Correlates of receiving recommended adolescent vaccines among adolescent females in North Carolina

Reiter, Paul L.; McRee, Annie-Laurie; Gottlieb, Sami L.; Brewer, Noel T.

doi:10.4161/hv.7.1.13500

Cited by 22 publications

(14 citation statements)

References 27 publications

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“…Many studies have found such missed opportunities to be common among adolescents seeking preventive care (14, 22-24), but providers can reduce missed opportunities (25-28). Provider recommendation often strongly correlates with whether an adolescent receives HPV vaccine (13, 29-31), although the causal direction of this relationship is often unclear.…”

Section: Discussionmentioning

confidence: 99%

Trends in HPV Vaccine Initiation among Adolescent Females in North Carolina, 2008–2010

Moss

Gilkey

Reiter

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background To better target future immunization efforts, we assessed trends and disparities in human papillomavirus (HPV) vaccine initiation among female adolescents in North Carolina over 3 years. Methods We analyzed data from a stratified random sample of 1,427 parents who, between 2008 and 2010, completed two linked telephone surveys: the Behavioral Risk Factor Surveillance System and the Child Health Assessment and Monitoring Program surveys. Weighted analyses examined HPV vaccine initiation for girls ages 11 to 17 years. Results HPV vaccine initiation increased modestly over time (2008, 34%; 2009, 41%; 2010, 44%). This upward trend was present within 11 subpopulations of girls, including those who lived in rural areas, were of minority (non-black/non-white) race, or had not recently received a preventive check-up. Looking at differences between groups, HPV vaccine initiation was less common among girls who attended private versus public school, were younger, or lacked a recent check-up. However, the latter difference narrowed over time. The low level of initiation among girls without recent check-ups increased substantially (from 11% to 41%), whereas initiation among girls with recent visits improved little (from 39% to 44%, Pinteraction = 0.007). Conclusions Although HPV vaccine initiation improved among several groups typically at higher risk for cervical cancer, the lack of progress among girls with recent check-ups suggests that missed opportunities for administration have hampered broader improvements. Impact Achieving widespread coverage of HPV vaccine will require redoubled efforts to vaccinate adolescents during routine care.

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Section: Discussionmentioning

confidence: 99%

Trends in HPV Vaccine Initiation among Adolescent Females in North Carolina, 2008–2010

Moss

Gilkey

Reiter

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Factors previously identified as being associated with parental vaccine acceptance include: household characteristics (income, location); access to medical care (having a general practitioner, routine medical visits); social-environmental factors (media influence, social norms, physician recommendations, vaccine cost); child characteristics (age, sexual behavior); and parentspecific factors (educational level, race/ethnicity, religion, beliefs, attitudes, knowledge, worries about the vaccine's impact on their child's sexual behavior, anticipated regret, trust in pharmaceutical companies, and personal doubts about vaccine safety). [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Another issue to consider is vaccine delivery and public policy of the given country (e.g., free school based programs in Australia and Canada versus the US where vaccination is most often provided in the doctor's office with substantial variation in coverage). Of the studies that examine parent decision making, few have examined vaccination uptake in a universal, school based context, which removes the barrier of cost.…”

Section: Introductionmentioning

confidence: 99%

Parents’ decision-making about the human papillomavirus vaccine for their daughters: I. Quantitative results

Krawczyk

Knaüper

Gîlca³

et al. 2015

Human Vaccines & Immunotherapeutics

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Vaccination against the human papillomavirus (HPV) is an effective primary prevention measure for HPV-related diseases. For children and young adolescents, the uptake of the vaccine is contingent on parental consent. This study sought to identify key differences between parents who obtain (acceptors) and parents who refuse (non-acceptors) the HPV vaccine for their daughters. In the context of a free, universal, school-based HPV vaccination program in Qu ebec, 774 parents of 9-10 year-old girls completed and returned a questionnaire by mail. The questionnaire was based on the theoretical constructs of the Health Belief Model (HBM), along with constructs from other theoretical frameworks. Of the 774 parents, 88.2% reported their daughter having received the HPV vaccine. Perceived susceptibility of daughters to HPV infection, perceived benefits of the vaccine, perceived barriers (including safety of the vaccine), and cues to action significantly distinguished between parents whose daughters had received the HPV vaccine and those whose daughters had not. Other significant factors associated with daughter vaccine uptake were parents' general vaccination attitudes, anticipated regret, adherence to other routinely recommended vaccines, social norms, and positive media influence. The results of this study identify a number of important correlates related to parents' decisions to accept or refuse the HPV vaccine uptake for their daughters. Future work may benefit from targeting such factors and incorporating other health behavior theories in the design of effective HPV vaccine uptake interventions.

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“…Existing research on HPV vaccine uptake has focused mainly on individual level factors, including demographic characteristics, vaccine knowledge [10, 11] and acceptability [12, 13]. Recent studies assessing barriers to uptake among disadvantaged groups indicate that less educated, low-income and ethnic minority parents are less likely to have heard of the HPV vaccines or have vaccinated daughters [14, 15]. …”

Section: Introductionmentioning

confidence: 99%

Proximity to safety-net clinics and HPV vaccine uptake among low-income, ethnic minority girls

Tsui

Singhal

Rodríguez

et al. 2013

Vaccine

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Purpose Human Papillomavirus (HPV) vaccine uptake remains low. Although publicly funded programs provide free or low cost vaccines to low-income children, barriers aside from cost may prevent disadvantaged girls from getting vaccinated. Prior studies have shown distance to health care as a potential barrier to utilizing pediatric preventive services. This study examines whether HPV vaccines are geographically accessible for low-income girls in Los Angeles County and whether proximity to safety-net clinics is associated with vaccine initiation. Methods Interviews were conducted in multiple languages with largely immigrant, low-income mothers of girls ages 9 to 18 via a county health hotline to assess uptake and correlates of uptake. Addresses of respondents and safety-net clinics that provide the HPV vaccine for free or low cost were geo-coded and linked to create measures of geographic proximity. Logistic regression models were estimated for each proximity measure on HPV vaccine initiation while controlling for other factors. Results On average, 83% of the 468 girls had at least one clinic within 3-miles of their residence. The average travel time on public transportation to the nearest clinic among all girls was 21 minutes. Average proximity to clinics differed significantly by race/ethnicity. Latinas had both the shortest travel distances (2.2 miles) and public transportation times (16 minutes) compared to other racial/ethnic groups. The overall HPV vaccine initiation rate was 25%. Increased proximity to the nearest clinic was not significantly associated with initiation. By contrast, mother’s awareness of HPV and daughter’s age were significantly associated with increased uptake. Conclusions This study is among the first to examine geographic access to HPV vaccines for underserved girls. Although the majority of girls live in close proximity to safety-net vaccination services, rates of initiation were low. Expanding clinic outreach in this urban area is likely more important than increasing geographic access to the vaccine for this population.

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Correlates of receiving recommended adolescent vaccines among adolescent females in North Carolina

Cited by 22 publications

References 27 publications

Trends in HPV Vaccine Initiation among Adolescent Females in North Carolina, 2008–2010

Trends in HPV Vaccine Initiation among Adolescent Females in North Carolina, 2008–2010

Parents’ decision-making about the human papillomavirus vaccine for their daughters: I. Quantitative results

Proximity to safety-net clinics and HPV vaccine uptake among low-income, ethnic minority girls

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