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

Author

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  • Ylitalo, K.R.
  • Lee, H.
  • Mehta, N.K.

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®.

Suggested Citation

  • Ylitalo, K.R. & Lee, H. & Mehta, N.K., 2013. "Health care provider recommendation, human papillomavirus vaccination, and Race/Ethnicity in the US national immunization survey," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 164-169.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300600_3
    DOI: 10.2105/AJPH.2011.300600
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    Cited by:

    1. Monica L. Kasting & Shannon M. Christy & Madison E. Stout & Gregory D. Zimet & Catherine E. Mosher, 2022. "Attitudinal Correlates of HPV Vaccination in College Women," Clinical Nursing Research, , vol. 31(5), pages 826-835, June.
    2. Truong-Vu, Kim-Phuong, 2021. "On-time, late, or never: Incorporating intersectionality to predict age-specific probabilities of initiating the HPV vaccine series," Social Science & Medicine, Elsevier, vol. 287(C).
    3. Sean T. O’Leary & Steven Lockhart & Juliana Barnard & Anna Furniss & Miriam Dickinson & Amanda F. Dempsey & Shannon Stokley & Steven Federico & Michael Bronsert & Allison Kempe, 2018. "Exploring Facilitators and Barriers to Initiation and Completion of the Human Papillomavirus (HPV) Vaccine Series among Parents of Girls in a Safety Net System," IJERPH, MDPI, vol. 15(2), pages 1-17, January.
    4. Cecilia Trucchi & Vincenzo Restivo & Daniela Amicizia & Francesca Fortunato & Alessia Manca & Domenico Martinelli & Alfredo Montecucco & Maria Francesca Piazza & Rosa Prato & Valentino Tisa & Filippo , 2020. "Italian Health Care Workers’ Knowledge, Attitudes, and Practices Regarding Human Papillomavirus Infection and Prevention," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    5. Yvonne N. Flores & Jorge Salmerón & Beth A. Glenn & Cathy M. Lang & L. Cindy Chang & Roshan Bastani, 2019. "Clinician offering is a key factor associated with HPV vaccine uptake among Mexican mothers in the USA and Mexico: a cross-sectional study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 323-332, April.

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