“I Don't Know What is HPV or ABC”: Perspectives on the Barriers to and facilitators of Human Papillomavirus Vaccine Uptake at Three Levels across Saskatchewan -- Patient-, Provider-, and System-Level.
Notice bibliographique
Résumé
Background: Canada has successfully implemented a publicly funded school-based HPV vaccination (HPVV) program. Despite a widespread effort, the uptake of HPVV remained suboptimal in some Canadian jurisdictions. The status quo of the cervical cancer incidence rate since 2005, coupled with the suboptimal uptake of HPVV, is in-part because HPVV's impact on cancer prevention has not been realized adequately by vaccine providers and receivers. Migrant populations in Canada tend to have lower vaccination rates for some routine vaccines; hence, these subgroups have higher vaccine-preventable disease-related hospitalizations than their Canadian-born counterparts. Literature is sparse that examines migrant parents’ perspectives as well as providers' and system-level workers' perspectives to determine barriers to and facilitators in HPVV uptake. Methodology: This study employed a qualitative sequential mixed method inquiry using an Interpretive Description approach grounded in pragmatism. The study drew on 31 surveys (collected from migrant parents), all publicly available provincial documents that included information on HPVV from January 2015, the (pre-COVID-19 period) until July 2023 (the post-COVID-19 period), three Focus Group Discussions (FGDs) and interviews with 72 participants from across Saskatchewan, in which 56 members participated in one-on-one interviews and 16 in FGDs. All data gathered was subjected to a hybrid inductive-deductive coding approach to conducting a thematic analysis, whereas the study’s rigour was maintained through crystallization, member checking, and peer debriefing. Findings: Data analysis identified two key themes as significant factors in HPVV uptake. 1. information, awareness and education about HPV infection and HPV vaccine, and 2. vaccine-related logistics. A multi-component intervention to enhance HPV immunization rates remains instrumental, given the inconsistent uptake of HPVV by the population subgroups who voice unique barriers and facilitators. Interventions should target raising HPVV awareness, offering education, and tackling factors related to vaccine logistics in the cancer control continuum. An educational campaign that involves educating parents who consent for their child(ren) for HPVV, the children receiving the vaccine, and training staff providing HPVV through school-based immunization programs would be paramount. Future studies may want to look into the subgroups of immigrants and refugees and carry out sub-group analysis, which was not the scope of this study. iii Conclusion: The current awareness and education strategies are ineffective, and they do not convey the information in a way that can easily be understood by the parents, which is not enabling them to provide informed consent for the HPV vaccine. Vaccine-related logistics are equally important as HPV vaccine information, awareness, and education. The logistics of information delivery need to be revisited in the context of a hybrid digital and analog world. Culture is not as significant an issue as considered. Systems-level thinking approach that centers on the patient and family is needed to understand and improve HPV vaccine uptake. The persistence of disparity in the uptake of the HPV vaccine serves to add to the health gap contributing to health inequities in Saskatchewan and globally.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,007 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,015 | 0,008 |
| Communication savante | 0,005 | 0,003 |
| Science ouverte | 0,002 | 0,006 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».