Human Papillomavirus Vaccination of Females in a Large Health Claims Database in the United States, 2006-2012
Human Papillomavirus Vaccination of Females in a Large Health Claims Database in the United States, 2006-2012
复制标题
DOI：
10.1016/j.jadohealth.2015.01.004
复制
发表时间：
2015-04-01
影响因子：
7.6
通讯作者：
Zhou, Fangjun
中科院分区：
文献类型：
--
作者：
Dunne, Eileen F.;Stokley, Shannon;Zhou, Fangjun
目的：来自各种来源的疫苗利用信息有助于了解疫苗计划的状况，并确定提高接种率的机会。我们评估了2006 - 2012年MarketScan商业索赔和遭遇数据库中关于女孩/妇女开始和完成所有三剂人乳头瘤病毒（HPV）疫苗的数据。方法：数据来自2006-2012年MarketScan商业索赔和遭遇数据库。研究人群包括年龄在11-26岁之间，从2006年到2012年连续参加同一私人保险计划的女性参加者（n = 407，371）。我们评估了整体和每年的疫苗启动和完成，与疫苗启动相关的人口统计学特征，在疫苗接种的临床访问，并错过了机会vaccination.Results：到2012年底，36.9%的女性年龄在11-26岁，至少接受了一剂HPV疫苗。17-18岁和15-16岁女性的疫苗接种覆盖率最高（分别为49.3%和43.1%），11-12岁女性的疫苗接种覆盖率最低（16.8%）。在2007年至2012年期间，246，192名未接种疫苗的女性中有96.1%至少错过了一次机会（未接种HPV疫苗的健康护理访问）。结论：在6年期间，11-12岁的女孩开始接种HPV疫苗的比例最低。重要的是，大多数（96.1%）未接种疫苗的女性至少错过了一次接种疫苗的机会，提供者和卫生系统应集中精力利用现有的接种疫苗的访问。爱思唯尔公司出版代表青少年健康和医学协会。
Purpose: Information on vaccine utilization from a variety of sources is useful to give a status of the vaccine program and define opportunities to improve uptake. We evaluated MarketScan Commercial Claims and Encounters database on human papillomavirus (HPV) vaccine initiation and completion of all three doses among girls/women from 2006 to 2012.Methods: Data were obtained from the 2006-2012 MarketScan Commercial Claims and Encounters database. The study population included female enrollees aged 11-26 years who were continuously enrolled in the same private insurance plan from 2006 to 2012 (n = 407,371). We evaluated overall and yearly vaccine initiation and completion, demographic characteristics associated with vaccine initiation, clinical visits in which vaccine was given, and missed opportunities for vaccination.Results: By the end of 2012, 36.9% of females aged 11-26 years had received at least one HPV vaccine dose. Vaccination coverage was highest among females aged 17-18 years (49.3%) and aged 15-16 years (43.1%) and lowest among females aged 11-12 years (16.8%). Between 2007 and 2012, 96.1% of the 246,192 unvaccinated females had at least one missed opportunity (a heath care visit without HPV vaccine administered).Conclusions: Over a 6 year period, HPV vaccine initiation was lowest in the girls aged 11-12 years. Importantly, most (96.1%) unvaccinated females had at least one missed vaccination opportunity, and providers and health systems should focus efforts on using existing visits for vaccination. Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.