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首页> 外文期刊>Journal of public health management and practice: JPHMP >Local Health Department Interest in Implementation of a Jail-Based Human Papillomavirus Vaccination Program in Kansas, Iowa, Missouri, and Nebraska
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Local Health Department Interest in Implementation of a Jail-Based Human Papillomavirus Vaccination Program in Kansas, Iowa, Missouri, and Nebraska

机译：当地卫生部门对堪萨斯州堪萨斯州，爱荷华州，密苏里州和内布拉斯加州的入狱人乳头瘤病毒疫苗接种计划

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Supplemental Digital Content is Available in the Text. Context: Local health departments (LHDs) play a vital role in community vaccination programs for human papillomavirus (HPV) infection, but little research has been done to assess LHD interest in cross-sectoral partnerships to vaccinate high-risk groups, specifically incarcerated persons. Objective: To describe factors associated with interest in a novel implementation strategy linking LHDs with jails in 4 Midwestern states to deliver HPV vaccine. Design: Survey based on the Consolidated Framework for Implementation Research (CFIR) model given to LHD administrators. A modified Poisson relative risk regression was used to assess the relationship between independent variables and LHD interest in implementation of a jail-based HPV vaccination program. Setting: LHDs in Kansas, Missouri, Iowa, and Nebraska. Participants: From September 2017 to April 2018, two-thirds (237/344) of invited LHD administrators from the 4 states responded to the survey. Main Outcome Measure: LHD interest in implementation of a jail-based HPV vaccination program. Results: Forty-five percent of LHDs were interested in learning more about implementing a jail-based HPV vaccination program, and 2% already offered or had plans to offer HPV vaccine in their jails. Barriers to implementation were cost (66%), inmates' short incarcerations (47%), and availability of medical staffing (43%). LHD characteristics associated with interest in implementation of a jail-based HPV vaccination program included “inner setting” CFIR variables, which capture the structural and cultural context for program implementation: 7 or more employees (odds ratio [OR] = 2.22; 95% confidence interval [CI], 1.24-3.95), perception of importance to provide HPV vaccine in jails (OR = 3.70; 95% CI, 2.00-6.84), and already providing any vaccines in jails (OR = 2.62; 95% CI, 1.18-5.80). Conclusions: Nearly half of LHDs in the region expressed interest in partnering with local entities to meet HPV vaccination needs of high-risk groups. Research on cross-sectoral partnerships and what these collaborations look like in practice is needed for public health impact.
机译：文本中提供了补充数字内容。背景信息：当地卫生部门（LHD）在社区疫苗血症（HPV）感染中发挥着至关重要的作用，但是已经研究了很少的研究，以评估LHD对抗跨部门伙伴关系的影响，以疫苗，特别是监禁的人。目的：描述与在4个中西部国家将LHD与监狱联系起来的新实施策略相关的因素，以提供HPV疫苗。设计：基于综合实施研究框架的调查（CFIR）模型给予LHD管理员。修改过的泊松相对风险回归用于评估独立变量与LHD兴趣之间的关系，实施了基于监狱的HPV疫苗接种计划。环境：LHD在堪萨斯州，密苏里州，爱荷华州和内布拉斯加州。参与者：从2017年9月到2018年4月，来自4个州的邀请的LHD管理员的三分之二（237/344）回应了该调查。主要成果措施：LHD对执行基于监狱的HPV疫苗接种计划的兴趣。结果：45％的L​​HD有兴趣了解有关实施基于监狱的HPV疫苗接种计划的更多信息，并且已经提供了2％的人或计划在监狱中提供HPV疫苗。实施的障碍是成本（66％），囚犯的短暂监禁（47％），以及医疗人员的可用性（43％）。 LHD特征与兴趣实施囚犯的HPV疫苗接种计划的兴趣包括“内部设定”CFIR变量，捕获方案实施的结构和文化背景：7名或更多员工（赔率比[或] = 2.22; 95％的信心间隔[CI]，1.24-3.95），对监狱提供HPV疫苗的重要性（或= 3.70; 95％CI，2.00-6.84），并已经在监狱中提供任何疫苗（或= 2.62; 95％CI，1.18 -5.80）。结论：该地区近一半的LHD表示令人兴趣与当地实体合作，以满足高风险群体的HPV疫苗接种需求。需要研究跨部门伙伴关系以及这些合作在实践中看起来像公共卫生的影响。

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