Vaccination rates for the human papillomavirus (HPV) among rural youth in northern New England lag those of more urbanized areas. Reasons include a lack of available medical offices, time constraints, perceptions of vaccines and HPV, and, to a smaller degree, delays caused by the COVID-19 pandemic. We have a responsibility to increase vaccinations in these communities. To do so, vaccination experts recommend addressing the three C's of vaccination hesitation: confidence, complacency, and convenience. With this framework as our foundation, in this article we detail a plan to address these important elements, and we add several more C's: clinics, communication, collaboration, community, capacity, and commitment to the list as we discuss the essential pieces−human, infrastructural, and perceptual−needed to create and promote successful, community-supported, school-based HPV vaccination clinics to serve youths aged nine to 18. We then integrate research and storytelling science into an innovative Persuasion Playbook, a guide for local opinion leaders to use in creating evidence-based, pro-vaccine messages on the community level to promote the clinics via evidence-based, pro-vaccination messages.

中文翻译：

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循证故事讲述新英格兰北部通过青少年 HPV 疫苗接种促进癌症预防的战略路线图

新英格兰北部农村青年的人乳头瘤病毒 (HPV) 疫苗接种率落后于城市化地区。原因包括缺乏可用的医疗机构、时间限制、对疫苗和 HPV 的看法，以及较小程度的 COVID-19 大流行造成的延误。我们有责任增加这些社区的疫苗接种。为此，疫苗接种专家建议解决疫苗接种犹豫的三个C：信心、自满和便利。以此框架为基础，在本文中，我们详细介绍了解决这些重要要素的计划，并在我们讨论基本要素时添加了更多 C：诊所、沟通、协作、社区、能力和承诺。 、基础设施和感知——需要创建和推广成功的、社区支持的、以学校为基础的 HPV 疫苗接种诊所，为 9 至 18 岁的青少年提供服务。然后，我们将研究和讲故事的科学整合到一本创新的说服手册中，该手册是当地意见领袖的指南用于在社区层面创建基于证据的、支持疫苗接种的信息，通过基于证据的、支持疫苗接种的信息来推广诊所。