Implementation and Evaluation of a School-Based Human Papillomavirus Vaccination Program in Rural Kentucky

Vanderpool, Robin C.; Breheny, Patrick; Tiller, Peggy A.; Huckelby, Carol A.; Edwards, Amy D.; Upchurch, Kristi D.; Phillips, Cynthia A.; Weyman, Christine

doi:10.1016/j.amepre.2015.05.001

Cited by 34 publications

(39 citation statements)

References 30 publications

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“…As noted in Table 2, in 2014 Appalachian adults reported slightly higher blood stool testing rates compared with national and state estimates. Similar community-based efforts have been conducted with HPV vaccination, including partnerships with schools and health departments, with a focus on adherence to the full series 36,57,58 and recruitment of women via free health clinics, community events, and health departments to self-collect a cervicovaginal swab, followed by HPV testing and navigation to Pap testing if needed. 59,60…”

Section: Discussionmentioning

confidence: 99%

A Social-Ecological Review of Cancer Disparities in Kentucky

Rodriguez¹,

Vanderford²,

Huang³

et al. 2018

Southern Medical Journal

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Cancer continuously ranks among the top 10 leading causes of death in the United States. The burden of cancer is particularly elevated in the Commonwealth of Kentucky and its 54-county Appalachian region, where cancer is the leading cause of death. Kentucky's high rates of cancer have been attributed to a wide range of socioeconomic, behavioral, environmental, and policy influences, resulting in numerous disparities. The present review specifically evaluates the burden of lung, colorectal, cervical, and head and neck cancers in Kentucky, along with resultant cancer control research and community outreach efforts conducted by the state's only National Cancer Institute-designated cancer center using an adapted version of McLeroy's Social-Ecological Model. Here, we categorize disparities and identify relevant intervention approaches based on their level of influence (ie, individual, community, and policy).

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Section: Discussionmentioning

confidence: 99%

A Social-Ecological Review of Cancer Disparities in Kentucky

Rodriguez¹,

Vanderford²,

Huang³

et al. 2018

Southern Medical Journal

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“…68 Nonetheless, schoolbased vaccination, when it can be implemented, may be a viable approach to increase HPV vaccination rates, especially in underserved populations. 69 On the other hand, school-located vaccination presents several challenges that must be addressed in any future interventions. Reimbursement remains a consideration with schoollocated vaccination because schools may not have a mechanism to bill insurance providers and payment for school-located vaccination could be denied by insurers as an out-of-network service.…”

Section: School-located Vaccination Programsmentioning

confidence: 99%

A retrospective and prospective look at strategies to increase adolescent HPV vaccine uptake in the United States

Head

Biederman

Sturm

et al. 2018

Human Vaccines & Immunotherapeutics

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The HPV vaccine debuted more than ten years ago in the United States and many strategies have been evaluated to increase HPV vaccination rates, which include not only improving current vaccination behaviors but also sustaining these behaviors. Researchers and practitioners from a variety of backgrounds have engaged in this work, which has included efforts directed at public health and government policies, health education and health promotion programs, and clinical and patient-provider approaches, as well as work aimed to respond to and combat anti-HPV vaccination movements in society. Using a previously developed conceptual model to organize and summarize each of these areas, this paper also highlights the need for future HPV vaccine promotion work to adopt a multi-level and, when possible, integrated approach in order to maximize impact on vaccination rates.

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“…While school-based HPV programs have been evaluated in the US [31], this study is the first to implement this program in an economically disadvantaged, medically underserved area with a high proportion of minority children. In our study, HPV vaccine uptake was higher among middle school students who received both community-based education and onsite vaccinations than those who received education only.…”

Section: Discussionmentioning

confidence: 99%

School-based human papillomavirus vaccination program for increasing vaccine uptake in an underserved area in Texas

Kaul

Hsu

et al. 2019

Papillomavirus Research

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ObjectiveCompare the effectiveness of community-based HPV-related education and onsite school-based vaccination versus community-based education only for increasing HPV vaccine uptake in a rural, medically underserved area.MethodsOur cohort included 2307 Rio Grande City Consolidated Independent School District (RGCISD) middle school students from 3 schools enrolled in August 2016 and followed until April 2018. Using a quasi-experimental design, this study implemented an onsite school-based vaccination program and physician-led education on HPV and HPV vaccines for parents/guardians, school nurses/staff, and pediatric/family providers in the surrounding community (15-mile radius of RGCCISD) at 1 middle school (“intervention school”), and education-only for the remaining 2 schools (“comparison schools”). The Centers for Disease Control and Prevention's HPV-related educational materials supplemented the education. HPV vaccine status was obtained from school immunization records and the project's contracted vaccine vendor. HPV vaccine initiation and completion rates were compared pre and post intervention and between the intervention and comparison schools. Logistic regression was used to compare the odds of newly initiating/completing vaccination between the intervention and comparison schools.ResultsAt baseline, the intervention school had lower HPV vaccine initiation and completion rates than the comparison schools (20.00% and 8.70% vs 28.97% and 14.56%). Post intervention, the intervention school had higher initiation and completion rates than the comparison schools (53.67% and 28.36% vs 41.56% and 20.53%). Students from the intervention school were over 3.6-times more likely to newly initiate/complete the HPV vaccinations than students from the comparison schools.ConclusionThe school with on-site vaccination events and community-based education had a higher adolescent HPV vaccination rate compared to schools that received community-based education only.

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Implementation and Evaluation of a School-Based Human Papillomavirus Vaccination Program in Rural Kentucky

Cited by 34 publications

References 30 publications

A Social-Ecological Review of Cancer Disparities in Kentucky

A Social-Ecological Review of Cancer Disparities in Kentucky

A retrospective and prospective look at strategies to increase adolescent HPV vaccine uptake in the United States

School-based human papillomavirus vaccination program for increasing vaccine uptake in an underserved area in Texas

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