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The application of Kingdon's Multiple Streams Theory for human papillomavirus‐related anal intraepithelial neoplasia
Author(s) -
Walhart Tara
Publication year - 2013
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12108
Subject(s) - anal cancer , human papillomavirus , intraepithelial neoplasia , cervical cancer , medicine , disease , gynecology , population , cancer , environmental health , prostate cancer
Aims This paper presents a discussion of the advantages and disadvantages of redefining human papillomavirus‐related anal intraepithelial neoplasia as a problem of sexually active people by using Kingdon's Multiple Streams Theory to examine possible policy solutions for increasing anal cancer screening. Background Human papillomavirus is the most common sexually transmitted infection worldwide. Anal cancer associated with human papillomavirus infections is increasing in incidence in both men and women. The prevalence of anal cancer does not decrease with age. Data source Pubmed was searched for articles and internet references from 1995–2012. Discussion Although a large body of literature suggests that human papillomavirus‐related anal intraepithelial neoplasia is a problem, no effective policy solutions have emerged. However, as almost the entire sexually active population is exposed to human papillomavirus, it should be thought of as every person's problem. This suggests that human papillomavirus‐related anal intraepithelial neoplasia calls for different types of problem definitions and policy solutions to address the disease. The issue of anal cancer is typically defined as a problem of HIV ‐positive individuals. Implications for Nursing Nurses are focused on improving patient outcomes. We play a key role in helping to identify problems, moving problems onto policymaker's agendas, and influencing the creation of new healthcare policies. Conclusion Human papillomavirus‐related anal intraepithelial neoplasia demands attention and the development of national level policies to ensure public health and safety. Kingdon's Multiple Streams Theory has provided a pragmatic framework to evaluate the problem.