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

IF 3.2 Papillomavirus Research Pub Date : 2019-12-01 DOI:10.1016/j.pvr.2019.100189

Sapna Kaul , Thuy Quynh N. Do , Enshuo Hsu , Kathleen M. Schmeler , Jane R. Montealegre , Ana M. Rodriguez

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引用次数: 31

Abstract

Objective

Compare 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.

Methods

Our 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.

Results

At 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.

Conclusion

The 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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以学校为基础的人乳头瘤病毒疫苗接种计划，以增加德克萨斯州服务不足地区的疫苗摄取

目的比较以社区为基础的HPV相关教育和现场学校疫苗接种与仅以社区为基础的教育在农村医疗服务不足地区增加HPV疫苗接种率的有效性。方法本研究纳入2016年8月入学的里奥格兰德城联合独立学区(RGCISD) 3所学校的2307名中学生，随访至2018年4月。本研究采用准实验设计，在1所中学(“干预学校”)实施了以学校为基础的现场疫苗接种计划，并对周围社区(RGCCISD半径15英里)的家长/监护人、学校护士/工作人员和儿科/家庭提供者进行了医生主导的HPV和HPV疫苗教育，其余2所学校(“比较学校”)仅进行教育。疾病控制和预防中心的hpv相关教育材料补充了教育。从学校免疫记录和该项目的签约疫苗供应商处获得HPV疫苗状况。比较干预前和干预后以及干预学校和比较学校之间的HPV疫苗接种和完成率。采用Logistic回归比较干预学校和比较学校之间新开始/完成疫苗接种的几率。结果干预学校HPV疫苗接种起始率和完成率(20.00%和8.70%)低于对照学校(28.97%和14.56%)。干预后，干预学校的启动率和完成率分别为53.67%和28.36%，高于对照学校(41.56%和20.53%)。干预学校的学生新开始/完成HPV疫苗接种的可能性是比较学校学生的3.6倍以上。结论有现场疫苗接种活动和社区教育的学校青少年HPV疫苗接种率高于仅接受社区教育的学校。

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来源期刊

Papillomavirus Research VIROLOGY-

自引率

0.00%

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审稿时长

14 weeks

期刊介绍： The official Journal of the International Papillomavirus Society Papillomavirus Research (PVR), the Journal of HPV and other Small DNA Tumor Viruses publishes innovative papers related to all aspects of papillomaviruses and other small DNA tumor viruses. The official journal of the International Papillomavirus Society, PVR is an open access publication that aims to bring together virologists, immunologists, epidemiologists and clinicians working in the booming field of HPV and animal papillomaviruses, polyomaviruses and other small DNA tumor viruses and their associated diseases, in order to foster and facilitate interdisciplinary communication. The journal welcomes original research articles, reviews, short communications, opinion articles and regional update reports on papillomaviruses and other tumor viruses in the following sections: a. Biology of papillomaviruses and related viruses from life cycle to cancer b. Epidemiology etiology and natural history studies c. Natural and induced immunity including vaccine research d. Intervention studies and strategies including i. Clinical studies and trials ii. HPV treatments iii. HPV vaccination programs iv. Diagnostics and screening e. Infection and disease prevention, modeling studies f. Guidelines and public health recommendations g. HPV Studies in special populations Regional and local studies on these viruses.