Compliance with Age at Initiation of Human Papillomavirus Vaccine Series by Socioeconomic Status, Race/Ethnicity, and Health Insurance Coverage Among 13-17 Year-Old Females Who Received at Least One HPV Vaccine Shot: United States, 2011

Rattanawatkul, Kanokphan

doi:10.1016/j.annepidem.2014.06.040

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…(Rattanawatkul, 2014) Hispanics and patients with public insurance may have better rates of HPV vaccination initiation because physicians may perceive the cost is more likely to be covered and, therefore, routinely recommend the vaccine. Further, Hispanics are reported to favorably view vaccination because of personal experiences with vaccine-preventable diseases.…”

Section: Discussionmentioning

confidence: 99%

Association of physicians perceived barriers with human papillomavirus vaccination initiation

Farias

Savas²,

Fernández³

et al. 2017

Preventive Medicine

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Physician recommendation is a strong predictor of vaccine uptake, however their perceived barriers may prevent vaccination. Therefore, we determined the association between physicians’ perceived barriers to HPV vaccination and vaccination initiation. We surveyed pediatricians in a large network of clinics in Houston, Texas to assess their perceived barriers to vaccinating adolescents. We combined survey data with electronic medical records to determine HPV vaccination initiation over a 12-month study period (July 2014 – June 2015). Patients were 11–18 year olds who had not begun the vaccination series, had a physician visit during the study period, and whose physician completed the survey. We conducted a multilevel model clustered by physician controlling for patient and physician demographics to calculate the association between physician-reported barriers and HPV vaccination initiation. Among 36,827 patients seen by 134 pediatricians, 18.6% initiated HPV vaccination. The relative risk of initiating HPV vaccination were lower for patients whose physician reported concerns about HPV vaccine safety (RR: 0.75, 95% CI: 0.58–0.97), efficacy (RR: 0.73, 95% CI: 0.54–0.99), and the financial burden of the vaccine on patients (RR: 0.72, 95% CI: 0.58–0.88). After controlling for patient and physician characteristics, physician concern about the financial burden on patients was significantly associated with lower relative risk of initiating HPV vaccination (RR: 0.76, 95% CI: 0.64–0.90). In this large study we observed that physician-reported barriers are associated with HPV vaccination initiation. Interventions should be implemented to educate physicians on vaccine safety, efficacy, and that there is no patient cost for CDC-recommended vaccines.

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Section: Discussionmentioning

confidence: 99%

Association of physicians perceived barriers with human papillomavirus vaccination initiation

Farias

Savas²,

Fernández³

et al. 2017

Preventive Medicine

View full text Add to dashboard Cite

show abstract

Compliance with Age at Initiation of Human Papillomavirus Vaccine Series by Socioeconomic Status, Race/Ethnicity, and Health Insurance Coverage Among 13-17 Year-Old Females Who Received at Least One HPV Vaccine Shot: United States, 2011

Abstract: were less likely to initiate on-time. Research is needed to further investigate the reasons for late initiation among these subgroups.

Cited by 1 publication

References 21 publications

Association of physicians perceived barriers with human papillomavirus vaccination initiation

Association of physicians perceived barriers with human papillomavirus vaccination initiation

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