Barriers, supports, and effective interventions for uptake of human papillomavirus- and other vaccines within global and Canadian Indigenous peoples: a systematic review protocol

作者: Kelly J Mrklas , Shannon MacDonald , Melissa A Shea-Budgell , Nancy Bedingfield , Heather Ganshorn

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摘要: Despite the existence of human papilloma virus (HPV) vaccines with demonstrated safety and effectiveness funded HPV vaccination programs, coverage rates are persistently lower cervical cancer burden higher among Canadian Indigenous peoples. Barriers supports to in peoples have not been systematically documented, nor interventions increase uptake this population. This protocol aims appraise literature global peoples, relating documented barriers acceptability/uptake or reduce hesitancy vaccination. Although is primary focus, we anticipate only a small number relevant studies emerge from search will, therefore, employ broad strategy capture related both general Eligible will include discuss and/or improve hesitancy, for vaccine other vaccines. Primary outcomes interventions. All study designs meeting inclusion criteria be considered, without restricting by language, location, data type. We use an priori strategy, comprised key words controlled vocabulary terms, developed consultation academic librarian, reviewed second librarian using PRESS checklist. several electronic databases date inception, restrictions. A pre-defined group websites gray literature. Bibliographic searches conducted all included identify reviews. Data analysis inductive, qualitative, thematic synthesis quantitative measured supports, as well descriptive summary measures To our knowledge, contribute first systematic review barriers, The results expected inform future research, policies, community-driven initiatives enhance acceptability PROSPERO Registration Number: CRD42017048844

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