Risk Reduction Interventions for Human Papillomavirus in Rural Maryland.

Background: Human papillomavirus (HPV) is largely vaccine preventable. The Healthy People 2020 target goal for vaccine administration is 80%. Current United States (U. S.) rates are far lower primarily because of vaccine hesitancy and lack of provider recommendation.

Objective: Implement a risk reduction initiative to increase HPV vaccine rates in females aged 12-26 in five rural counties in Maryland.

Methods: A convenience sample from a rural community screened an HPV documentary movie, Questionnaire responses pre- and postscreening were surveyed for impact on vaccine readiness. Postscreening focus group comments were analyzed for common themes. Females aged 12-26 from a University Medical Group Women's Health Center located in rural Maryland were targeted. Chart review of immunization records 90 days pre- and postprovider vaccine recommendation demonstrated impact.

Results: Public awareness events have the potential to impact HPV vaccine hesitancy, but this research did not achieve statistical significance. Direct provider to patient recommendations resulted in a 15% increase in HPV immunizations.

Conclusions: Education of vaccine-eligible individuals should be undertaken.

Implications For Nursing: Providers who recommend administration of the vaccine significantly increase immunization rates.