A narrative review of HPV vaccination interventions in rural U.S. communities.

摘要: Abstract Uptake of human papillomavirus (HPV) vaccine in the United States (U.S.) is far below Healthy People 2020 goal 80% coverage among adolescents. In rural communities, HPV vaccination low, yet incidence and mortality rates HPV-associated cancer are high. Much research focused on U.S. communities has involved qualitative investigations, observations, survey research, secondary data analysis with limited implementation interventional study designs. The purpose this narrative review was to examine intervention studies increase settings summarize characteristics associated outcomes. PubMed, PsycINFO, CINAHL, Web Science were searched utilizing systematic methodology for describing interventions from January 2006–December 2019. Using specific search criteria, 991 identified. After abstract review, 30 full-text articles assessed eligibility, 15 met inclusion criteria. – published 2011 2019 described six states, including health clinics, schools. A range primary outcomes reported, receipt (series initiation, continuation, and/or completion); knowledge; cervical knowledge. Across studies, there an absence description context. As compared broader literature, limited. More needed given elevated HPV-related low uptake.