Health care provider recommendation, human papillomavirus vaccination, and Race/Ethnicity in the US national immunization survey

K.R. Ylitalo, Hyungsuk Lee and N.K. Mehta

American Journal of Public Health, 2013, vol. 103, issue 1, 164-169

Abstract: Objectives. Human papillomavirus (HPV) is a common sexually transmitted infection in the United States, yet HPV vaccination rates remain relatively low. We examined racial/ethnic differences in the prevalence of health care provider recommendations for HPV vaccination and the association between recommendation and vaccination. Methods. We used the 2009 National Immunization Survey-Teen, a nationally representative cross-section of female adolescents aged 13 to 17 years, to assess provider-verified HPV vaccination (‡ 1 dose) and participant-reported health care provider recommendation for the HPV vaccine. Results. More than half (56.9%) of female adolescents received a recommendation for the HPV vaccine, and adolescents with a recommendation were almost 5 times as likely to receive a vaccine (odds ratio = 4.81; 95% confidence interval = 4.01, 5.77) as those without a recommendation. Racial/ethnic minorities were less likely to receive a recommendation, but the association between recommendation and vaccination appeared strong for all racial/ethnic groups. Conclusions. Provider recommendations were strongly associated with HPV vaccination. Racial/ethnic minorities and non-Hispanic Whites were equally likely to obtain an HPV vaccine after receiving a recommendation. Vaccine education efforts should target health care providers to increase recommendations, particularly among racial/ethnic minority populations. Copyright © 2012 by the American Public Health Association®.

Keywords: Wart virus vaccine, adolescent; article; Caucasian; cross-sectional study; ethnic group; ethnology; female; health care personnel; health survey; Hispanic; human; immunology; insurance; Negro; papillomavirus infection; practice guideline; prevalence; race; social class; statistics; United States; vaccination, Adolescent; African Continental Ancestry Group; Continental Population Groups; Cross-Sectional Studies; Ethnic Groups; European Continental Ancestry Group; Female; Health Personnel; Health Surveys; Hispanic Americans; Humans; Insurance Coverage; Papillomavirus Infections; Papillomavirus Vaccines; Practice Guidelines as Topic; Prevalence; Social Class; United States; Vaccination (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2011.300600_3

DOI: 10.2105/AJPH.2011.300600

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