Factors influencing Human papillomavirus (HPV) vaccination series completion in Mississippi Medicaid

Social determinants of human papillomavirus vaccine series completion among U.S. adolescents: A mixed-methods study

“…Qualitative findings diverged from this finding noting that insurance type did not influence timely series completion as parents perceived having insurance coverage for HPV vaccination as a motivating factor. Other studies also noted both positive and negative associations of private insurance on timely series completion ( Agawu et al, 2020 ; Inguva et al, 2020 ; Schluterman et al, 2011 ). In North Carolina where the study took place, nearly 35% of Non-Hispanic Black and 17% of Hispanic individuals are enrolled in Medicaid compared to roughly 40% of White individuals ( Kaiser Family Foundation, 2022 ).…”

“…Higher odds of timely series completion were among adolescents initiating the series at age 11. Other studies noted lower odds of timely series completion and decreased dose adherence among younger initiators ( Freeman et al, 2018 ; Gold et al, 2013 ; Inguva et al, 2020 ; St Sauver et al, 2016 ). Qualitative findings revealed that parents perceived a risk of HPV during future sexual encounters, thus wanted their children to complete the series on-time during early adolescence.…”

“…Racial/ethnic disparities in series completion also exist with Black and Hispanic adolescents less likely to complete the series ( Ackerson et al, 2017 ; Agawu et al, 2020 ; Freeman et al, 2018 ; Schluterman, Terplan, Lydecker, & Tracy, 2011 ). Inconsistent findings were noted by insurance type reporting both private and public insurance increasing and decreasing the odds of series completion ( Agawu et al, 2020 ; Inguva et al, 2020 ; Schluterman et al, 2011 ). Vaccine series completion was higher among adolescents living in high-income households ( Dorell, Yankey, Santibanez, & Markowitz, 2011 ; Niccolai, Mehta, & Hadler, 2011 ).…”

“…To date, most quantitative studies examining factors of series completion largely identified individual-level factors influencing three-dose series completion, with fewer studies exploring factors influencing two-dose series completion. Although younger adolescents have higher rates of vaccine completion ( Freeman, Gamboa, Darbinian, Littell, & Torrente, 2018 ; Gold, Naleway, & Riedlinger, 2013 ; Inguva et al, 2020 ; St Sauver et al, 2016 ), they were less likely to complete the series on-time ( Hirth, Tan, Wilkinson, & Berenson, 2012 ) and adhere to the vaccine schedule ( Liu, Kong, & Du, 2016 ). Timely series completion with the two-dose regimen also decreased overtime ( Spencer, Brewer, Traogdon, Wheeler, & Dusetzina, 2018 ).…”

Tendência Da Imunização Contra O HPV Na População Masculina No Estado Do Tocantins Entre Os Anos De 2017-2019

“…Nossos resultados apontam que a taxa de imunizados declinou gradativamente em todas as microrregiões de Tocantins. Contudo, quando consultada a literatura científica é possível identificar que não se trata de um fenômeno ocorrente apenas no Estado em questão, mas em países como o Estados Unidos, Dinamarca, Canadá, França, País de Gales e Inglaterra os efeitos são semelhantes [12][13][14][15][16][17][18] . Acreditamos que a queda da cobertura vacinal também esteja associada as ações do movimento antivacina (MA), que vem crescendo fortemente no Brasil 19 .…”