A Multilevel Analysis of School-Level Human Papillomavirus Vaccination Coverage in Virginia

Autor/inn/en	Kimberly McNally; Ali Weinstein; Lisa Lindley; Robin Wallin; Amira Roess
Titel	A Multilevel Analysis of School-Level Human Papillomavirus Vaccination Coverage in Virginia
Quelle	In: Journal of School Nursing, 41 (2025) 5, S. 557-569 PDF als Volltext Link als defekt meldenVerfügbarkeit
Zusatzinformation	ORCID (Kimberly McNally) ORCID (Ali Weinstein) ORCID (Robin Wallin)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1059-8405
DOI	10.1177/10598405231214981
Schlagwörter	Forschungsbericht; Immunization Programs; Sexually Transmitted Diseases; School Nurses; Role; Adolescents; Institutional Characteristics; Student Characteristics; Socioeconomic Status; Secondary School Students; Compliance (Legal); Public Schools; Racial Differences; Ethnicity; Political Affiliation; Gender Differences; Rural Urban Differences; Virginia + Suchen Sie Ihr Suchwort? Immunisierung; Sexual transmitted disease; Geschlechtskrankheit; Rollen; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Socio-economic status; Sozioökonomischer Status; Sekundarschüler; Public school; Öffentliche Schule; Rassenunterschied; Ethnizität; Politisches Interesse; Geschlechterkonflikt; Stadt-Land-Beziehung
Abstract	School nurses improve public health through vaccine promotion and mandate compliance. Despite recommendations and support for comprehensive adolescent HPV vaccination from organizations like the National Association of School Nurses as of 2023 only Virginia, Washington DC, Rhode Island, and Hawaii mandate HPV vaccine in schools. Virginia's mandate allows caregivers to opt out of vaccination. It is important to consider how school-level vaccine compliance is associated with school and community factors. A multilevel analysis explored the association between school and county-level factors and HPV vaccination rates. This study shows schools that report higher rates of economically disadvantaged students had higher HPV vaccine coverage. HPV vaccine rates increased from 2019 to 2021 after the implementation of a gender-inclusive mandate. Virginia HPV rates still lag behind states with no mandate. The results suggest that school nursing practice related to HPV vaccine compliance may be impacted by community factors like economic status. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Begutachtung	Peer reviewed
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2025/4/10