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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Human Papillomavirus Vaccination Series Initiation and Completion, 2008–2009

Christina G. Dorell, David Yankey, Tammy A. Santibanez and Lauri E. Markowitz
Pediatrics November 2011, 128 (5) 830-839; DOI: https://doi.org/10.1542/peds.2011-0950
Christina G. Dorell
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David Yankey
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Tammy A. Santibanez
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Lauri E. Markowitz
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This article has a correction. Please see:

  • Dorell CG, Yankey D, Santibanez TA, Markowitz LE. Human Papillomavirus Vaccination Series Initiation and Completion, 2008-2009. Pediatrics. 2011; 128(5):830–839 - July 01, 2012

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Abstract

OBJECTIVE: The goal was to describe factors associated with human papillomavirus (HPV) vaccination series initiation (≥1 dose) and completion (≥3 doses) and parents' intent to have their daughters vaccinated.

METHODS: Data from the 2008 and 2009 National Immunization Survey-Teen were analyzed to estimate HPV vaccination coverage among girls 13 to 17 years of age (N = 18 228) and to examine associations of vaccination coverage with demographic characteristics.

RESULTS: Overall, 40.5% of girls had received ≥1 HPV vaccine dose, and 53.3% of those girls completed the series. Factors independently associated with vaccination initiation included older age, having an 11- to 12-year preventive visit, insurance status, mother's age and marital status, not receiving all vaccines at public facilities, and provider recommendation, which was the factor most strongly associated with initiation (prevalence ratio: 2.6 [95% confidence interval: 2.4–2.9]). Compared with white girls (60.4%), black (46.0%) and Hispanic (40.3%) girls were less likely to complete the series. Lack of knowledge of the vaccine (19.4%), vaccination was not needed (18.8%), the daughter was not sexually active (18.3%), and a provider did not recommend (13.1%) were the most common reasons for parents' nonintent to have their daughters vaccinated.

CONCLUSIONS: Although HPV vaccine coverage rates are increasing, they are still below target levels. Recommendations by providers to adolescent patients and parents likely would improve vaccine uptake. Parental education regarding disease risks and benefits of HPV vaccination before exposure is needed to promote vaccine uptake.

  • immunization
  • human papillomavirus vaccine
  • adolescents
  • girls
  • patient compliance
  • cancer vaccines
  • medical home
  • access to health care
  • Accepted July 21, 2011.
  • Copyright © 2011 by the American Academy of Pediatrics

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Pediatrics
Vol. 128, Issue 5
1 Nov 2011
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Human Papillomavirus Vaccination Series Initiation and Completion, 2008–2009
Christina G. Dorell, David Yankey, Tammy A. Santibanez, Lauri E. Markowitz
Pediatrics Nov 2011, 128 (5) 830-839; DOI: 10.1542/peds.2011-0950

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Human Papillomavirus Vaccination Series Initiation and Completion, 2008–2009
Christina G. Dorell, David Yankey, Tammy A. Santibanez, Lauri E. Markowitz
Pediatrics Nov 2011, 128 (5) 830-839; DOI: 10.1542/peds.2011-0950
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  • Dorell CG, Yankey D, Santibanez TA, Markowitz LE. Human Papillomavirus Vaccination Series Initiation and Completion, 2008-2009. Pediatrics. 2011; 128(5):830–839
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  • Area-Level Variation and Human Papillomavirus Vaccination among Adolescents and Young Adults in the United States: A Systematic Review
  • HPV Vaccine Delivery Practices by Primary Care Physicians
  • Social determinants of community-level human papillomavirus vaccination coverage in aschool-based vaccination programme
  • Disparities in cervical cancer in African American women: What primary care physicians can do
  • Relationship between receipt of substitutable for-fee vaccines and completion of the expanded programme on immunisation: a cross-sectional study in Fujian, China
  • Messages to Motivate Human Papillomavirus Vaccination: National Studies of Parents and Physicians
  • Quality of Physician Communication about HPV Vaccine--Response
  • Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States
  • HPV Vaccination Coverage of Male Adolescents in the United States
  • Quality of Physician Communication about Human Papillomavirus Vaccine: Findings from a National Survey
  • ACA Provisions Associated With Increase In Percentage Of Young Adult Women Initiating And Completing The HPV Vaccine
  • Provider-Verified HPV Vaccine Coverage among a National Sample of Hispanic Adolescent Females
  • Risk Factors for Non-initiation of the Human Papillomavirus Vaccine among Adolescent Survivors of Childhood Cancer
  • Reasons for Not Vaccinating Adolescents: National Immunization Survey of Teens, 2008-2010
  • Prevention of Invasive Cervical Cancer in the United States: Past, Present, and Future
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