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HPV Vaccination Completion and Compliance with Recommended Dosing Intervals Among Female and Male Adolescents in an Inner-City Community Health Center.
- Source :
-
Journal of Community Health . Jun2015, Vol. 40 Issue 3, p395-403. 9p. - Publication Year :
- 2015
-
Abstract
- Human papillomavirus (HPV) vaccination continues to lag behind other adolescent vaccines, especially in areas with pervasive disparities in HPV-related cancers. The purpose of this study was to examine HPV vaccine completion and dosing intervals among low-income adolescents in urban areas. The study included electronic health record data on HPV vaccination for 872 adolescents who received at least one dose of the HPV vaccine. Only 28.4 % completed the 3-dose series. For the whole sample, HPV vaccine completion was higher for non-English speakers and among adolescents seen at Newark-South and East Orange sites. Completion was higher among non-English speaking female and Hispanic adolescents, females seen in Newark-South and East Orange sites, and insured Black adolescents. Completion was also dramatically lower among non-English speaking Black adolescents seen at Newark-North, Irvington, and Orange sites (12.5 %) compared to other Black adolescents (22.0-44.4 %). The mean dosing intervals were 5.5 months (SD = 4.6) between dose 1 and 2 and 10 months (SD = 6.1) between dose 1 and 3. Longer durations between vaccine doses were found among uninsured adolescents and those seen at Newark-North, Irvington, and Orange sites. Non-English speakers had longer duration between dose 1 and 3. Further, durations between dose 1 and 3 were dramatically longer among insured adolescents seen at Newark-North, Irvington, and Orange locations for the whole sample (M = 11.70; SD = 7.12) and among Hispanic adolescents (M = 13.45; SD = 8.54). Understanding how the study predictors facilitate or impede HPV vaccination is critical to reducing disparities in cervical and other HPV-related cancer, especially among Black, Hispanic, and low-income populations. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANALYSIS of variance
*BLACK people
*CHI-squared test
*CONFIDENCE intervals
*STATISTICAL correlation
*HISPANIC Americans
*RESEARCH methodology
*MULTIVARIATE analysis
*PATIENT compliance
*RACE
*STATISTICS
*T-test (Statistics)
*HUMAN papillomavirus vaccines
*LOGISTIC regression analysis
*DATA analysis
*SOCIOECONOMIC factors
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 40
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 108484776
- Full Text :
- https://doi.org/10.1007/s10900-014-9950-7