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

Autor:	Neil Mehta, Kelly R. Ylitalo, Hedwig Lee
Rok vydání:	2013
Předmět:	medicine.medical_specialty Adolescent Research and Practice Health care provider Cross-sectional study Health Personnel MEDLINE Ethnic group Black People Social class Insurance Coverage White People Odds Ethnicity Prevalence Humans Medicine Papillomavirus Vaccines Gynecology business.industry Papillomavirus Infections Racial Groups Vaccination Public Health Environmental and Occupational Health virus diseases Hispanic or Latino Health Surveys female genital diseases and pregnancy complications United States Human papillomavirus vaccination Cross-Sectional Studies Social Class Immunization Family medicine Practice Guidelines as Topic Female business
Zdroj:	American Journal of Public Health. 103:164-169
ISSN:	1541-0048 0090-0036
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c23d5feda40ab5f0c3ae7260b7269589 https://doi.org/10.2105/ajph.2011.300600 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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