A reproductive justice approach to understanding women's experiences with HPV and cervical cancer prevention

Sundstrom, Beth; Smith, Ellie; Delay, Cara; Luque, John S.; Davila, Caroline; Feder, Bailey; Paddock, Vincenza; Poudrier, Jessie; Pierce, Jennifer Young; Brandt, Heather M.

doi:10.1016/j.socscimed.2019.05.010

Cited by 26 publications

(41 citation statements)

References 41 publications

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“…Advertisements were served to the target audience based on age, location, and parent demographic characteristics. Formative audience research and a pilot campaign evaluation [30] guided the development and implementation of the social media campaign. A content analysis of online HPV vaccination in South Carolina identified two primary misconceptions about the HPV vaccination: concerns about safety and that the vaccine could increase sexual activity among adolescents [31].…”

Section: Hpv Vaccination Nowmentioning

confidence: 99%

Correcting HPV Vaccination Misinformation Online: Evaluating the HPV Vaccination NOW Social Media Campaign

et al. 2021

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The human papillomavirus (HPV) vaccine provides protection from six HPV-related cancers. Approximately half of South Carolina adolescents have not completed the vaccination series, representing a missed opportunity to prevent cancer. The HPV Vaccination NOW: This is Our Moment social media campaign is an initiative of the South Carolina Cancer Alliance (SCCA) and Hollings Cancer Center at the Medical University of South Carolina (MUSC). This statewide social media campaign aimed to increase parental awareness of and build vaccine confidence around HPV vaccination in S.C. The ten-week campaign was strategically implemented between June and August 2019 to encourage HPV vaccination at back-to-school medical appointments. A process evaluation showed that the campaign resulted in over 370,000 total impressions, reached over 33,000 individuals, and culminated with over 1122 followers. There were over 2700 engagements on Facebook and Twitter. A qualitative content analysis indicated that pro-vaccine and anti-vaccine comments were dominated by personal stories. Comments promoting misinformation about the HPV vaccine were often countered through peer-to-peer dialogue. Findings suggest that creating opportunities for the target audience to engage with campaign messages effectively corrected misinformation.

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Section: Hpv Vaccination Nowmentioning

confidence: 99%

Correcting HPV Vaccination Misinformation Online: Evaluating the HPV Vaccination NOW Social Media Campaign

et al. 2021

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“…[8][9][10][11] They are also more likely to espouse positive beliefs about the health system, sex-positive beliefs, and regain empowerment regarding their health. 60,61 As such, every young woman who is screened offers a chance of strengthening a community around women's health.…”

Section: Next Steps and Implications For Carementioning

confidence: 99%

WITHDRAWN: Barriers and Facilitators for Cervical Cancer Screening Among Young Women: A Systematic Review

Kirubarajan

Leung

et al. 2020

Preprint

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Background Though cervical cancer is one of the leading causes of death globally, its incidence is nearly entirely preventable. Young women have been an international priority for screening. However, in both high-income and low-income countries, young women have not been screened appropriately according to country-specific guidelines.The aim of this systematic review was to systematically characterize the existing literature on barriers and facilitators for cervical cancer screening among young women globally.MethodsWe conducted a systematic review following PRISMA guidelines of four databases: Medline-OVID, EMBASE, CINAHL, and ClinicalTrials.Gov. Databases were examined from inception until the date of our literature searches (12/03/2020). We only examined original, peer-reviewed literature. Articles were excluded if they did not specifically discuss cervical cancer screening, were not specific to young women, or did not report outcomes or evaluation. All screening, extraction, and synthesis was completed in duplicate with two independent reviewers. Outcomes were summarized descriptively. Risk of bias for individual studies was graded using an adapted rating scale based on the Risk of Bias Instrument for Cross-Sectional Surveys of Attitudes and Practices.ResultsOf the 2177 original database citations, we included 36 studies that met inclusion criteria. Our systematic review found that there are three large categories of barriers for young women: lack of knowledge/awareness, negative perceptions of the test, and practical barriers to testing. Facilitators included stronger relationships with healthcare providers, social norms, support from family, and self-efficacy.Conclusions There are unique barriers and facilitators that affect cervical cancer screening rates in young women. Health systems worldwide should address the challenges for this population.

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“…However, researchers have only rarely focused on recommendations as a topic of study in their own right. Instead, quantitative studies have typically considered recommendation receipt as a dichotomous variable used to model HPV vaccine uptake ( Brewer et al, 2011 ; Lu et al, 2019 ; Reiter et al, 2013 ), while qualitative studies have engaged small numbers of providers or parents to identify communication practices that may be especially promising or problematic ( Hughes et al, 2011 ; Perkins et al, 2014 ; Sundstrom et al, 2019 ). Missing from the literature is a more holistic understanding of the range of strategies that providers use to motivate HPV vaccination, which could be helpful for positioning provider recommendations within the broader literature on persuasive communication.…”

Section: Introductionmentioning

confidence: 99%

Physicians’ rhetorical strategies for motivating HPV vaccination

Gilkey

Grabert

Malo

et al. 2020

Social Science & Medicine

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Rationale. Receiving a healthcare provider's recommendation is a well-documented predictor of human papillomavirus (HPV) vaccination, and yet recommendations remain understudied and undertheorized. Objective. To qualitatively describe strategies providers use to motivate HPV vaccination. Method. We surveyed a national sample of 771 U.S. primary care physicians. Data came from an open-ended item that assessed physicians' perspectives on the most effective thing they could say to persuade parents to get HPV vaccine for their 11- to 12-year-old children. Using a standardized codebook and two independent coders, we conducted a thematic analysis to identify rhetorical strategies underlying physicians' responses. Results. We identified two sets of strategies for motivating HPV vaccination. One set drew parents' attention to specific actors or vaccine characteristics. Physicians using these strategies asked parents to consider their children's individual risk in the short-term, named specific diseases that could be prevented, emphasized the novelty of HPV vaccine as a cancer prevention tool, and gave their personal endorsement for HPV vaccination. In contrast, the second set of strategies was more distancing and impersonal. Physicians using these strategies referenced future risk, described cancer prevention in general terms, framed HPV vaccine as similar to other vaccines, and shared organizational endorsements for HPV vaccination. Across these two sets of strategies, a tension emerged between the goals of engaging parents' perceptions of HPV as a threat to their children versus framing HPV vaccination as a normative standard of care. Conclusions. Our findings suggest that theoretical frameworks, such as Construal Level Theory, may be helpful for positioning provider recommendations in the broader literature on persuasive communication. By identifying competing approaches to motivating HPV vaccination, this study lays the groundwork for future research to test the acceptability and impact of strategies for recommending routine preventive care.

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A reproductive justice approach to understanding women's experiences with HPV and cervical cancer prevention

Cited by 26 publications

References 41 publications

Correcting HPV Vaccination Misinformation Online: Evaluating the HPV Vaccination NOW Social Media Campaign

Correcting HPV Vaccination Misinformation Online: Evaluating the HPV Vaccination NOW Social Media Campaign

WITHDRAWN: Barriers and Facilitators for Cervical Cancer Screening Among Young Women: A Systematic Review

Physicians’ rhetorical strategies for motivating HPV vaccination

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