School-entry requirements for HPV vaccination: part of the patchwork for HPV-related cancer prevention.
Human papillomavirus (HPV) vaccination can prevent six types of HPV-related cancers, and approximately, 54.2% of adolescents are up-to-date with the HPV vaccine in the United States. While moderate success has been achieved with provider- and parent-focused interventions, HPV vaccination in the U.S. lags well behind desired goals. In order to maximize HPV vaccination and prevention of HPV-related cancers, it may be prudent to consider state policy approaches, such as school-entry requirements as part of the patchwork of provider, parent, and structural interventions. In this paper, we reviewed the history of efforts to implement school-entry requirements for HPV vaccine, the challenges and benefits associated with implementing these requirements, and the evidence for the effectiveness of school-entry requirements. In addition, we presented new data from Rhode Island's Immunization Information System (IIS) showing how their school-entry requirement, implemented in 2015, has impacted HPV vaccination rates. These registry data indicate that HPV vaccination rates improved significantly after the 2014-2015 school year and policy implementation, and add to the ongoing evidence supporting the value of school-entry requirements for HPV vaccination. School-entry requirements should be considered alongside other initiatives and policies for promoting HPV vaccine uptake. Taking a comprehensive systems approach to HPV vaccination is needed.
['Thompson|Erika L|EL|0000-0002-7115-0001', 'Daley|Ellen M|EM|', 'Washburn|Tricia|T|', 'Salisbury-Keith|Kim|K|', 'Saslow|Debbie|D|', 'Fontenot|Holly B|HB|0000-0002-7864-9171', 'Zimet|Gregory D|GD|0000-0003-3835-937X']
D000293:Adolescent D006801:Humans D009369:Neoplasms D030361:Papillomavirus Infections D053918:Papillomavirus Vaccines D010290:Parents D012574:Schools D014481:United States D014611:Vaccination
school-entry HPV vaccination immunization