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Correlates of HPV vaccine initiation and provider recommendation among male adolescents, 2014 NIS-Teen.
Vaccine. 2018 06 07; 36(24):3498-3504.V

Abstract

Vaccination is a safe and effective way to prevent Human Papillomavirus (HPV) infection and related cancers; however, HPV vaccine uptake remains low in the US. After the 2011 Advisory Committee on Immunization Practices (ACIP) recommendation for routine HPV vaccination of adolescent males, several studies have examined predictors for initiating the vaccine series in this population of interest, particularly with regard to provider recommendations. This study examined racial and ethnic differences for HPV vaccine initiation and provider recommendation in male adolescents. Based on prior HPV vaccine uptake estimates and healthcare utilization data, we hypothesized that minority adolescents would be more likely to initiate HPV vaccines, but less likely to receive a provider recommendation compared to white counterparts. We analyzed the 2014 National Immunization Survey-Teen (NIS-Teen), which included 10,753 male adolescents with provider-verified vaccination data in 50 US states, using multivariate logistic regression models to evaluate racial/ethnic differences in HPV vaccine initiation and provider recommendation. The odds of HPV vaccine initiation were 76 percent higher for Hispanic adolescents and 43 percent higher for non-Hispanic Other or Multiple race adolescents compared to white adolescents. Approximately half of parents reported receiving a provider recommendation for vaccination, with no significant difference in the odds of receiving a provider recommendation across racial/ethnic groups. Despite similar frequency of recommendations across racial and ethnic groups, male adolescents who are racial/ethnic minorities are more likely to initiate vaccination. Future research should focus on developing tailored interventions to increase HPV vaccine receipt among males of all racial/ethnic groups.

Authors+Show Affiliations

Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA. Electronic address: landis.katie@gmail.com.Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Emory Vaccine Center, 954 Gatewood Road, Atlanta, GA 30329, USA. Electronic address: robert.a.bednarczyk@emory.edu.Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA. Electronic address: lgaydos@emory.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

29752025

Citation

Landis, Kathryn, et al. "Correlates of HPV Vaccine Initiation and Provider Recommendation Among Male Adolescents, 2014 NIS-Teen." Vaccine, vol. 36, no. 24, 2018, pp. 3498-3504.
Landis K, Bednarczyk RA, Gaydos LM. Correlates of HPV vaccine initiation and provider recommendation among male adolescents, 2014 NIS-Teen. Vaccine. 2018;36(24):3498-3504.
Landis, K., Bednarczyk, R. A., & Gaydos, L. M. (2018). Correlates of HPV vaccine initiation and provider recommendation among male adolescents, 2014 NIS-Teen. Vaccine, 36(24), 3498-3504. https://doi.org/10.1016/j.vaccine.2018.04.075
Landis K, Bednarczyk RA, Gaydos LM. Correlates of HPV Vaccine Initiation and Provider Recommendation Among Male Adolescents, 2014 NIS-Teen. Vaccine. 2018 06 7;36(24):3498-3504. PubMed PMID: 29752025.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlates of HPV vaccine initiation and provider recommendation among male adolescents, 2014 NIS-Teen. AU - Landis,Kathryn, AU - Bednarczyk,Robert A, AU - Gaydos,Laura M, Y1 - 2018/05/08/ PY - 2017/09/14/received PY - 2018/04/18/revised PY - 2018/04/25/accepted PY - 2018/5/13/pubmed PY - 2018/9/27/medline PY - 2018/5/13/entrez KW - Adolescent KW - Ethnicity KW - HPV vaccines KW - Human papillomavirus KW - Provider recommendation KW - Race SP - 3498 EP - 3504 JF - Vaccine JO - Vaccine VL - 36 IS - 24 N2 - Vaccination is a safe and effective way to prevent Human Papillomavirus (HPV) infection and related cancers; however, HPV vaccine uptake remains low in the US. After the 2011 Advisory Committee on Immunization Practices (ACIP) recommendation for routine HPV vaccination of adolescent males, several studies have examined predictors for initiating the vaccine series in this population of interest, particularly with regard to provider recommendations. This study examined racial and ethnic differences for HPV vaccine initiation and provider recommendation in male adolescents. Based on prior HPV vaccine uptake estimates and healthcare utilization data, we hypothesized that minority adolescents would be more likely to initiate HPV vaccines, but less likely to receive a provider recommendation compared to white counterparts. We analyzed the 2014 National Immunization Survey-Teen (NIS-Teen), which included 10,753 male adolescents with provider-verified vaccination data in 50 US states, using multivariate logistic regression models to evaluate racial/ethnic differences in HPV vaccine initiation and provider recommendation. The odds of HPV vaccine initiation were 76 percent higher for Hispanic adolescents and 43 percent higher for non-Hispanic Other or Multiple race adolescents compared to white adolescents. Approximately half of parents reported receiving a provider recommendation for vaccination, with no significant difference in the odds of receiving a provider recommendation across racial/ethnic groups. Despite similar frequency of recommendations across racial and ethnic groups, male adolescents who are racial/ethnic minorities are more likely to initiate vaccination. Future research should focus on developing tailored interventions to increase HPV vaccine receipt among males of all racial/ethnic groups. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/29752025/Correlates_of_HPV_vaccine_initiation_and_provider_recommendation_among_male_adolescents_2014_NIS_Teen_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(18)30582-6 DB - PRIME DP - Unbound Medicine ER -