HPV vaccination coverage of teen girls: The influence of health care providers

被引：50
作者：
Smith, Philip J. [1 ]
Stokley, Shannon [2 ]
Bednarczyk, Robert A. [3 ]
Orenstein, Walter A. [3 ]
Omer, Saad B. [3 ]
机构：
[1] Ctr Dis Control & Prevent, Natl Ctr Immunizat & Resp Dis, Immunizat Serv Div, MS A-19,1600 Clifton Rd NE, Atlanta, GA 30333 USA
[2] Ctr Dis Control & Prevent, Atlanta, GA 30333 USA
[3] Emory Univ, Atlanta, GA 30322 USA
来源：
VACCINE | 2016年 / 34卷 / 13期
关键词：
HPV; Parental concerns; Provider influence; Attributable risk; PATIENT SATISFACTION; CHILDREN PROGRAM; IMMUNIZATION; INTERVENTIONS; VACCINES; SAFETY;
D O I：
10.1016/j.vaccine.2016.01.061
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
Background: Between 2010 and 2014, the percentage of 13-17 year-old girls administered >= 3 doses of the human papilloma virus (HPV) vaccine ("fully vaccinated") increased by 7.7 percentage points to 39.7%, and the percentage not administered any doses of the HPV vaccine ("not immunized") decreased by 11.3 percentage points to 40.0%. Objective: To evaluate the complex interactions between parents' vaccine-related beliefs, demographic factors, and HPV immunization status. Methods: Vaccine-related parental beliefs and sociodemographic data collected by the 2010 National Immunization Survey-Teen among teen girls (n = 8490) were analyzed. HPV vaccination status was determined from teens' health care provider (HCP) records. Results: Among teen girls either unvaccinated or fully vaccinated against HPV, teen girls whose parent was positively influenced to vaccinate their teen daughter against HPV were 48.2 percentage points more likely to be fully vaccinated. Parents who reported being positively influenced to vaccinate against HPV were 28.9 percentage points more likely to report that their daughter's HCP talked about the HPV vaccine, 27.2 percentage points more likely to report that their daughter's HCP gave enough time to discuss the HPV shot, and 43.4 percentage points more likely to report that their daughter's HCP recommended the HPV vaccine (p < 0.05). Among teen girls administered 1-2 doses of the HPV vaccine, 87.0% had missed opportunities for HPV vaccine administration. Conclusion: Results suggest that an important pathway to achieving higher >= 3 dose HPV vaccine coverage is by increasing HPV vaccination series initiation though HCP talking to parents about the HPV vaccine, giving parents time to discuss the vaccine, and by making a strong recommendation for the HPV. Also, HPV vaccination series completion rates may be increased by eliminating missed opportunities to vaccinate against HPV and scheduling additional follow-up visits to administer missing HPV vaccine doses. Published by Elsevier Ltd.
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收藏
页码：1604 / 1610
页数：7
相关论文
共 48 条
  • [1] American Academy of Pediatrics, 2011, AAP IMM RES AD IMM S
  • [2] American Academy of Pediatrics, 2012, IMM
  • [3] Barriers to influenza immunization in a low-income urban population
    Armstrong, K
    Berlin, M
    Schwartz, JS
    Propert, K
    Ubel, PA
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2001, 20 (01) : 21 - 25
  • [4] Bilukha Oleg O., 2005, Morbidity and Mortality Weekly Report, V54, P1
  • [5] Breiman F, 1984, OLSHEN STONE CLASSIF
  • [6] Broder Karen R., 2006, Morbidity and Mortality Weekly Report, V55, P1
  • [7] Centers for Disease Control and Prevention, 2012, VACC IMM SPEC GROUPS
  • [8] Centers for Disease Control and Prevention, 2011, VACC IMM ED TRAIN PA
  • [9] Centers for Disease Control and Prevention, 2011, MMWR-MORBID MORTAL W, V34, P671
  • [10] Centers for Disease Control and Prevention, 2013, VACC SAF FREQ ASK QU
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