementing school-entry mandates for the HPV vaccine offers benefits such as increased vaccination rates, protection against HPV-related diseases, and long-term health advantages. However, challenges include ethical concerns, parental opposition, and logistical issues. Successful implementation requires clear communication, collaboration, and education, with legal and ethical considerations addressing constitutional rights, liability concerns, autonomy, and equitable access. In summary, the implementation of school-entry mandates for the HPV vaccine offers the potential for increased vaccination rates and the reduction of health disparities. However, this approach is challenged by factors such as opposition, associated costs, and legal and ethical considerations. The decision to mandate the HPV vaccine requires a delicate balance between public health priorities and individual rights, necessitating clear communication, education, and collaborative efforts to address the complexities involved.

摘要

人乳头瘤病毒(HPV)是一种常见的性传播感染,促使了疫苗的研发以降低相关癌症风险,尤其是宫颈癌风险。疫苗接种覆盖率高的地区正在见证对公共卫生的变革性影响,宫颈癌病例发病率显著降低了高达30%。本综述强调疫苗接种对公共卫生的更广泛影响,调查HPV疫苗入学强制要求的作用,旨在为有关其潜在益处和挑战的决策提供信息。本综述聚焦于理解疫苗接种的重要性,深入探讨其减轻与HPV相关癌症有关的身体、情感和经济负担的潜力。实施HPV疫苗入学强制要求有诸多益处,如提高疫苗接种率、预防HPV相关疾病以及带来长期健康优势。然而,挑战包括伦理问题、家长反对和后勤问题。成功实施需要清晰的沟通、协作和教育,并通过法律和伦理考量来解决宪法权利、责任问题、自主权和公平获取等问题。总之,实施HPV疫苗入学强制要求有提高疫苗接种率和减少健康差距的潜力。然而,这种方法受到反对、相关成本以及法律和伦理考量等因素的挑战。强制要求接种HPV疫苗的决定需要在公共卫生优先事项和个人权利之间进行微妙平衡,需要清晰的沟通、教育和协作努力来应对其中涉及的复杂性。

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Front Med (Lausanne). 2024 Apr 17;11:1252073. doi: 10.3389/fmed.2024.1252073. eCollection 2024.
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Adverse events from HPV vaccination in Taiwan.台湾 HPV 疫苗接种的不良反应。
Vaccine. 2023 Nov 30;41(49):7444-7449. doi: 10.1016/j.vaccine.2023.11.010. Epub 2023 Nov 10.
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Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings.探讨 HPV 疫苗接种政策和支付者策略,以寻找改善安全网环境下疫苗接种率的机会。
Front Public Health. 2023 May 4;11:1099552. doi: 10.3389/fpubh.2023.1099552. eCollection 2023.
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Acceptability of an integrated school-based HPV vaccination program within two districts of Tanzania: A qualitative descriptive study.坦桑尼亚两个地区基于学校的HPV综合疫苗接种计划的可接受性:一项定性描述性研究。
PLOS Glob Public Health. 2023 Jan 4;3(1):e0001394. doi: 10.1371/journal.pgph.0001394. eCollection 2023.
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Trusted messengers and trusted messages: The role for community-based organizations in promoting COVID-19 and routine immunizations.可信赖的信息传递者和信息:社区组织在推广 COVID-19 和常规免疫接种方面的作用。
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