HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

Abstract Background Indigenous populations have a high prevalence of Human Papillomavirus (HPV) infection and a high incidence of HPV associated cancers, such as cervical and oropharyngeal cancer. There is an effective HPV vaccination program in almost all developed countries to prevent the incidenc...

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Autores principales:	Brianna Poirier, Sneha Sethi, Gail Garvey, Joanne Hedges, Karen Canfell, Megan Smith, Xiangqun Ju, Lisa Jamieson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Indigenous women health Human papillomavirus infections Cervical cancer Qualitative systematic review HPV vaccine Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/a172bba6ae0246138d09a1da5a0dc990
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spelling	oai:doaj.org-article:a172bba6ae0246138d09a1da5a0dc9902021-11-14T12:14:05ZHPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review10.1186/s12889-021-12147-z1471-2458https://doaj.org/article/a172bba6ae0246138d09a1da5a0dc9902021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12147-zhttps://doaj.org/toc/1471-2458Abstract Background Indigenous populations have a high prevalence of Human Papillomavirus (HPV) infection and a high incidence of HPV associated cancers, such as cervical and oropharyngeal cancer. There is an effective HPV vaccination program in almost all developed countries to prevent the incidence of cervical cancer, but reports suggest that the uptake of these vaccinations by Indigenous populations is low. The objective of this qualitative systematic review was to explore the knowledge and beliefs of global Indigenous populations regarding HPV vaccines. This review was performed to identify the barriers faced by Indigenous peoples and to provide evidence for more effective and acceptable execution of vaccination policies for Indigenous peoples. Methods Two investigators independently searched MEDLINE, PubMed, SCOPUS, and Web of Science databases using a pre-specified search strategy to identify qualitative studies on narratives of Indigenous peoples regarding HPV vaccine awareness, knowledge and experiences across all geographic and income-level settings. Results After performing the literature search and quality appraisals 5 papers were included in the final review. Three core synthesised findings were identified: reasons for acceptance or hesitancy, and areas for improvement. Lack of correct knowledge and mistrust in the healthcare system were important categories observed in all papers included in the review. Other categories within the conceptual model included prioritising disease prevention, health professional guidance, family support and supportive community environment. Conclusion Qualitative systematic reviews are an excellent means of exploring the gaps in current healthcare practices. Indigenous healthcare research should be grounded in community experiences and feedback. This review provides insights into HPV vaccination understanding and acceptance amongst Indigenous populations, from which recommendations for increasing resonance of vaccination strategies with Indigenous communities can be formed.Brianna PoirierSneha SethiGail GarveyJoanne HedgesKaren CanfellMegan SmithXiangqun JuLisa JamiesonBMCarticleIndigenous women healthHuman papillomavirus infectionsCervical cancerQualitative systematic reviewHPV vaccinePublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Indigenous women health Human papillomavirus infections Cervical cancer Qualitative systematic review HPV vaccine Public aspects of medicine RA1-1270
spellingShingle	Indigenous women health Human papillomavirus infections Cervical cancer Qualitative systematic review HPV vaccine Public aspects of medicine RA1-1270 Brianna Poirier Sneha Sethi Gail Garvey Joanne Hedges Karen Canfell Megan Smith Xiangqun Ju Lisa Jamieson HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review
description	Abstract Background Indigenous populations have a high prevalence of Human Papillomavirus (HPV) infection and a high incidence of HPV associated cancers, such as cervical and oropharyngeal cancer. There is an effective HPV vaccination program in almost all developed countries to prevent the incidence of cervical cancer, but reports suggest that the uptake of these vaccinations by Indigenous populations is low. The objective of this qualitative systematic review was to explore the knowledge and beliefs of global Indigenous populations regarding HPV vaccines. This review was performed to identify the barriers faced by Indigenous peoples and to provide evidence for more effective and acceptable execution of vaccination policies for Indigenous peoples. Methods Two investigators independently searched MEDLINE, PubMed, SCOPUS, and Web of Science databases using a pre-specified search strategy to identify qualitative studies on narratives of Indigenous peoples regarding HPV vaccine awareness, knowledge and experiences across all geographic and income-level settings. Results After performing the literature search and quality appraisals 5 papers were included in the final review. Three core synthesised findings were identified: reasons for acceptance or hesitancy, and areas for improvement. Lack of correct knowledge and mistrust in the healthcare system were important categories observed in all papers included in the review. Other categories within the conceptual model included prioritising disease prevention, health professional guidance, family support and supportive community environment. Conclusion Qualitative systematic reviews are an excellent means of exploring the gaps in current healthcare practices. Indigenous healthcare research should be grounded in community experiences and feedback. This review provides insights into HPV vaccination understanding and acceptance amongst Indigenous populations, from which recommendations for increasing resonance of vaccination strategies with Indigenous communities can be formed.
format	article
author	Brianna Poirier Sneha Sethi Gail Garvey Joanne Hedges Karen Canfell Megan Smith Xiangqun Ju Lisa Jamieson
author_facet	Brianna Poirier Sneha Sethi Gail Garvey Joanne Hedges Karen Canfell Megan Smith Xiangqun Ju Lisa Jamieson
author_sort	Brianna Poirier
title	HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review
title_short	HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review
title_full	HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review
title_fullStr	HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review
title_full_unstemmed	HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review
title_sort	hpv vaccine: uptake and understanding among global indigenous communities – a qualitative systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a172bba6ae0246138d09a1da5a0dc990
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HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

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