Format

Send to

Choose Destination
Public Health Nurs. 2016 Jul;33(4):283-94. doi: 10.1111/phn.12223. Epub 2015 Aug 31.

Factors Associated with Increased HPV Vaccine Use in Rural-Frontier U.S. States.

Author information

1
Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah.
2
College of Nursing, University of Utah, Salt Lake City, Utah.
3
Study Design and Biostatistics Center, School of Medicine, University of Utah, Salt Lake City, Utah.

Abstract

OBJECTIVE:

This study sought to examine sociodemographic factors surrounding human papillomavirus (HPV) vaccine initiation and three-dose completion rates in the Intermountain West (IW).

DESIGN AND SAMPLE:

Analysis of the Centers for Disease Control and Prevention's 2012 National Immunization Survey-Teen dataset was conducted with a survey-weighted Pearson chi-square test and multivariable Poisson regression to produce bivariate and multivariate analyses. Participants with daughters aged 13-17 with provider-verified immunization records were included. Dual-frame adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were produced with provider-phase sampling weights.

MEASURES:

Factors included parents' and adolescents' sociodemographic and healthcare usage variables. Outcome measures included adolescents' receipt and completion of the HPV vaccine.

RESULTS:

Older parental ages (45 years and above) showed lower prevalence of adolescent HPV vaccine initiation (PR = 0.73, 95% CI = 0.59-0.87, p = .003) and completion (PR = 0.65, 95% CI = 0.44-0.96, p = .031) compared with parents younger than 35. Seventeen-year-old adolescents demonstrated highest prevalence of initiating (PR = 1.88, 95% CI = 1.47-2.39, p < .001) and completing (PR = 2.92, 95% CI = 1.97-4.33, p < .001) the vaccination series compared to 13-year olds. Those who had received meningitis vaccinations had high prevalence of initiating (PR = 1.93, 95% CI = 1.50-2.48, p < .001) and completing the HPV vaccine (PR = 2.52, 95% CI = 1.64-3.86, p < .001).

CONCLUSION:

This study highlights parental, adolescent, and health care characteristics related to use of the HPV vaccine. Future research to investigate specific barriers and strategies for addressing HPV vaccination use in the IW is recommended.

KEYWORDS:

HPV; adolescent health; cancer; population-based nursing; prevention; public health systems; rural health; vaccination

PMID:
26331614
PMCID:
PMC4562419
DOI:
10.1111/phn.12223
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center