Human Papillomavirus Vaccine Awareness, Uptake, and Parental and Health Care Provider Communication Among 11‐ to 18‐Year‐Old Adolescents in a Rural Appalachian Ohio County in the United States

Bhatta, Madhav P.; Phillips, Lynette

doi:10.1111/jrh.12079

Cited by 28 publications

(23 citation statements)

References 23 publications

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“…This significant difference was found when the outcome was 1 dose, 2 doses, or fully immunized in the model and therefore was a difference in terms of intention to vaccinate. Having lower rates in boys than girls is consistent with multiple jurisdictions in the United States [15,17,28]. In these studies, none of the adolescent boy groups achieved an initiation rate higher than 21% whilst the vaccine initiation rate in the adolescent girl groups ranged from 27% to 57%.…”

Section: Discussionsupporting

confidence: 73%

Human papillomavirus vaccine uptake in boys and girls in a school-based vaccine delivery program in Prince Edward Island, Canada

McClure

MacSwain

Morrison

et al. 2015

Vaccine

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HPV vaccination for boys in PEI has had a successful launch, almost reaching the Canadian Immunization Committee recommendations of >80% for the early years of a program. PEI has a highly organized Public Health Nursing program that is involved in all childhood and school-based vaccinations in PEI and in this context very high coverage rates were obtained. Areas to target for improving uptake include the boys and the students in the French Language School Board.

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Section: Discussionsupporting

confidence: 73%

Human papillomavirus vaccine uptake in boys and girls in a school-based vaccine delivery program in Prince Edward Island, Canada

McClure

MacSwain

Morrison

et al. 2015

Vaccine

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“…This disparity remained after controlling for other factors. Racial and ethnic disparities in HPV vaccination were similar to those among female adolescents (22). HPV vaccination coverage was generally higher among teens living in poverty, which might reflect the VFC program’s (24) effectiveness at reaching these young persons.…”

Section: Discussionmentioning

confidence: 62%

“…The results from previous research and our study reflect the adoption of ACIP recommendations during this period. Studies have found that HPV vaccine awareness was lower among male adolescents and their parents (22) which may impact uptake of this vaccine. Continued monitoring will determine if HPV vaccination coverage continues to increase or levels off as has been observed for HPV vaccination of females (15, 23).…”

Section: Discussionmentioning

confidence: 99%

HPV Vaccination Coverage of Male Adolescents in the United States

Yankey

Jeyarajah

et al. 2015

Pediatrics

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Background In 2011, the Advisory Committee for Immunization Practices (ACIP) recommended routine use HPV vaccine for male adolescents. Methods We used the 2013 National Immunization Survey-Teen (NIS-Teen) data to assess HPV vaccine uptake (≥1 dose) and series completion (≥3 doses). Multivariable logistic regression analysis and a predictive marginal model were conducted to identify independent predictors of vaccination among adolescent males aged 13–17 years. Results HPV vaccination coverage with ≥1 dose was 34.6% while series completion (≥3 doses) was 13.9%. Coverage was significantly higher among non-Hispanic blacks and Hispanics compared with non-Hispanic white males. Multivariable logistic regression showed that characteristics independently associated with a higher likelihood of HPV vaccination (≥1 dose) included: being non-Hispanic black race or Hispanic ethnicity, having mothers who were widowed, divorced, or separated, having 1–3 physician contacts in the past 12 months, a well-child visit at age 11–12 years, having one or two vaccination providers, living in urban or suburban areas, and receiving vaccinations from more than one type of facility (p<0.05). Having mothers with some college or college education, having a higher family income to poverty ratio, living in South or Midwest, and receiving vaccinations from all STD/school/teen clinics or other facilities were independently associated with a lower likelihood of HPV vaccination (p<0.05). Conclusions Following recommendations for routine HPV vaccination among male adolescents, uptake in 2013 was low in males. Increased efforts are needed to improve vaccination coverage, especially for those who are least likely to be vaccinated.

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“…52,63 Provider communication was consistently associated with patients' sex such that providers' recommendation intentions and behavior were more supportive of HPV vaccination for girls versus boys. 10,12,24,25,29,33,37,44,55,57,58,60,64,65 For example, the 2014 NIS-Teen found that 64% of age-eligible girls had received a provider recommendation compared to just 42% of boys. 10 All but one study examining patients' race/ethnicity suggested disparities in provider communication with parents of African American and Hispanic adolescents less often discussing HPV vaccine with a provider or receiving HPV recommendations than parents of non-Hispanic White adolescents.…”

Section: Preferences In Communication Source By Provider Typementioning

confidence: 99%

Provider communication about HPV vaccination: A systematic review

Gilkey

McRee

2016

Human Vaccines & Immunotherapeutics

258

220

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Background. Improving HPV vaccination coverage in the US will require healthcare providers to recommend the vaccine more effectively. To inform quality improvement efforts, we systematically reviewed studies of provider communication about HPV vaccination. Methods. We searched MEDLINE, CINAHL, EMBASE, and POPLINE in August 2015 to identify studies of provider communication about HPV vaccination. Results. We identified 101 qualitative and quantitative studies. Providers less often recommended HPV vaccine if they were uncomfortable discussing sex, perceived parents as hesitant, or believed patients to be low risk. Patients less often received recommendations if they were younger, male, or from racial/ethnic minorities. Despite parents' preference for unambiguous recommendations, providers often sent mixed messages by failing to endorse HPV vaccine strongly, differentiating it from other vaccines, and presenting it as an "optional" vaccine that could be delayed. Conclusion. Interventions are needed to help providers deliver effective recommendations in the complex communication environment surrounding HPV vaccination.

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Human Papillomavirus Vaccine Awareness, Uptake, and Parental and Health Care Provider Communication Among 11‐ to 18‐Year‐Old Adolescents in a Rural Appalachian Ohio County in the United States

Cited by 28 publications

References 23 publications

Human papillomavirus vaccine uptake in boys and girls in a school-based vaccine delivery program in Prince Edward Island, Canada

Human papillomavirus vaccine uptake in boys and girls in a school-based vaccine delivery program in Prince Edward Island, Canada

HPV Vaccination Coverage of Male Adolescents in the United States

Provider communication about HPV vaccination: A systematic review

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