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Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women

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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; Hickman, Matthew; Audrey, Suzanne.

In: Journal of Public Health (United Kingdom), Vol. 38, No. 3, 2016, p. 569-577.

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@article{6117f8c7ed00444f86d80930232ec54a,
title = "Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women",
abstract = "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.",
author = "{Batista Ferrer}, Harriet and Caroline Trotter and Matthew Hickman and Suzanne Audrey",
year = "2016",
doi = "10.1093/pubmed/fdv073",
language = "English",
volume = "38",
pages = "569--577",
journal = "Journal of Public Health (United Kingdom)",
issn = "1741-3842",
publisher = "Oxford University Press",
number = "3",

}

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TY - JOUR

T1 - Barriers and facilitators to uptake of the school-based HPV vaccination programme in an ethnically diverse group of young women

AU - Batista Ferrer, Harriet

AU - Trotter, Caroline

AU - Hickman, Matthew

AU - Audrey, Suzanne

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

U2 - 10.1093/pubmed/fdv073

DO - 10.1093/pubmed/fdv073

M3 - Article

VL - 38

SP - 569

EP - 577

JO - Journal of Public Health (United Kingdom)

JF - Journal of Public Health (United Kingdom)

SN - 1741-3842

IS - 3

ER -