A Qualitative Comparative Analysis of Combined State Health Policies Related to Human Papillomavirus Vaccine Uptake in the United States

Abstract

We identified a set of polices related to high HPV vaccine uptake. Future studies should examine how these policies and others, individually and in combination, are associated with HPV vaccine uptake. Public Health Implications. This study provides insight into what sets of policies are consistently related to high HPV vaccine uptake.

A multilevel analysis of factors influencing the inaccuracy of parental reports of adolescent HPV vaccination status

“…Data on state-level HPV vaccine policy up to 2015 were collected through the National Conference on State Legislatures website 20 and relevant literature. 14,21 States were categorized as either 1) having a policy mandating HPV vaccine for adolescents entering schools; 2) having a policy to educate the public, parents, or school children about HPV vaccine; or 3) not having policy to mandate, fund, or educate residents about HPV vaccine.…”

“…Instead, most research on HPV vaccine policy so far has focused on the relationship between vaccine policy and actual vaccine uptake. 14,15 If there is a potential secondary benefit of HPV vaccine educational requirements on improving awareness and recall of HPV vaccination status, this could lead to reductions in under-or over-vaccination due to lack of knowledge of a child's vaccination status.…”

State statutes and regulations related to human papillomavirus vaccination

“…2,4,5 Several studies have attempted to demonstrate the impact of state policies on vaccine uptake; focusing on particular states and specific policies such as HPV vaccine school-entry requirements [6][7][8] or policies requiring vaccine education for parents. 8,9 As observed by Durham et al, 10 and Roberts et al, 11 variability in HPV vaccine uptake across the United States is probably a function, at least in part, of a collection of structural elements, such as law and policy.…”

“…[18][19][20][21][22][23] Still, others focused on administrative aspects of policy affecting vaccine access 24 and their impact on vaccination rates. 11 While helpful, some of this research focuses exclusively on legislative activity. 25,26 Additionally, much of the existing HPV vaccination law literature relies on data generated by NCSL.…”

“…25,26 Additionally, much of the existing HPV vaccination law literature relies on data generated by NCSL. 8,9,11,21,26,27 While this information is incredibly valuable for strategic planning, developing policy priorities, and giving an idea of the existing landscape of laws, it cannot be relied on for scientific studies. NCSL largely reviews legislation and not regulation, which is a serious limitation given that state legislatures often delegate broad rulemaking authority to agencies to promote public health.…”