The Role of Vaccination Interventions to Promote HPV Vaccine Uptake Rates in a College-Aged Population: a Systematic Rev
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The Role of Vaccination Interventions to Promote HPV Vaccine Uptake Rates in a College-Aged Population: a Systematic Review Lihong Ou 1
&
Shawn D. Youngstedt 1
# The Author(s) 2020
Abstract This systematic review provided synthesized evidence regarding the effectiveness of the interventions promoting the human papillomavirus (HPV) vaccination in college-aged population. The HPV infection is the most prevailing sexually transmitted disease. Despite the availability and effectiveness of the 9-Valent HPV vaccine, the vaccine coverage among young adults remained low. In witness to the increasing burden of HPV-related infections and cancers, research focused on the vaccination interventions should be conducted to determine the effectiveness of the vaccination strategy and address the gap. The search was conducted through PubMed, Cochrane, and CINAL. Studies were included if they (1) included vaccination programs, (2) target population was young adults aged 17–26, (3) examined factors associated with the intervention effectiveness, (4) were published in English, and (5) were published between February 2010 and February 2020. HPV-related knowledge and intentions toward HPV vaccination were all reported increased after the intervention. Increased HPV vaccination intentions were found associated with the increased vaccine initiation and completion. Among bisexual or homosexual individuals, females were found more likely to complete the HPV dose 2 and 3. The review findings suggested using vaccination interventions incorporated with educational components to promote vaccine uptake among young adults. Supportive interventions tailored to different populations and settings are crucial to address the suboptimal HPV-related knowledge and vaccination status among the young beneficiaries. Keywords Papillomavirus infection . Human papillomavirus vaccine . Vaccination promotion . Vaccination awareness . Immunization programs . Vaccination coverage . Young adults
Background Human papillomavirus (HPV) infection has been found as the most common sexually transmitted disease and greatly linked with genital infections such as genital warts. Specific types of HPV virus are also found responsible for cervical cancers, oropharyngeal cancers, and cancers of the penis, vagina, or anus [5]. Among which, 90 % of cervical and anal cancers can be attributed to the HPV infection, and around 70% oropharyngeal cancers caused by the virus [5].
* Lihong Ou [email protected] Shawn D. Youngstedt [email protected] 1
Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
Approximately over 70 million people in the USA were found infected with HPV sometime during the late adolescence and young adulthood, and fourteen million people are newly diagnosed with the infection each year [5]. Regarding the lifetime risk, most sexually active persons will have the HPV infection sometime in their lives, while most of them could not be aware of it [5]. Americans diagnosed with cancers caused by HPV infections are esti
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