A Cross-Sectional Survey to Evaluate Potential for Partnering With School Nurses to Promote Human Papillomavirus Vaccination

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The statements about beliefs are repeated on both the y axis and the x axis; they are presented top to bottom on the y axis and left to right on the x axis. The statements are “Vaccine is nontoxic for majority,” “Vaccine is safe for majority,” “Vaccine prevents HPV cancers,” “Female students should be vaccinated,” “Male students should be vaccinated,” “Pre-teens should be vaccinated,” “HPV harmful to health,” “I can influence parents,” “I can permissibly provide info to parents,” “I am a leader in providing vaccine info,” “Parents will vaccinate if given info,” “I can permissibly provide info to students,” and “Info I disseminate must have district approval.” The correlations between statements, appearing as cells at the intersection of the corresponding y and x axes, can range from 1.0 (strongly positively correlated; most similar) to −1.0 (strongly negatively correlated; most dissimilar). Overall, most correlations were positively correlated by varying magnitudes, some were uncorrelated, and a small remainder were negatively correlated.

Figure 1.
Heat map indicating Spearman correlation values for responses to survey question about human papillomavirus (HPV) and vaccination beliefs.

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The statements about barriers are repeated on both the y axis and the x axis; they are presented top to bottom on the y axis and left to right on the x axis. The statements are “Uncertainty about where to refer students,” “Concerns about student’s insurance coverage,” “Lack of HPV educational resources,” “School policies,” “Lack of time/competing priorities,” “Lack of opportunities for parent interaction,” “Lack of opportunities for student interaction,” “Personal beliefs,” “Concerns that HPV education not nurse responsibility,” “Lack of confidence for communicating,” and “Lack of knowledge about HPV vaccine.” The correlations between statements, appearing as cells at the intersection of the corresponding y and x axes, can range from 1.0 (strongly positively correlated; most similar) to −1.0 (strongly negatively correlated; most dissimilar). Most of the barrier-related statements were positively correlated, and some were uncorrelated.

Figure 2.
Heat map indicating Spearman correlation values for responses to survey question about barriers to vaccination promotion for human papillomavirus (HPV).

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