美国大学生HPV疫苗接种干预的健康促进理论、局限性和经验教训:系统文献综述

Pub Date : 2023-04-10 DOI:10.1080/19325037.2023.2187486
Lea Sacca, George Doumat, Alaa Rihan, Jonathan Maroun, C. Ejezie
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引用次数: 0

摘要

背景尽管校园免疫等卫生资源可用,但大学生HPV疫苗接种率仍然很低,HPV疫苗接种率存在性别差异。本系统综述的目的是确定HPV疫苗接种干预在大学生中的常见局限性,利用已报道的健康促进理论来提高相关人群的HPV疫苗接种率,并从干预结果中吸取教训。方法:审查小组由一组具有医学和/或公共卫生背景的研究人员组成,他们是美国大学生HPV疫苗接种干预措施的评估、制定、实施和评价方面的专家。Arksey和O 'Malley框架方法指导了审查。结果在纳入的21项研究中,只有16项研究使用了健康促进理论和/或模型来传播和实施研究干预,其中最常见的理论是健康信念模型(HBM) (n = 7)。从19项研究中发现了50个局限性,并进行了相应的分类。讨论结果可能有助于更广泛地了解在大学环境中设计HPV疫苗接种计划时需要考虑的主要限制。本研究采用不同的NCHEC区域来设计和实施。
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Examining Health Promotion Theories, Limitations, and Lessons Learned for HPV Vaccination Interventions among College Students in the United States: A Systematic Literature Review
ABSTRACT Background Despite the availability of health resources such as immunizations on campus, HPV vaccination rates in college students remain low with existing gender disparities in HPV vaccine uptake. Purpose The purpose of this systematic review was to identify common limitations to HPV vaccination interventions among college students, utilized health promotion theories that have been reported to improve HPV vaccination rates among the population of interest, and lessons learned from intervention outcomes. Methods The review team consisted of a group of researchers with medical and/or public health backgrounds who are experts in the assessment, development, implementation, and evaluation of HPV vaccination interventions for US college students. The Arksey and O’Malley framework methodology guided the review. Results Out of the 21 included studies, only 16 utilized health promotion theories and/or models to disseminate and implement the research intervention, with the most common theory being the Health Belief Model (HBM) (n = 7). A total of 50 limitations were identified from 19 studies and classified accordingly. Discussion Results may contribute to a broader understanding of major limitations to consider when designing HPV vaccination initiatives in college settings. Translation to Health Education Practice Different NCHEC areas were applied in the design and administration of this study.
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