期刊
JOURNAL OF PUBLIC HEALTH
卷 38, 期 3, 页码 569-577出版社
OXFORD UNIV PRESS
DOI: 10.1093/pubmed/fdv073
关键词
adolescents; decision-making; ethnicity; health inequalities; HPV vaccine
资金
- Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence
- British Heart Foundation [MR/KO232331/1]
- Cancer Research UK [MR/KO232331/1]
- Economic and Social Research Council [MR/KO232331/1]
- Medical Research Council [MR/KO232331/1]
- Welsh Government [MR/KO232331/1]
- Wellcome Trust under UK Clinical Research Collaboration [MR/KO232331/1]
- NIHR Health. Protection Research Unit in Evaluation of Interventions
- Biosocial Society
- MRC [MR/K023233/1] Funding Source: UKRI
- Economic and Social Research Council [1118387] Funding Source: researchfish
- Medical Research Council [MR/K023233/1] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0515-10023] Funding Source: researchfish
Background To identify the barriers and facilitators to uptake of the HPV vaccine in an ethnically diverse group of young women in the south west of England. Methods Three school-based vaccination sessions were observed. Twenty-three young women aged 12 to 13 years, and six key informants, were interviewed between October 2012 and July 2013. Data were analysed using thematic analysis and the Framework method for data management. Results The priority given to preventing cervical cancer in this age group influenced whether young women received the HPV vaccine. Access could be affected by differing levels of commitment by school staff, school nurses, parents and young women to ensure parental consent forms were returned. Beliefs and values, particularly relevant to minority ethnic groups, in relation to adolescent sexual activity may affect uptake. Literacy and language difficulties undermine informed consent and may prevent vaccination. Conclusions The school-based HPV vaccination programme successfully reaches the majority of young women. However, responsibility for key aspects remain unresolved which can affect delivery and prevent uptake for some groups. A multi-faceted approach, targeting appropriate levels of the socio-ecological model, is required to address procedures for consent and cultural and literacy barriers faced by minority ethnic groups, increase uptake and reduce inequalities.
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