Caitlin Sohrabi
Pronouns: She/Her
Research Mentor(s): Sherri Sheinfeld Gorin
Co-Presenter: Bal, Mehtab
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, Sheinfeld Gorin Sherri
Presenter: 112
Abstract
Reducing HPV Vaccine Hesitancy in Rural Communities: A Systematic Review Bahl, M., Bolen, N., Hyman, R., Simmermon, R., Sohrabi, C., Sheinfeld Gorin, S. Authors are listed in alphabetical order with the senior mentor listed last Introduction: The HPV (Human Papillomavirus) vaccine is a great way of preventing the harmful effects of HPV, such as Oral and Cervical Cancers. However, every year there are enormous amounts of missed vaccination opportunities in the State of Michigan, with rural areas having a much lower tendency to vaccinate then more urban areas. Therefore, our study seeks to improve the understanding of why there is HPV vaccine hesitancy in rural Michigan. 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 are comparing their results. Disagreements are adjudicated by a third member to ensure reliability. Results: Six studies were reviewed with the range of years studied was 2009-2019 with the median being 2013. The sample size total from the studies is 1,720,888 patients, 319 providers, and 12 clinics. All of the studies covered were observational surveys. Two of the studies surveyed providers, three of them patients, and one of them surveyed clinics. Most of the studies recommended using their study as a guideline for reform such as policy reform and a few studies mentioned other possible studies that could stem from their results. A total of three studies coved HPV uptake with as a primary outcome the others having outcomes such as intention to educate patients, relation between certain cancers and HPV, and overall time before vaccination or disenrollment of the study. Discussion: Overall, the articles coded used observational data from surveys to understand varying factors of vaccine hesitancy and reducing factors of hesitancy, with education being a major factor studied across them. These studies suggest that though their research for increased hesitancy future studies should be conducted on how to reduce these factors associated with HPV vaccination hesitancy. Along with that many of these studies suggest reform on multiple levels in order to reduce the effect of certain groups on hesitancy.
Biomedical Sciences, Public Health
