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The Implementation of HPV Mandates for School Entry in Rhode Island and Hawaii and the Impact on HPV Vaccine Coverage Among Adolescents
The Implementation of HPV Mandates for School Entry in Rhode Island and Hawaii and the Impact on HPV Vaccine Coverage Among Adolescents
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103046
- ISBN
- 9798315704799
- DDC
- 614
- 저자명
- Schatz, Alyssa.
- 서명/저자
- The Implementation of HPV Mandates for School Entry in Rhode Island and Hawaii and the Impact on HPV Vaccine Coverage Among Adolescents
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 119 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
- 주기사항
- Advisor: Spees, Lisa.
- 학위논문주기
- Thesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약Human Papillomavirus (HPV) is the most common sexually transmitted infection and has been linked to six known cancer types including cervical, anal, oropharyngeal, penile, vaginal, and vulvar. Annually, an estimated 37,800 cases of all cancers in the US are estimated to be caused by HPV, and HPV vaccination is estimated to prevent up to 90% of HPV related cancers. HPV vaccination is well established as effective at reducing HPV incidence and transmission. Despite demonstrated efficacy and largely mild associated side-effects, rates of uptake of the HPV vaccine in the US lag well behind other childhood immunizations.In an effort to improve HPV vaccine coverage, a handful of jurisdictions enacted HPV vaccine requirements for middle school entry from 2008 to 2020. However, it is unclear how effective these policies have been to date. Additionally, while implementation supports are established as playing a role in policy effectiveness, it is unknown what implementation supports have been used in states with HPV vaccination school-entry requirements.This study explored the implementation supports used by Rhode Island (RI) and Hawaii (HI), two states that have enacted and implemented HPV immunization requirements for school entry over the last decade. The study sought to identify and understand promising practices that could improve uptake of the HPV vaccine among adolescents nationally. The study gathered data through a literature review, secondary data analysis of HPV vaccination rates in RI and HI, a qualitative document review, and key informant interviews (KIIs) with individuals involved in or impacted by the implementation of these policies. The study concluded that the school-entry policies in HI and RI were effective in improving HPV vaccination uptake, particularly for females. However, key informants (KIs) attributed this success in part to the state having existing high rates of vaccine acceptance. The study also found that these states used robust implementation support strategies in their policy rollout and identifies the most promising practices as identified by KIs and supported by the existing literature. This study concluded that HPV vaccination requirements for school entry may be a useful intervention for some states with existing high rates of vaccine acceptance and offers insights into promising practices for states seeking to improve their HPV vaccination coverage.
- 일반주제명
- Public health
- 일반주제명
- Public policy
- 일반주제명
- Oncology
- 키워드
- Implementation
- 키워드
- Policy
- 키워드
- Vaccination
- 키워드
- Cancer
- 기타저자
- The University of North Carolina at Chapel Hill Health Policy and Management
- 기본자료저록
- Dissertations Abstracts International. 86-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
■007cr#unu||||||||
■020 ▼a9798315704799
■035 ▼a(MiAaPQ)AAI31930798
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aSchatz, Alyssa.
■24510▼aThe Implementation of HPV Mandates for School Entry in Rhode Island and Hawaii and the Impact on HPV Vaccine Coverage Among Adolescents
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a119 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: B.
■500 ▼aAdvisor: Spees, Lisa.
■5021 ▼aThesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aHuman Papillomavirus (HPV) is the most common sexually transmitted infection and has been linked to six known cancer types including cervical, anal, oropharyngeal, penile, vaginal, and vulvar. Annually, an estimated 37,800 cases of all cancers in the US are estimated to be caused by HPV, and HPV vaccination is estimated to prevent up to 90% of HPV related cancers. HPV vaccination is well established as effective at reducing HPV incidence and transmission. Despite demonstrated efficacy and largely mild associated side-effects, rates of uptake of the HPV vaccine in the US lag well behind other childhood immunizations.In an effort to improve HPV vaccine coverage, a handful of jurisdictions enacted HPV vaccine requirements for middle school entry from 2008 to 2020. However, it is unclear how effective these policies have been to date. Additionally, while implementation supports are established as playing a role in policy effectiveness, it is unknown what implementation supports have been used in states with HPV vaccination school-entry requirements.This study explored the implementation supports used by Rhode Island (RI) and Hawaii (HI), two states that have enacted and implemented HPV immunization requirements for school entry over the last decade. The study sought to identify and understand promising practices that could improve uptake of the HPV vaccine among adolescents nationally. The study gathered data through a literature review, secondary data analysis of HPV vaccination rates in RI and HI, a qualitative document review, and key informant interviews (KIIs) with individuals involved in or impacted by the implementation of these policies. The study concluded that the school-entry policies in HI and RI were effective in improving HPV vaccination uptake, particularly for females. However, key informants (KIs) attributed this success in part to the state having existing high rates of vaccine acceptance. The study also found that these states used robust implementation support strategies in their policy rollout and identifies the most promising practices as identified by KIs and supported by the existing literature. This study concluded that HPV vaccination requirements for school entry may be a useful intervention for some states with existing high rates of vaccine acceptance and offers insights into promising practices for states seeking to improve their HPV vaccination coverage.
■590 ▼aSchool code: 0153.
■650 4▼aPublic health
■650 4▼aPublic policy
■650 4▼aOncology
■653 ▼aImplementation
■653 ▼aPolicy
■653 ▼aVaccination
■653 ▼aHuman Papillomavirus
■653 ▼aCancer
■690 ▼a0573
■690 ▼a0630
■690 ▼a0992
■71020▼aThe University of North Carolina at Chapel Hill▼bHealth Policy and Management.
■7730 ▼tDissertations Abstracts International▼g86-11B.
■790 ▼a0153
■791 ▼aDr.P.H.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356838▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
