Back to Search
Start Over
The Intersection of Problems, Policy, and Politics: The Adoption of an HPV Vaccine School-Entry Requirement in Puerto Rico.
- Source :
- Qualitative Health Research; Apr2021, Vol. 31 Issue 5, p859-870, 12p
- Publication Year :
- 2021
-
Abstract
- Persistent human papillomavirus (HPV) infections can cause cancer (e.g., cervical/vaginal/penile/anal/oropharyngeal). The HPV vaccine prevents cancer, yet U.S. vaccination rates remain low. We explored sociopolitical factors in the adoption of Puerto Rico's HPV vaccine school-entry requirement. Multiple streams framework explains how the intersection of problems, policy, and politics streams influence policy adoption. Policy entrepreneurs work on joining these streams. Interviews (n = 20) were conducted with stakeholders (e.g., physicians/researchers/nonprofit organizations' leaders). Data were analyzed using applied thematic analysis. High incidence of HPV and HPV-related cancers in Puerto Rico were indicators of problems. Focusing events included Rhaiza's case and the HPV-Advisory Panel Report. During summer 2017, a policy window opened; the Department of Health (DOH) adopted the requirement in summer 2018. Stakeholders discussed policy initiatives. Political turnover positively influenced the process. Policy entrepreneurs created an extended period of intersection resulting in the adoption of the requirement. Findings can inform policy initiatives to improve HPV vaccination rates and reduce HPV-related cancers. [ABSTRACT FROM AUTHOR]
- Subjects :
- VACCINATION policies
TUMOR prevention
HEALTH policy
VACCINATION
STATISTICS
NONPROFIT organizations
PRACTICAL politics
STAKEHOLDER analysis
ATTITUDE (Psychology)
SOCIAL factors
INTERVIEWING
DISEASE incidence
MEDICAL protocols
QUALITATIVE research
CONCEPTUAL structures
PAPILLOMAVIRUS diseases
HUMAN papillomavirus vaccines
SCHOOLS
RESEARCH funding
DESCRIPTIVE statistics
NATURAL disasters
PHYSICIANS
THEMATIC analysis
CONTENT analysis
JUDGMENT sampling
TUMORS
HEALTH promotion
DISEASE complications
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 10497323
- Volume :
- 31
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Qualitative Health Research
- Publication Type :
- Academic Journal
- Accession number :
- 149379715
- Full Text :
- https://doi.org/10.1177/1049732321991507