County-level correlates of missed opportunities for HPV vaccination in Indiana: An environmental scan.

County-level correlates of missed opportunities for HPV vaccination in Indiana: An environmental scan.
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DOI:
10.1016/j.vaccine.2020.08.048
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发表时间:
2020-10-07
期刊:
影响因子:
5.5
通讯作者:
Zimet G
Zimet G
中科院分区:
医学3区
文献类型:
--
作者:
Enujioke SC;Shedd-Steele R;Daggy J;Burney H;Robertson L;Head K;Zimet G

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本研究的目的是检查印第安纳州 92 个县错失 HPV 疫苗接种机会的变异性,并评估错失机会的县级相关性。印第安纳州免疫登记处提供了 2017 年 11-18 岁青少年错失机会率的县级数据。错失机会是指有资格接种 HPV 疫苗的患者接种了一种或多种其他推荐疫苗,但没有接种 HPV。错失机会的潜在县级相关因素包括种族、收入、保险状况、人口密度、教育、人均初级保健提供者、吸烟率、乳房X光检查、糖尿病监测和巴氏涂片检查。印第安纳州各县的错失机会率从 31% 到 85% 不等。较高的人口密度、乳房X光检查、收入不平等和糖尿病监测与较少错失的机会有关。我们发现各县错失的机会存在很大差异,这与人口密度和县级参与其他健康相关行为有关
The goal of this study was to examine variability across the 92 Indiana counties in missed opportunities for HPV vaccination and to assess county-level correlates of missed opportunities. The Indiana immunization registry provided county level data on 2017 missed opportunity rates for adolescents ages 11-18. A missed opportunity was an encounter when a patient eligible for HPV vaccination received one or more other recommended vaccines, but not HPV. Potential county-level correlates of missed opportunities included race, income, insurance status, population density, education, primary care providers per capita, smoking rates, mammography screening, diabetes monitoring, and Pap testing. The missed opportunity rate ranged from 31% to 85% across Indiana counties. Higher population density, mammography screening, income inequality, and diabetes monitoring were associated with fewer missed opportunities. We found wide variability in missed opportunities across counties, which were associated with population density and county-level participation in other health-related behaviors
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