Though vaccine uptake and public support have risen since the release of the first HPV vaccines, the United States has far lower initiation and completion rates for the HPV vaccine series in comparison to other vaccines indicated for youth. Disparities are even greater in the Appalachian regions. Understanding factors contributing to these discrepancies is vital to improving raise vaccine rates in Appalachia. A comprehensive literature search identified all articles pertaining to HPV vaccination in children and adolescents living in Appalachia. The final 15 articles were included in a systematic review of the topic. Findings: HPV disease and HPV vaccine-related knowledge and communication were low in Appalachian communities, and vaccine uptake was lower in all areas of Appalachia as compared to non-Appalachian U.S. Moreover, large variations in uptake existed among Appalachian subregions. Many variables appear to contribute to this variation, including vaccine acceptance for younger adolescents, local and press-driven critical reports of the vaccine, physician communication, and views of the family matriarchs. Targeting the Appalachian subregions, specific campaigns or intervention may be more impactful than viewing the region as a homogenous whole.

In 1998, the W.W. Kellogg Foundation provided funding for four universities to collaborate with surrounding communities on mutually beneficial projects, through the Expanding Community Partnerships Program. In a series of innovative learning collaborations, East Tennessee University, the University of Texas at El Paso, West Virginia University, and Northeastern University established strong, sustainable partnerships with organizations in their local communities. Although each university approached its partnering differently, they all shared the goal of benefiting the underserved communities where they are located and transforming their institutions by enhancing students’ educational experiences and strengthening faculty, student, administration, and staff relationships with local residents. This book shares those relationship-building experiences of the four universities and communities. Highly recommended for all public and higher education administrators; for students and teachers of education, business, and sociology; and for those interested in innovative business and social-service models.

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The Buccaneer (1981), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1063/thumbnail.jpg

The Buccaneer (1982), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1064/thumbnail.jpg

The Buccaneer (1983), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1065/thumbnail.jpg

The Buccaneer (1984), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1066/thumbnail.jpg

The Buccaneer (1985), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1067/thumbnail.jpg

The Buccaneer (1986), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1068/thumbnail.jpg

The Buccaneer (1987), a yearbook published by the students of East Tennessee State University. / https://dc.etsu.edu/yearbooks/1069/thumbnail.jpg