Health Care Provider Recommendation, Human Papillomavirus Vaccination, and Race/Ethnicity in the US National Immunization Survey

Our nation's failure to adequately immunize children remains a vexing and embarrassing problem. An article in this issue (p 416) verifies the virtual impossibility of fully immunizing 90% of children by age 2 years. Repeated national immunization surveys have shown that most children receive some immunization by age 2 years.1 The failure results principally from children who enter the health care system and are then lost to follow-up. A 1977 immunization survey in Washington state showed that a single additional visit to a health care provider could have increased the number of two-yean-olds fully immunized from 60% to 82%.2 Part of the solution may lie in simplifying the recommended immunization schedule.

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Successful Health-Care Provider Strategies to Overcome Psychological Insulin Resistance in the US and Canada

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2018.08.094 ◽

2018 ◽

Vol 42 (5) ◽

pp. S33

Author(s):

Tricia Tang ◽

Danielle Hessler ◽

William H. Polonsky ◽

Lawrence Fisher ◽

Irene Hadjiyianni ◽

...

Keyword(s):

Insulin Resistance ◽

Health Care ◽

Health Care Provider ◽

Care Provider ◽

The Us

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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

The Journal of Rural Health ◽

10.1111/jrh.12079 ◽

2014 ◽

Vol 31 (1) ◽

pp. 67-75 ◽

Cited By ~ 17

Author(s):

Madhav P. Bhatta ◽

Lynette Phillips

Keyword(s):

United States ◽

Health Care ◽

Human Papillomavirus ◽

Health Care Provider ◽

Care Provider ◽

The United States ◽

Provider Communication ◽

Human Papillomavirus Vaccine ◽

Health Care Provider Communication ◽

Papillomavirus Vaccine

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Human Papillomavirus Vaccination Before 13 and 15 Years of Age: Analysis of National Immunization Survey Teen Data

The Journal of Infectious Diseases ◽

10.1093/infdis/jiy682 ◽

2019 ◽

Vol 220 (5) ◽

pp. 730-734 ◽

Cited By ~ 11

Author(s):

Robert A Bednarczyk ◽

Mallory K Ellingson ◽

Saad B Omer

Keyword(s):

United States ◽

Human Papillomavirus ◽

Sexual Activity ◽

Advisory Committee ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

The United States ◽

Human Papillomavirus Vaccination ◽

National Immunization ◽

National Immunization Survey

Abstract Human papillomavirus (HPV) vaccination is suboptimally used in the United States. Vaccination before the 13th birthday is recommended by the Advisory Committee on Immunization Practices and vaccination before the 15th birthday requires only 2 doses. We estimated the proportion of adolescents up to date for HPV vaccine using provider-verified vaccination data from the 2016 National Immunization Survey-Teen. Only 16% of US adolescents completed HPV vaccination before turning 13, and 35% completed HPV vaccination before turning 15. With sexual activity initiation increasing throughout adolescence and higher immunogenicity for younger vaccinees, vaccination before the 13th birthday can provide better protection against HPV-related cancers.

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