Abstract
Background
Human papilloma virus (HPV) vaccination rates in the United States remain low, compared
with other recommended adolescent vaccines. We compared factors associated with intention
to receive and receipt of HPV and meningococcal vaccines and completion of the HPV
vaccine series among U.S. adolescent girls.
Methods
Secondary analysis of data from the National Immunization Survey-Teen for 2008 through
2012 was performed. Multivariable logistic modeling was used to determine factors
associated with intent to receive and receipt of HPV and meningococcal vaccination,
completion of the HPV vaccine series among girls who started the series, and receipt
of HPV vaccination among girls who received meningococcal vaccination.
Findings
Provider recommendation increased the odds of receipt and intention to receive both
HPV and meningococcal vaccines. Provider recommendation was also associated with a
three-fold increase in HPV vaccination among girls who received meningococcal vaccination
(p < .001), indicating a relationship between provider recommendation and missed vaccine
opportunities. However, White girls were 10% more likely to report provider recommendation
than Black or Hispanic girls (p < .01), yet did not have higher vaccination rates, implying a role for parental refusal.
No factors predicted consistently the completion of the HPV vaccine series among those
who started.
Conclusion
Improving provider recommendation for co-administration of HPV and meningococcal vaccines
would reduce missed opportunities for initiating the HPV vaccine series. However,
different interventions may be necessary to improve series completion.
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Biography
Dr. Perkins is an obstetrician-gynecologist and researcher in HPV vaccination and cervical cancer prevention.
Biography
Ms. Lin is a biostatistics PhD candidate and programmer.
Biography
Dr. Silliman is a geriatrician and expert in women's health and health disparities.
Biography
Dr. Clark is a sociologist and researcher in adherence to medical recommendations.
Biography
Dr. Hanchate is a health economist and statistician and expert in large dataset analysis.
Article info
Publication history
Accepted:
December 19,
2014
Received in revised form:
December 17,
2014
Received:
May 2,
2014
Footnotes
Funding sources: This work is supported by American Cancer Society Mentored Research Scholar Grant (MRSG-09-151-01), NIH Building Interdisciplinary Careers in Women's Health (BIRCWH) Grant (K12-HD43444), and by a pilot grant from the Boston University School of Medicine, Department of Medicine. No commercial support was obtained. Funders had no role in the design or conduct of this study.
Identification
Copyright
© 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
