Factors associated with human papillomavirus vaccine-series initiation and healthcare provider recommendation in US adolescent females: 2007 National Survey of Children's Health
Factors associated with human papillomavirus vaccine-series initiation and healthcare provider recommendation in US adolescent females: 2007 National Survey of Children's Health
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DOI：
10.1016/j.vaccine.2012.02.034
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发表时间：
2012-04-26
期刊：
影响因子：
5.5
通讯作者：
Flores, Glenn
中科院分区：
文献类型：
--
作者：
Lau, May;Lin, Hua;Flores, Glenn
目的：确定与人乳头瘤病毒疫苗系列启动相关的因素，以及卫生保健提供者建议青少年女性接种人乳头瘤病毒疫苗的父母报告。设计：对2007年全国儿童健康调查进行横断面分析。参与者：12-17岁美国青春期女性的父母。主要结局指标：社会人口学和卫生保健因素与开始接种人乳头瘤病毒疫苗系列的关系，以及卫生保健提供者推荐人乳头瘤病毒疫苗的父母报告。结果：对16139名青春期女性进行数据分析。几乎20%的青春期女性开始接种HPV疫苗系列。接种人乳头瘤病毒疫苗系列的青少年女性比未接种人乳头瘤病毒疫苗系列的青少年女性有父母报告其医疗保健提供者推荐接种人乳头瘤病毒疫苗的比例明显更高（84%对20%）。在多变量分析中，美国印第安人/阿拉斯加原住民、多种族、接种过脑膜炎球菌疫苗、接种过破伤风/破伤风-白喉/破伤风-白喉-无细胞百日咳疫苗或贫困的青春期女性启动人乳头瘤病毒疫苗系列的调整后几率更高：医疗保健提供者推荐人乳头瘤病毒疫苗的父母报告与启动人乳头瘤病毒疫苗系列的调整几率约18倍相关。在单独的多变量分析中，非裔美国人和未投保的青春期女性在父母报告中推荐人乳头瘤病毒疫苗的调整后几率较低。结论：医疗保健提供者推荐的父母报告与人乳头瘤病毒疫苗系列的开始显著相关。非裔美国人种族/民族和无保险与父母报告医疗保健提供者推荐人乳头瘤病毒疫苗的可能性较低有关。常规卫生保健提供者推荐人乳头瘤病毒疫苗接种可能提高青少年女性人乳头瘤病毒疫苗接种率。(C) 2012 Elsevier Ltd.版权所有。
Objective: To identify factors associated with initiation of the human papillomavirus vaccine series and parental report of a healthcare provider recommendation of the human papillomavirus vaccine in adolescent females.Design: Cross-sectional analysis of 2007 National Survey of Children's Health.Participants: Parents of 12-17 year-old US adolescent females.Main outcome measures: Associations of sociodemographic and healthcare factors with initiation of the human papillomavirus vaccine series and parental report of a healthcare provider recommendation of the human papillomavirus vaccine.Results: Data were analyzed for 16,139 adolescent females. Almost 20% of adolescent females initiated the HPV vaccine series. Significantly higher proportions of adolescent females who initiated the human papillomavirus vaccine series vs. those who did not initiate the human papillomavirus vaccine series had a parental report of their healthcare provider recommending the human papillomavirus vaccine (84% vs. 20%). In multivariable analyses, adolescent females who were American Indian/Alaska Native, were multiracial, received the meningococcal vaccine, received the tetanus/tetanus-diphtheria/tetanus-diphtheria-acellular pertussis vaccine, or were poor had higher adjusted odds of initiating the human papillomavirus vaccine series: parental report of a healthcare provider recommendation of the human papillomavirus vaccine was associated with about 18 times the adjusted odds of initiating the human papillomavirus vaccine series. In separate multivariable analyses, adolescent females who were African-American and uninsured had lower adjusted odds of a parental report of a healthcare provider recommendation of the human papillomavirus vaccine.Conclusion: Parental report of a healthcare provider recommendation is significantly associated with human papillomavirus vaccine-series initiation. African-American race/ethnicity and uninsurance were associated with lower odds of a parental report of a healthcare provider recommendation of the human papillomavirus vaccine. Routine healthcare provider recommendation of human papillomavirus vaccination might improve adolescent females' human papillomavirus vaccination rates. (C) 2012 Elsevier Ltd. All rights reserved.