Influences on HPV vaccination across levels of the social ecological model: perspectives from state level stakeholders

Ryan, Grace; Avdic, Lejla; Daly, Eliza; Askelson, Natoshia M.; Farris, Paige E.; Shannon, Jackilen; McRee, Annie-Laurie; Hanson, Jessica D.; Kenyon, Den Yelle Baete; Seegmiller, Laura

doi:10.1080/21645515.2020.1839290

Cited by 12 publications

(11 citation statements)

References 29 publications

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“…Our theoretical framework identifies constructs relevant for MSM-selective vaccination strategy, which were also recognised in similar socio-ecological models. [115][116] The results of the meta-analysis need to be treated with caution, especially when considering potential moderators due to the heterogeneity of measures used. Previous reviews have highlighted the need to standardise vaccine acceptability and uptake measures, proposing a validated scale and harmonising monitoring and evaluation outcomes.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Vaccine acceptability, uptake and completion amongst men who have sex with men: A systematic review, meta-analysis and theoretical framework

Nadarzynski

Frost

Miller

et al. 2021

Vaccine

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Background: Due to an increased risk of sexually transmitted infections (STIs), gay, bisexual and other men who have sex with men (MSM) have been recommended to receive vaccinations against human papillomavirus, meningitis C and hepatitis A/B. This review aimed to compare the rates of vaccine acceptability, uptake and completion, and to identify determinants of vaccine outcomes specific to MSM to inform a theoretical framework.Methods: In January 2020 four databases were explored to identify vaccination behaviours and associated factors among MSM. A narrative systematic review and meta-analysis were performed. Data were synthesised for theoretical modelling. Results: Seventy-eight studies, mostly from the USA, were included. The average vaccine acceptability was 63% (median=72%, range: 30%-97%), vaccine uptake 45% (median=42%, range: 5%-100%) and vaccine completion 47% (median=45%, range: 12%-89%). Six categories of factors associated with vaccination acceptability, uptake and completion were conceptualised:Individual (e.g., demographic and psychosocial); Interpersonal (e.g., peer education); Healthcare provider (e.g., vaccine recommendation); Organisational and practice setting (e.g., routine collection of patient sexual orientation information that is integrated into a clinical decision support system); Community environment (e.g., targeted health promotion campaigns); and National, state and local policy environment (e.g., public health guidelines targeting MSM). Conclusion: Despite overall high levels of acceptability, uptake and completion rates were below targets predicted by cost-effectiveness modelling across all recommended vaccines. These parameters may need to be adjusted for more precise estimations of cost-effectiveness. Addressing the multiple levels of determinants, as outlined in our theoretical framework, will help guide interventions to increase vaccine completion among MSM.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Vaccine acceptability, uptake and completion amongst men who have sex with men: A systematic review, meta-analysis and theoretical framework

Nadarzynski

Frost

Miller

et al. 2021

Vaccine

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“…Multilevel interventions addressing multiple SEM levels have been shown to be effective in reducing adult vaccination disparities. 114 In this review, most of the included intervention studies with fair quality evidence demonstrated effectiveness in increasing vaccination rates among racial and ethnic minority groups through use of multilevel interventions. These multilevel interventions include strategies that improve vaccine demand through patient education activities and health care provider interactions, and ensure equitable vaccine access in health care settings.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Disparities in Adult Vaccination: A Review of the State of Evidence

et al. 2022

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Background Adult vaccination coverage remains low in the United States, particularly among racial and ethnic minority populations. Objective To conduct a comprehensive literature review of research studies assessing racial and ethnic disparities in adult vaccination. Search Methods We conducted a search of PubMed, Cochrane Library, ClinicalTrials.gov, and reference lists of relevant articles. Selection Criteria Research studies were eligible for inclusion if they met the following criteria: (1) study based in the United States, (2) evaluated receipt of routine immunizations in adult populations, (3) used within-study comparison of race/ethnic groups, and (4) eligible for at least one author-defined PICO (patient, intervention, comparison, and outcome) question. Data Collection and Analysis Preliminary abstract review was conducted by two authors. Following complete abstraction of articles using a standardized template, abstraction notes and determinations were reviewed by all authors; disagreements regarding article inclusion/exclusion were resolved by majority rule. The Social Ecological Model framework was used to complete a narrative review of observational studies to summarize factors associated with disparities; a systematic review was used to evaluate eligible intervention studies. Results Ninety-five studies were included in the final analysis and summarized qualitatively within two main topic areas: (1) factors associated with documented racial-ethnic disparities in adult vaccination and (2) interventions aimed to reduce disparities or to improve vaccination coverage among racial-ethnic minority groups. Of the 12 included intervention studies, only 3 studies provided direct evidence and were of Level II, fair quality; the remaining 9 studies met the criteria for indirect evidence (Level I or II, fair or poor quality). Conclusions A considerable amount of observational research evaluating factors associated with racial and ethnic disparities in adult vaccination is available. However, intervention studies aimed at reducing these disparities are limited, are of poor quality, and insufficiently address known reasons for low vaccination uptake among racial and ethnic minority adults.

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“…Given that most teens only visit the dentist twice per year and some families cannot afford dental care, it is possible that it may not be strong enough as a stand-alone intervention. However, while this may not provide as strong of a dose as other settings (e.g., school curriculum), the most impactful prevention effects occur when teens' behaviors are targeted through multiple avenues, particularly at different levels of the social-ecological model [ 58 – 60 ]. Given that in 2019, 82.7% of youth 17 and under in Idaho had received preventive dental care in the past year [ 61 ], 85% of high school students saw a dentist in the past year [ 16 ], and dental professionals are considered credible messengers, adding an innovative setting to meth prevention will stand out and provide another layer of protection.…”

Section: Discussionmentioning

confidence: 99%

“(Meth) Will Hurt You and Hurt Your Teeth”: Teen, Parent, and Dental Practitioner Perspectives on Implementing Crystal Meth Use Prevention Messaging in the Dental Office Setting

Skeer

Landy

Ryan

et al. 2022

International Journal of Dentistry

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Objectives. Crystal methamphetamine (“meth”) use among youth living in rural areas is higher than the national average. Given how drastically meth affects teeth (i.e., “meth mouth”), engaging dental professionals as one of multiple channels in rural areas to deliver meth prevention messaging is a novel approach. The objective of this research was to assess the feasibility and acceptability of incorporating meth use prevention messaging into dental visits with teenagers. Methods. We conducted phenomenological, qualitative research with dental practitioners, teens, and parents/guardians in three communities in North Idaho, from 2015 to 2016. We recruited practitioners using a snowball sampling strategy and placed phone calls to dental practices and contacted teens and parents through schools, libraries, local sporting events, and word-of-mouth. Using NVivo 12-Plus, parent- and teen-specific codebooks and themes were developed from guides and transcripts. Transcripts of the dentists and hygienists were reviewed to ascertain the main ideas and themes. Results. Overall, practitioner, teen, and parent participants viewed meth prevention messages delivered by dental professionals as acceptable and feasible. Compared to those in private practice, public health dental providers were invested in meth prevention and were eager to help. Barriers to overall acceptability and feasibility included hygienists’ low self-efficacy to deliver a communication-based intervention, infrequency of dental visits impacting the ability to reach enough teens through this venue, and the fact that teens could feel “targeted” by providers. Teens also raised concerns about scary messages exacerbating preexisting dental visit anxiety. Facilitators included the following: dental practitioners already engaging in health education with their patients, parents, and teens seeing dental professionals as appropriate purveyors of antimeth messaging and support for increased meth prevention efforts given the impact of meth use in their communities. Conclusions. Well-crafted, developmentally appropriate meth prevention messages would likely be well received by teens and supported by parents in dental offices. These data are being used to develop a novel, theory-based communication and behavioral strategy to integrate dental professionals into the delivery of messages aimed at preventing the initiation of meth use among rural Idaho teens.

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Influences on HPV vaccination across levels of the social ecological model: perspectives from state level stakeholders

Cited by 12 publications

References 29 publications

Vaccine acceptability, uptake and completion amongst men who have sex with men: A systematic review, meta-analysis and theoretical framework

Vaccine acceptability, uptake and completion amongst men who have sex with men: A systematic review, meta-analysis and theoretical framework

Racial and Ethnic Disparities in Adult Vaccination: A Review of the State of Evidence

“(Meth) Will Hurt You and Hurt Your Teeth”: Teen, Parent, and Dental Practitioner Perspectives on Implementing Crystal Meth Use Prevention Messaging in the Dental Office Setting

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