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

2012 ◽  
Vol 21 (11) ◽  
pp. 1913-1922 ◽  
Author(s):  
Jennifer L. Moss ◽  
Melissa B. Gilkey ◽  
Paul L. Reiter ◽  
Noel T. Brewer
2010 ◽  
Vol 37 (9) ◽  
pp. 549-556 ◽  
Author(s):  
Paul L. Reiter ◽  
Joan R. Cates ◽  
Annie-Laurie McRee ◽  
Sami L. Gottlieb ◽  
Autumn Shafer ◽  
...  

2018 ◽  
pp. 135-145
Author(s):  
Noel T. Brewer ◽  
Megan E. Hall ◽  
Teri L. Malo ◽  
Melissa B. Gilkey ◽  
Beth Quinn ◽  
...  

OBJECTIVE Improving provider recommendations is critical to addressing low human papillomavirus (HPV) vaccination coverage. Thus, we sought to determine the effectiveness of training providers to improve their recommendations using either presumptive “announcements” or participatory “conversations.” METHODS In 2015, we conducted a parallel-group randomized clinical trial with 30 pediatric and family medicine clinics in central North Carolina. We randomized clinics to receive no training (control), announcement training, or conversation training. Announcements are brief statements that assume parents are ready to vaccinate, whereas conversations engage parents in open-ended discussions. A physician led the 1-hour, in-clinic training. The North Carolina Immunization Registry provided data on the primary trial outcome: 6-month coverage change in HPV vaccine initiation (≥1 dose) for adolescents aged 11 or 12 years. RESULTS The immunization registry attributed 17 173 adolescents aged 11 or 12 to the 29 clinics still open at 6-months posttraining. Six-month increases in HPV vaccination coverage were larger for patients in clinics that received announcement training versus those in control clinics (5.4% difference, 95% confidence interval: 1.1%–9.7%). Stratified analyses showed increases for both girls (4.6% difference) and boys (6.2% difference). Patients in clinics receiving conversation training did not differ from those in control clinics with respect to changes in HPV vaccination coverage. Neither training was effective for changing coverage for other vaccination outcomes or for adolescents aged 13 through 17 (n = 37 796). CONCLUSIONS Training providers to use announcements resulted in a clinically meaningful increase in HPV vaccine initiation among young adolescents.


2018 ◽  
Vol 20 (3) ◽  
pp. 445-454 ◽  
Author(s):  
Katherine F. Furgurson ◽  
Joanne C. Sandberg ◽  
Fang-Chi Hsu ◽  
Dana C. Mora ◽  
Sara A. Quandt ◽  
...  

The human papilloma virus (HPV) vaccine is an effective but underused cancer prevention tool. This study assessed knowledge of HPV and HPV vaccine initiation among Mexican-born farmworkers in North Carolina. Interviewer-administered questionnaires were conducted with 100 Latino farmworkers and 100 nonfarmworker Latino North Carolina residents in 2015 as part of an ongoing community-based participatory research project. Farmworkers had low levels of knowledge about HPV and the HPV vaccine. They had a similar amount of HPV and HPV vaccine knowledge compared to nonfarmworkers. Farmworkers and nonfarmworkers learned about the HPV vaccine from different sources. Adolescent children of farmworkers and nonfarmworkers had low HPV vaccine initiation. However, for children living in the United States with farmworker parents, vaccine initiation was high. To prevent HPV-related cancers and improve health equity, interventions are needed in order to increase HPV education and vaccine initiation among children of Mexican-born farmworkers and nonfarmworkers. Public health programs should look for partners outside the traditional health care setting to reach underserved populations. Other key strategies include promoting catch-up vaccines, improving patient–provider communication, and providing case management services.


2021 ◽  
pp. 101053952110274
Author(s):  
Sameer Vali Gopalani ◽  
Amanda E. Janitz ◽  
Sydney A. Martinez ◽  
Janis E. Campbell ◽  
Sixia Chen

Native Hawaiian and Pacific Islander (NHPI) adults bear a disproportionate burden of certain human papillomavirus (HPV)-associated cancers. In 2015, data from the National Health Interview Survey (NHIS) showed vaccination coverage among adults by racial and ethnic groups; however, coverage data for NHPI adults were unavailable. In this study, we estimated the initiation and completion of HPV vaccination and assessed the factors associated with vaccination among NHPI adults aged 18 to 26 years in the United States. We analyzed public data files from the 2014 NHPI NHIS (n = 1204). We specified sampling design parameters and fitted weighted logistic regression models to calculate the odds of HPV vaccine initiation. We developed a directed acyclic graph to identify a minimally sufficient set for adjustment and adjusted for insurance coverage (for education and ethnicity) and doctor visit (for insurance coverage, earnings, ethnicity, and sex). Overall, 24.9% and 11.5% of NHPI adults had initiated and completed the HPV vaccination series, respectively. Weighted logistic regression models elucidated that the odds of HPV vaccine initiation were higher for females (weighted odds ratio = 5.4; 95% confidence interval = 2.8-10.4) compared with males. Low vaccination coverage found among NHPI adults provides an opportunity for targeted programs to reduce the burden of HPV-associated cancers.


2019 ◽  
Vol 78 (7) ◽  
pp. 743-755 ◽  
Author(s):  
Angelica M Roncancio ◽  
Becky T Muñoz ◽  
Chakema C Carmack ◽  
Kristy K Ward ◽  
Miguel A Cano ◽  
...  

Objective: Human papillomavirus (HPV) vaccination rates among Hispanic adolescents in the USA are far below recommended levels. Using a social marketing theory framework, we assessed the four Ps (product, price, place and promotion) as they relate to efforts to promote HPV vaccine initiation. Design: Qualitative study involving in-depth interviews. Setting: A large Southern city in the USA. Method: Eighty-five in-depth qualitative interviews were conducted with Spanish-speaking Hispanic mothers divided into initiated and uninitiated market segments based on whether or not their adolescent child had received the first dose of the HPV vaccine. Data were analysed using directed qualitative content analysis. Results: Results suggest that the desire to prevent illnesses and protect their child drives the decision to vaccinate (product). Most initiated mothers did not experience barriers to vaccination, and market segments described different potential barriers (price). Both marker segments reported that they needed vaccine information before vaccinating (price). Finally, interventions should target clinics, schools and community centres to raise awareness about the importance of vaccinating against HPV (place and promotion). Conclusion: Findings from this formative study can inform the development of an intervention to increase HPV vaccine initiation among Hispanic adolescents.


Vaccine ◽  
2018 ◽  
Vol 36 (33) ◽  
pp. 5084-5090 ◽  
Author(s):  
Serena A. Rodriguez ◽  
Lara S. Savas ◽  
Elizabeth Baumler ◽  
Alan G. Nyitray ◽  
Patricia Dolan Mullen ◽  
...  

Vaccine ◽  
2018 ◽  
Vol 36 (24) ◽  
pp. 3498-3504 ◽  
Author(s):  
Kathryn Landis ◽  
Robert A. Bednarczyk ◽  
Laura M. Gaydos

2010 ◽  
Author(s):  
Shalanda A. Bynum ◽  
Heather M. Brandt ◽  
Patricia A. Sharpe ◽  
Michelle S. Williams ◽  
Jelani C. Kerr

Sign in / Sign up

Export Citation Format

Share Document