Opportunities for Increasing Human Papillomavirus Vaccine Provision in School Health Centers

Jennifer Moss, Ashley L. Feld, Brittany O'Malley, Pamela Entzel, Jennifer S. Smith, Melissa B. Gilkey, Noel T. Brewer

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

ABSTRACT: BACKGROUND: Uptake of human papillomavirus (HPV) vaccine remains low among adolescents in the United States. We sought to assess barriers to HPV vaccine provision in school health centers to inform subsequent interventions. METHODS: We conducted structured interviews in the fall of 2010 with staff from all 33 school health centers in North Carolina that stocked HPV vaccine. RESULTS: Centers had heterogeneous policies and procedures. Out-of-pocket costs for children and youth to receive privately purchased HPV vaccine were a key barrier to providing HPV vaccine within school health centers. Other barriers included students not returning consent forms, costs to clinics of ordering and stocking privately purchased HPV vaccine, and difficulty using the statewide immunization registry. Most (82%) school health centers were interested in hosting interventions to increase HPV vaccine uptake, especially those that the centers could implement themselves, but many had limited staff to support such efforts. Activities rated as more likely to raise HPV vaccine uptake were student incentives, parent reminders, and obtaining consent from parents while they are at school (all ps<.05). CONCLUSIONS: Although school health centers reported facing several key barriers to providing HPV vaccine, many were interested in partnering with outside organizations on low-cost interventions to increase HPV vaccine uptake among adolescents.

Original languageEnglish (US)
Pages (from-to)370-378
Number of pages9
JournalJournal of School Health
Volume84
Issue number6
DOIs
StatePublished - Jan 1 2014

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Papillomavirus Vaccines
School Health Services
health
school
parents
costs
adolescent
staff
Vaccine
Health Centers
Students
Consent Forms
Costs and Cost Analysis
student
incentive
Health Expenditures
Registries
Motivation
interview
Immunization

All Science Journal Classification (ASJC) codes

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health

Cite this

Moss, J., Feld, A. L., O'Malley, B., Entzel, P., Smith, J. S., Gilkey, M. B., & Brewer, N. T. (2014). Opportunities for Increasing Human Papillomavirus Vaccine Provision in School Health Centers. Journal of School Health, 84(6), 370-378. https://doi.org/10.1111/josh.12158
Moss, Jennifer ; Feld, Ashley L. ; O'Malley, Brittany ; Entzel, Pamela ; Smith, Jennifer S. ; Gilkey, Melissa B. ; Brewer, Noel T. / Opportunities for Increasing Human Papillomavirus Vaccine Provision in School Health Centers. In: Journal of School Health. 2014 ; Vol. 84, No. 6. pp. 370-378.
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Moss, J, Feld, AL, O'Malley, B, Entzel, P, Smith, JS, Gilkey, MB & Brewer, NT 2014, 'Opportunities for Increasing Human Papillomavirus Vaccine Provision in School Health Centers', Journal of School Health, vol. 84, no. 6, pp. 370-378. https://doi.org/10.1111/josh.12158

Opportunities for Increasing Human Papillomavirus Vaccine Provision in School Health Centers. / Moss, Jennifer; Feld, Ashley L.; O'Malley, Brittany; Entzel, Pamela; Smith, Jennifer S.; Gilkey, Melissa B.; Brewer, Noel T.

In: Journal of School Health, Vol. 84, No. 6, 01.01.2014, p. 370-378.

Research output: Contribution to journalArticle

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