HPV Vaccination Completion and Compliance with Recommended Dosing Intervals Among Female and Male Adolescents in an Inner-City Community Health Center

被引:11
作者
Wilson, Rula M. [1 ]
Brown, Diane R. [2 ]
Carmody, Dennis P. [1 ]
Fogarty, Sushanna [2 ]
机构
[1] Rutgers Sch Nursing, Newark, NJ 07101 USA
[2] Rutgers Sch Publ Hlth, Newark, NJ USA
关键词
HPV vaccines; HPV vaccine series completion; HPV vaccine dosing intervals; Health disparities; Adolescent; HUMAN-PAPILLOMAVIRUS VACCINE; AGED; 13-17; YEARS; YOUNG-ADULT WOMEN; UNITED-STATES; SOCIOECONOMIC-STATUS; SERIES INITIATION; NATIONAL-SURVEY; GIRLS; COVERAGE; CALIFORNIA;
D O I
10.1007/s10900-014-9950-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Human papillomavirus (HPV) vaccination continues to lag behind other adolescent vaccines, especially in areas with pervasive disparities in HPV-related cancers. The purpose of this study was to examine HPV vaccine completion and dosing intervals among low-income adolescents in urban areas. The study included electronic health record data on HPV vaccination for 872 adolescents who received at least one dose of the HPV vaccine. Only 28.4 % completed the 3-dose series. For the whole sample, HPV vaccine completion was higher for non-English speakers and among adolescents seen at Newark-South and East Orange sites. Completion was higher among non-English speaking female and Hispanic adolescents, females seen in Newark-South and East Orange sites, and insured Black adolescents. Completion was also dramatically lower among non-English speaking Black adolescents seen at Newark-North, Irvington, and Orange sites (12.5 %) compared to other Black adolescents (22.0-44.4 %). The mean dosing intervals were 5.5 months (SD = 4.6) between dose 1 and 2 and 10 months (SD = 6.1) between dose 1 and 3. Longer durations between vaccine doses were found among uninsured adolescents and those seen at Newark-North, Irvington, and Orange sites. Non-English speakers had longer duration between dose 1 and 3. Further, durations between dose 1 and 3 were dramatically longer among insured adolescents seen at Newark-North, Irvington, and Orange locations for the whole sample (M = 11.70; SD = 7.12) and among Hispanic adolescents (M = 13.45; SD = 8.54). Understanding how the study predictors facilitate or impede HPV vaccination is critical to reducing disparities in cervical and other HPV-related cancer, especially among Black, Hispanic, and low-income populations.
引用
收藏
页码:395 / 403
页数:9
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