Evidence map›Paper›PMID 40467324›Full record

ArticleBMJ open2025

Stakeholder perspectives on HPV vaccination uptake among Aboriginal and Torres Strait Islander adolescents via the school immunisation programmes in Queensland: a qualitative study.

Ami Morseu-Diop, Tamara Butler, Kate Anderson, Julia Brotherton, Joan Cunningham, Allison Jaure, Gail Garvey, Evan AhWing, Vanessa Clements, Sonya Egert and 3 more

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Ami Morseu-DiopYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia aminata.diop@anu.edu.au.ORCID http://orcid.org/0000-0001-7868-5001
Tamara ButlerYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.
Kate AndersonYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.
Julia BrothertonMelbourne School of Population and Global Health, University of Melbourne VCCC, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-2304-3105
Joan CunninghamMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.ORCID http://orcid.org/0000-0002-1012-0909
Allison JaureSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8973-9538
Gail GarveyThe School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Evan AhWingNorthwest Indigenous Catholic Social Services AU, Mt Isa, Queensland, Australia.
Vanessa ClementsQueensland Health, Brisbane, Queensland, Australia.
Sonya EgertSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health, Brisbane, Queensland, Australia.
Frances LomasInala Wangarra, Brisbane, Queensland, Australia.
Casey RossEducation Queensland, Brisbane, Queensland, Australia.
Lisa J WhopYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAboriginal and Torres Strait Islander women experience inequitable cervical cancer outcomes including higher incidence and mortality rates than other Australian women. Cervical cancer can be prevented through human papillomavirus (HPV) vaccination, which is primarily delivered through school immunisation programmes and found to be very effective. However, Aboriginal and Torres Strait Islander adolescents have lower rates of HPV vaccination uptake compared with non-Indigenous adolescents.

objectivesThis study explored the perspectives and experiences of HPV vaccination programme providers and school staff involved in the delivery of school-based HPV vaccination programmes for Aboriginal and Torres Strait Islander adolescents in Queensland.

designThis qualitative project recruited 10 maximally diverse schools to participate. We purposively invited immunisation programme providers and school staff associated with delivering or supporting and used a snowballing approach to recruitment. We used an Indigenist Research approach and an ecological model for health to centre Aboriginal and Torres Strait Islander experiences and priorities.

participantsWe interviewed 18 immunisation programme providers and school staff involved in delivery between 2020 and 2022. Interview topics included programme delivery and processes, engagement with Aboriginal and Torres Strait Islander adolescents and caregivers, factors impacting uptake and completion, and suggestions for improvement.

resultsStakeholders highlighted multilayered challenges navigating a school-based immunisation programme across health and education sectors, especially within the context of the COVID-19 pandemic. This included logistical barriers around programme coordination and scheduling, roles and responsibilities, and communication issues between schools, programme providers, caregivers and adolescents. Four themes were identified: (1) co-ordination of the clinic between schools and programme providers, (2) supporting Aboriginal and Torres Strait Islander families through the vaccination pathway, (3) HPV vaccination resources and (4) COVID-19 disruptions to HPV vaccination programme.

conclusionsThe findings suggest a need for better communication and coordination of the school-based clinic, including consideration of staff capacity and school resources; enhanced linkages with and support for Aboriginal and Torres Strait Islander student support staff and community organisations who play a critical role in supporting adolescents' vaccination, and flexible methods of consent supported by culturally appropriate resources. These findings informed recommendations for improved practice and will contribute towards reaching Australia's cervical cancer elimination targets.

Indexed as

Immunization ProgramsPapillomavirus InfectionsPapillomavirus VaccinesPatient Acceptance of Health CareSchool Health ServicesUterine Cervical NeoplasmsVaccinationAdolescentAustralian Aboriginal and Torres Strait Islander PeoplesCOVID-19FemaleHealth Services, IndigenousHumansMaleQualitative ResearchQueenslandPapillomavirus VaccinesAdolescentsAustralian Aboriginal and Torres Strait Islander PeoplesHealth EquityHPV VaccineImmunization ProgramsQUALITATIVE RESEARCH

Identifiers

PMID40467324
PMCPMC12142122

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.