Long-Term Multilevel Intervention Impact on Human Papillomavirus Vaccination Rates Spanning the COVID-19 Pandemic
Long-Term Multilevel Intervention Impact on Human Papillomavirus Vaccination Rates Spanning the COVID-19 Pandemic
复制标题
DOI：
10.1097/lgt.0000000000000648
复制
发表时间：
2022-01-01
影响因子：
3.7
通讯作者：
Perkins, Rebecca B.
中科院分区：
文献类型：
--
作者：
Casey, Sharon M.;Jansen, Emily;Perkins, Rebecca B.
目的：本研究的目的是评估多层次干预的长期可持续性以及COVID-19大流行对青少年人乳头瘤病毒（HPV）疫苗接种覆盖率的影响。材料和方法：2016年，一家联邦合格医疗中心的儿科和家庭医学实践完成了一项多层次干预，即人类乳头瘤病毒疫苗接种系统的开发和教育。我们研究了2016年3月至2020年10月期间干预对10-18岁青少年HPV疫苗接种起始率和完成率的影响。我们确定了每月接种HPV疫苗的总剂量。数据绘制在统计过程控制图上。结果：在2016年3月至2017年1月期间，10岁患者的疫苗起始率从平均14%上升到平均42%，11至12岁患者的疫苗起始率从平均72%上升到平均92%，并在2020年3月之前保持稳定。到2020年10月，13岁儿童的完全疫苗接种率从62%增加到88%。结论：该干预在干预完成4年后导致HPV疫苗接种率持续提高。
Objective: The aim of the study was to evaluate the long-term sustainability of a multilevel intervention and the COVID-19 pandemic impact on adolescent human papillomavirus (HPV) vaccination coverage.Materials and Methods: In 2016, a pediatric and family medicine practice within a federally qualified health center completed a multilevel intervention, Development of Systems and Education for Human Papillomavirus Vaccination. We examined the intervention impact on HPV vaccine initiation and completion rates among adolescents 10-18 years between March 2016 and October 2020. We determined the total number of HPV vaccine doses administered monthly. Data were plotted on statistical process control charts.Results: Vaccine initiation increased from an average of 14% to an average of 42% for 10-year-old patients and from an average of 72% to an average of 92% for 11- to 12-year-old patients between March 2016 and January 2017 and remained stable throughMarch 2020. Complete vaccination by age 13 years increased from 62% to 88% through October 2020.Conclusions: This intervention led to continued improvement for on-time HPV vaccination coverage 4 years after intervention completion.