HPV knowledge and vaccine acceptability in Appalachian Tennessee and Kentucky, USA

Tiggelaar, Sarah M.; Rafalski, Matthew; Davidson, Mario; Yan, Hu; Burnett, Lonnie S.

doi:10.1136/jfprhc-2013-100697

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…Some elements of the major and sub-themes of the results are not unique to the experiences of Appalachian residents, however. For example, lack of health literacy is a known barrier to accessing healthcare in a variety of vulnerable populations and settings, and scarcity of healthcare providers has created systemic obstacles to accessing care in many different and geographically-diverse communities [68,69]. Other aspects of these findings may be considered unique to the region or specific to family planning or substance use services, which is the main contribution of this study to the knowledge base.…”

Section: Discussionmentioning

confidence: 96%

Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse

Swan

Auerbach

Ely

et al. 2020

IJERPH

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Reproductive health disparities in the Appalachian region may be driven by barriers to healthcare access. However, the barriers specific to accessing family planning services in Appalachia have not yet been identified from the perspectives of Appalachian community members. Moreover, it is unclear how community members might perceive elevated levels of opioid use in the region to impact family planning practices. To fill this gap in knowledge, the current qualitative study explored community perspectives about family planning in Appalachia in the context of the opioid epidemic for the purpose of developing a survey instrument based on these responses. We conducted three video call focus group interviews with community stakeholders, those who live, work and are invested in Appalachia (N = 16), and analyzed the responses using Levesque, Harris, and Russell’s (2013) five pillars of healthcare access as a framework to categorize family planning practices and perceptions of service needs in the context of regional substance abuse: (1) approachability, (2) acceptability, (3) availability and accommodation, (4) affordability, and (5) appropriateness. Subthemes within each of these five categories were also identified. Our findings highlight stakeholder concerns around a lack of knowledge about and access to family planning services in Appalachia. Community members also expressed concern around the lack of availability of substance use treatment services, which may negatively impact family planning use and access in the region.

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Section: Discussionmentioning

confidence: 96%

Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse

Swan

Auerbach

Ely

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…In other words, the free vaccine performed no better (or worse) than vaccine completion rates for less vulnerable populations. We see this as a monumental achievement in reducing disparities for poor youth and women.The Kansas City experience of funding a multi-year, safety netoriented free HPV4 program stands to inform other locations considering whether free vaccine will have an impact on cervical cancer prevention (Tiggelaar & Rafalski, 2014). Because Pap smear screening is not recommended in females younger than 21 regardless of age at sexual debut, options for prevention must include HPV vaccination.…”

mentioning

confidence: 98%