Interventions to increase uptake of Human Papillomavirus (HPV) vaccination in minority populations: a systematic review
Date
2020
Authors
Lott, BE
Okusanya, BO
Anderson, EJ
Kram, NA
Rodriguez, M
Thompson, C
Rosales, C
Ehiri, J
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Abstract
Minority youth represent a unique population for public health interventions given the social, economic, and
cultural barriers they often face in accessing health services. Interventions to increase uptake of Human
Papillomavirus (HPV) vaccination in minority youth have the potential to reduce disparities in HPV infection
and HPV-related cancers. This systematic review assesses the effectiveness of interventions to increase HPV
vaccine uptake, measured as vaccine series initiation and series completion, among adolescents and young
adults, aged 9–26 years old, identifying as a racial and ethnic minority or sexual and gender minority (SGM)
group in high-income countries.
Of the 3013 citations produced by a systematic search of three electronic databases (PubMed, Embase, and
Web of Science) in November 2018, nine studies involving 9749 participants were selected for inclusion. All
studies were conducted in the United States and were published from 2015 to 2018. Interventions utilized
education, vaccine appointment reminders, and negotiated interviewing to increase vaccination. Participants
were Black or African American (44.4%), Asian (33.3%), Hispanic or Latinx (22.2%), American Indian or Alaska
Native (11.1%), and SGM (22.2%). Studies enrolled parent–child dyads (33.3%), parents alone (11.1%), and
youth alone (55.6%). Vaccine series initiation ranged from 11.1% to 84% and series completion ranged from
5.6% to 74.2% post-intervention. Educational and appointment reminder interventions may improve HPV
vaccine series initiation and completion in minority youth in the U.S. Given the lack of high quality, adequately
powered studies, further research is warranted to identify effective strategies for improving HPV vaccine uptake
for minority populations.
Description
Keywords
Papillomavirus vaccine Cancer prevention Minority population Health disparities Intervention studies Systematic review
Citation
Lott, B. E., Okusanya, B. O., Anderson, E. J., Kram, N. A., Rodriguez, M., Thomson, C. A., ... & Ehiri, J. E. (2020). Interventions to increase uptake of Human Papillomavirus (HPV) vaccination in minority populations: a systematic review. Preventive medicine reports, 101163.