Human Vaccines and Immunotherapeutics
Volume 15, Issue 7-8, 2019, Pages 1697-1707

Healthcare provider perspectives on the uptake of the human papillomavirus vaccine among newcomers to Canada: a qualitative study (Article) (Open Access)

Rubens-Augustson T. , Wilson L.A. , Murphy M.S.Q. , Jardine C. , Pottie K. , Hui C. , Stafström M. , Wilson K.*
  • a Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada, Division of Social Medicine and Global Health, Lund University, Lund, Sweden
  • b Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
  • c Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
  • d Faculty of Health Sciences, University of the Fraser Valley, Chilliwack, BC, Canada
  • e Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada, Bruyère Research Institute, Ottawa, ON, Canada
  • f Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
  • g Division of Social Medicine and Global Health, Lund University, Lund, Sweden
  • h Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

Abstract

Human papillomavirus is among the most common sexually transmitted infections in the world. Newcomers, defined in Canada as foreign-born individuals who are either immigrants or refugees, but may also include students and undocumented migrants, face numerous barriers to HPV vaccination. This study sought to understand, from the perspective of healthcare providers, barriers and facilitators to HPV vaccination, and recommendations to improve HPV vaccine uptake among newcomers. Semi-structured interviews were conducted with 10 healthcare providers between March and April 2018. Data were analyzed at the manifest level using a Qualitative Content Analysis approach. Categories of barriers to vaccination included: access, communication, knowledge, culture, and provider-related factors. Facilitators included targeted health promotion; understanding the relevance of HPV vaccination; trusting the healthcare system; and cultural sensitivity. Two overarching recommendations were to publicly fund the HPV vaccine, and enhance language- and culturally-appropriate health promotion activities. Further research should explore informational desires and needs from the perspective of newcomers to inform strategies to promote equitable HPV vaccine coverage. © 2018, © 2018 The Author(s). Published with license by Taylor & Francis Group, LLC.

Author Keywords

qualitative methods Human papillomavirus Vaccination Immunization HPV healthcare providers newcomers

Index Keywords

communication barrier health promotion health care personnel human sexuality cancer screening language qualitative research cultural sensitivity Qualitative Content Analysis health program male Canada Wart virus vaccine female nurse practitioner Article major clinical study adult uterine cervix cancer health care access papillomavirus infection health care system vaccination hepatitis B clinical decision making attitude to health meningococcosis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056109943&doi=10.1080%2f21645515.2018.1539604&partnerID=40&md5=b54789059f94a01f2f903dc0f69923e9
DOI: 10.1080/21645515.2018.1539604
ISSN: 21645515
Cited by: 1
Original Language: English