Nathan Bolen
Pronouns: He/Him/They
Research Mentor(s): Sherri Sheinfeld Gorin
Co-Presenter: Simmermon, Rachel
Research Mentor School/College/Department: Department of Family Medicine / Medicine
Presentation Date: April 20
Presentation Type: Poster
Session: Session 5 – 3:40pm – 4:30 pm
Room: League Ballroom
Authors: Mehtab Bal, Nathan Bolen, Rebecca Hyman, Rachel Simmermon, Caitlin Sohrabi, Sherri Sheinfeld-Gorin
Presenter: 114
Abstract
Introduction: Human Papillomavirus (HPV) is the most common sexually transmitted infection and the leading cause of cervical and oropharyngeal cancers. Over 90% of HPV-attributed cancers can be prevented by complete HPV vaccination of those aged 9-26. In Michigan, full-series HPV vaccination is 61.3%, with lower vaccine uptake in rural counties. Our research team is conducting a systematic literature review to understand better the multi-level (policy, community, organization, provider, family, young person) influences on rural HPV vaccination hesitancy. This review is part of a larger research project to assess HPV vaccination hesitancy in the rural midwest. Methods: A systematic search across Medline, Embase, CINAHL, PsycInfo, Cochrane, Sociological Abstracts and Scopus databases was conducted by a University of Michigan Medical Librarian, resulting in 97 publications that met the pre-specified inclusion criteria for full-text review. Included publications are written in English and report measures regarding rural HPV vaccine uptake in the United States from 2010-2021. Publications that are incomplete or do not report measures, such as abstracts, protocols, commentaries and reviews, were excluded. Using a standard codebook, we independently reviewed, coded and extracted study characteristics and findings from each publication. Two team members compared their results. Disagreements were adjudicated by a third member to ensure reliability. Preliminary Results: Six studies reviewed (n=6) were published between 2015 and 2020, half published in 2020. These studies included a sample of 4754 people (median = 337). Patients, parents, physicians, dentists, and public health stakeholders were included. All six studies were observational. 4 of 6 investigated awareness and knowledge of HPV and HPV vaccination. 4 of 6 studies had statistically significant findings regarding their primary outcomes, 1 had statistically insignificant findings, and 1 only reported qualitative findings. Discussion: These studies suggest that future work should identify and educate historically marginalized groups such as rural and LGBTQ individuals. Education should be multimodal and expand beyond traditional medical settings, focusing on HPV vaccination as a safe means of preventing cancers. These studies found that misconceptions about HPV vaccination and barriers to vaccination exist within both parent and provider communities.
Biomedical Sciences, Public Health
