4.5 Article

School-entry requirements for HPV vaccination: part of the patchwork for HPV-related cancer prevention

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HUMAN VACCINES & IMMUNOTHERAPEUTICS
卷 17, 期 7, 页码 1975-1979

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TAYLOR & FRANCIS INC
DOI: 10.1080/21645515.2020.1851130

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HPV vaccination; school-entry; immunization

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HPV vaccination can prevent multiple cancers, but the vaccination rates in the United States are low. Implementing school-entry requirements may be an effective policy approach to improve vaccination rates.
Human papillomavirus (HPV) vaccination can prevent six types of HPV-related cancers, and approximately, 54.2% of adolescents are up-to-date with the HPV vaccine in the United States. While moderate success has been achieved with provider- and parent-focused interventions, HPV vaccination in the U.S. lags well behind desired goals. In order to maximize HPV vaccination and prevention of HPV-related cancers, it may be prudent to consider state policy approaches, such as school-entry requirements as part of the patchwork of provider, parent, and structural interventions. In this paper, we reviewed the history of efforts to implement school-entry requirements for HPV vaccine, the challenges and benefits associated with implementing these requirements, and the evidence for the effectiveness of school-entry requirements. In addition, we presented new data from Rhode Island's Immunization Information System (IIS) showing how their school-entry requirement, implemented in 2015, has impacted HPV vaccination rates. These registry data indicate that HPV vaccination rates improved significantly after the 2014-2015 school year and policy implementation, and add to the ongoing evidence supporting the value of school-entry requirements for HPV vaccination. School-entry requirements should be considered alongside other initiatives and policies for promoting HPV vaccine uptake. Taking a comprehensive systems approach to HPV vaccination is needed.

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