Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women.
Batista Ferrer, Harriet
Trotter, Caroline L
J Public Health (Oxf)
Oxford University Press (OUP)
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Batista Ferrer, H., Trotter, C. L., Hickman, M., & Audrey, S. (2016). Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women.. J Public Health (Oxf), 38 (3), 569-577. https://doi.org/10.1093/pubmed/fdv073
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.
Humans, Papillomavirus Infections, Adolescent, Child, African Continental Ancestry Group, Asian Continental Ancestry Group, European Continental Ancestry Group, Ethnic Groups, Immunization Programs, School Health Services, Health Services Accessibility, Uterine Cervical Neoplasms, Female, Papillomavirus Vaccines
External DOI: https://doi.org/10.1093/pubmed/fdv073
This record's URL: https://www.repository.cam.ac.uk/handle/1810/284945
Attribution 4.0 International
Licence URL: https://creativecommons.org/licenses/by/4.0/