The human papilloma virus (HPV) vaccine is the world’s first proven and effective vaccine to prevent cancers in males and females when administered pre-exposure. Like most of the US, barely half of Vermont teens are up-to-date with the vaccination, with comparable deficits in New Hampshire and Maine. The rates for HPV vaccine initiation and completion are as low as 33% in rural New England. Consequently, there is a compelling responsibility to communicate its importance to unvaccinated teenagers before their risk for infection increases. Messaging in rural areas promoting HPV vaccination is compromised by community-based characteristics that include access to appropriate medical care, poor media coverage, parental and peer influence, and skepticism of science and medicine. Current strategies are predominantly passive access to literature and internet-based information. Evidence indicates that performance-based messaging can clarify the importance of HPV vaccination to teenagers and their parents in rural areas. Increased HPV vaccination will significantly contribute to the prevention of a broadening spectrum of cancers. Reducing rurality-based inequities is a public health priority. Development of a performance-based peer-communication intervention can capture a window of opportunity to provide increasingly effective and sustained HPV protection. An effective approach can be partnering rural schools and regional health teams with a program that is nimble and scalable to respond to public health policies and practices compliant with COVID-19 pandemic-related modifications on physical distancing and interacting in the foreseeable future.

中文翻译：

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克服农村社区 HPV 疫苗接种不平等的基于同伴的策略：符合物理距离的方法

人类乳头瘤病毒 (HPV) 疫苗是世界上第一种经过验证且有效的疫苗，可在暴露前接种以预防男性和女性的癌症。像美国大部分地区一样，只有一半的佛蒙特州青少年接种了最新疫苗，新罕布什尔州和缅因州的差距相当。新英格兰农村的 HPV 疫苗接种率和完成率低至 33%。因此，在感染风险增加之前向未接种疫苗的青少年传达其重要性是一项令人信服的责任。在农村地区宣传 HPV 疫苗接种的信息受到社区特征的影响，这些特征包括获得适当的医疗保健、媒体报道不足、父母和同伴的影响以及对科学和医学的怀疑。当前的策略主要是被动访问文献和基于互联网的信息。证据表明，基于表现的信息传递可以阐明 HPV 疫苗接种对农村地区青少年及其父母的重要性。增加 HPV 疫苗接种将显着有助于预防更广泛的癌症。减少基于农村的不平等是公共卫生的优先事项。开发基于绩效的同伴交流干预措施可以抓住机会提供越来越有效和持续的 HPV 保护。