Identification of potential missed opportunities for human papillomavirus (HPV) vaccination in women referred to an academic colposcopy clinic for evaluation of abnormal cervical cytology
| Autor: | Benjamin J. Dorton, Allison F. Vitonis, Sarah Feldman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Immunology Uterine Cervical Neoplasms Logistic regression Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine medicine Immunology and Allergy Humans 030212 general & internal medicine Papillomavirus Vaccines Human papillomavirus Pharmacology Gynecology Colposcopy Cervical cancer Academic Medical Centers 030219 obstetrics & reproductive medicine medicine.diagnostic_test Obstetrics business.industry Papillomavirus Infections Vaccination Hpv vaccination medicine.disease Marital status Female business Colposcopy clinic Research Paper |
| Popis: | Objective: To identify possible predictors of missed opportunities for human papillomavirus (HPV) counseling and vaccination prior to presentation at an academic colposcopy clinic. Materials and Methods: We examined the characteristics of 638 vaccinated and 1,024 unvaccinated age-eligible patients using data from a patient registry of women presenting for colposcopic evaluation between 2/26/2007 and 3/10/2014 who were aged 26 or less at presentation. Demographics, smoking history, pregnancy history, sexually transmitted infections (STIs), sexual history, contraception use, immunosuppression, and medical problems were compared between HPV vaccinated and unvaccinated women. Multivariable logistic regression models included age, race, language, marital status, insurance type, lifetime number of sexual partners, other medical illnesses, number of pregnancies, contraception use, history of STIs, and smoking history to determine predictors of HPV vaccination. Results: In multivariable analysis, race, marital status, and language were not significantly associated with HPV vaccination. Women with fewer pregnancies were more likely to be vaccinated (p-trend |
| Databáze: | OpenAIRE |
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