HPV vaccination: From FDA approval to school mandates.
详细信息
- 作者：Taylor ; Erica Kimberly.
- 学历：Ph.D.
- 年：2011
- 导师：Miller, Cheryl M.,eadvisorAdler, Marina A.ecommittee memberLottes, Ilsa L.ecommittee memberBrennan, Timecommittee memberChriqui, Jamie F.ecommittee member
- 毕业院校：University of Maryland
- Department：Public Policy
- ISBN：9781124711041
- CBH：3459959
- Country：USA
- 语种：English
- FileSize：3518199
- Pages：172
文摘
It is estimated that 75% of the sexually active population has had an HPV infection. In June 2006 the FDA approved Gardasil, the first vaccine on the market to prevent cervical cancer by protecting against certain types of HPV infections. In 2007 there were bills in 41 state legislatures promoting the vaccination of young girls from HPV through funding, education and/or requiring vaccination as a condition of school attendance. This research examines the utility of the path-dependent model for value driven issues to evaluate the influence of state institutions on the balance of interests and the terms of legislative debate. Six states were selected for examination: California, Maryland, Massachusetts, New Mexico, Vermont and Virginia. Telephone interviews were conducted with bill sponsors and interest group representatives to assess bill sponsor motivation, the political mobilization of interest groups and the use of rhetorical resources. Content analysis was done to identify evidence of the constructs of the path-dependent model for value driven issues. The results suggest that the effects of state institutions on HPV vaccine proposals in California, Maryland and Massachusetts were greatly influenced by the political mobilization of actors in the balance of interests. Conversely, the influence of state institutions on the policy outcome of HPV vaccine proposals in Vermont and Virginia was determined by the terms of legislative debate established by bill sponsors. For most of the states in the study, the evidence suggests that the HPV vaccine mandate bills were value-driven； however, the policy trajectory in New Mexico suggests that the progression of HPV vaccines mandates in New Mexico was an interest driven issue instead of value-driven issue. The results also highlight the power of rhetorical resources as tools to garner support or bolster opposition for value-driven issues. In sum, the path-dependent model proved a useful tool in examining HPV vaccine proposals by identifying positing specific trajectories for value-driven issues. The path-dependent model lends itself as an additional lens through which policy analysts and evaluators can understand the deviations created by legislative proposals dealing with issues of morality from interest driven political process models.