Impact of Immunization Programs on HPV Vaccine Uptake
Author Information
Author(s): Colón-López Vivian, Muñoz-Torres Francisco J., Escabí Wojna Erika, Vega Jimenez Idamaris, Díaz Miranda Olga L., Medina-Laabes Diana T., Wells Katelyn, Ortiz Ana P., Hull Pamela C., Suárez Erick
Primary Institution: University of Puerto Rico Comprehensive Cancer Center
Hypothesis
This study evaluates the association between immunization program activities aimed at increasing HPV vaccination among adolescents and their impact on initiation rates.
Conclusion
Immunization program activities significantly influence HPV vaccine initiation rates among adolescents in the USA.
Supporting Evidence
- States that made school-based adolescent coverage rates available to the public had higher HPV vaccine initiation rates.
- States that expanded the number of pharmacies entering HPV vaccination data showed increased initiation rates.
- HPV initiation prevalence was significantly higher among younger adolescents in states with specific immunization activities.
Takeaway
The study found that certain activities by health programs can help more kids get their HPV vaccine, which is important for preventing cancer.
Methodology
The study used a multilevel Poisson model to analyze data from the 2016 AIM Annual Survey and the 2019 National Immunization Survey–Teen.
Potential Biases
Potential biases in the NIS-Teen survey and reliance on provider-reported vaccination data.
Limitations
The study lacked operational definitions for IP activities and relied on provider-reported HPV vaccination histories, which may lead to underestimations.
Participant Demographics
Participants included 52.4% males, 62.2% aged 13-15 years, and 76.2% had mothers with more than high school education.
Statistical Information
Confidence Interval
95% CI: 1.02, 1.14
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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