Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun:5:21-31.
doi: 10.1016/j.pvr.2017.11.003. Epub 2017 Dec 7.

Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action

Kathleen B Cartmell  1 , Jennifer Young-Pierce  2 , Shannon McGue  3 , Anthony J Alberg  4 , John S Luque  4 , Maria Zubizarreta  5 , Heather M Brandt  5
Affiliations

Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action

Kathleen B Cartmell et al. Papillomavirus Res. 2018 Jun.

Abstract

Objective: The objective was to investigate how state level strategies in South Carolina could maximize HPV vaccine uptake.

Design: An environmental scan identified barriers, facilitators, and strategies for improving HPV vaccination in South Carolina. Interviews were conducted with state leaders from relevant organizations such as public health agencies, medical associations, K-12 schools, universities, insurers, and cancer advocacy organizations. A thematic content analysis design was used. Digital interview files were transcribed, a data dictionary was created and data were coded using the data dictionary.

Results: Thirty four interviews were conducted with state leaders. Barriers to HPV vaccination included lack of HPV awareness, lack of provider recommendation, HPV vaccine concerns, lack of access and practice-level barriers. Facilitators included momentum for improving HPV vaccination, school-entry Tdap requirement, pharmacy-based HPV vaccination, state immunization registry, HEDIS measures and HPV vaccine funding. Strategies for improving HPV vaccination fell into three categories: 1) addressing lack of awareness about the importance of HPV vaccination among the public and providers; 2) advocating for policy changes around HPV vaccine coverage, vaccine education, and pharmacy-based vaccination; and 3) coordination of efforts.

Discussion: A statewide environmental scan generated a blueprint for action to be used to improve HPV vaccination in the state.

Keywords: Barriers; Cervical cancer; Facilitators; HPV; HPV vaccines; Health systems; Prevention; South Carolina; Strategies.

PubMed Disclaimer

References

    1. Reagan-Steiner S., Yankey D., Jeyarajah J., Elam-Evans L.D., Curtis C.R., MacNeil J., Markowitz L.E., Singleton J.A. National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17-United States, 2015. Morb. Mortal. Wkly. Report. 2015;65(33):850–858. - PubMed
    1. Luque J., Raychowdhury S., Weaver M. Health care provider challenges for reaching Hispanic immigrants with HPV vaccination in rural Georgia. Rural Remote Health. 2012;12(2):1975. - PubMed
    1. Dorell C., Yankee D., Strasser S. Parent-reported reasons for nonreceipt of recommended adolescent vaccinations, National Immunization Survey: Teen, 2009. Clin. Pediatr. (Phila.) 2011;50(12):1116–1124. - PubMed
    1. Ylitalo K.R., Lee H., Mehta N.K. Healthcare provider recommendation, human papillomavirus vaccination, and race/ethnicity in the US National immunization survey. Am. J. Public Health. 2012;103(1):164–169. - PMC - PubMed
    1. Joseph N.P., Clark J.A., Bauchner H., Walsh J.P., Mercilus G. Knowledge, attitudes, and beliefs regarding HPV vaccination: ethnic and cultural differences between African-American and Haitian immigrant women. Womens Health Issues. 2012;22(6):e571–e579. - PubMed

Publication types

MeSH terms

Substances

LinkOut - more resources