Disparities in Provider Recommendation of Human Papillomavirus Vaccination for U.S. Adolescents

Kahee A. Mohammed, Christian J. Geneus, Nosayaba Osazuwa-Peters, Eric Adjei Boakye, Betelihem B. Tobo, Thomas E. Burroughs

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Purpose To determine the prevalence of and examine factors associated with provider recommendation of human papillomavirus vaccination for U.S. adolescents. Methods Multivariable logistic regression analyses were performed using data from the National Immunization Survey–Teen 2014 on 34,478 adolescents aged 13–17 years. Results Overall prevalence of vaccine recommendation was 72.6% for girls and 51.8% for boys. Lower rates were observed among girls aged 13 years, living below poverty line, adolescents of lesser educated mothers, and those residing in the South. Overall, girls had higher odds of vaccine recommendation (odds ratio [OR] = 2.57; 95% confidence interval [CI] = 2.35–2.82). Correlates of higher vaccine recommendation for girls were: older age—17 versus 13 (OR = 1.51; 95% CI = 1.20–1.89), living above versus below poverty line, and residing in Northeast (OR = 1.45; 95% CI = 1.21–1.73) and Midwest (OR = 1.29; 95% CI = 1.11–1.50) versus South. For boys, correlates of higher vaccine recommendation were: non-Hispanic black (OR = 1.30; 95% CI = 1.07–1.58) and Hispanic (OR = 1.24; 95% CI = 1.03–1.48) versus non-Hispanic white race and residing in Northeast (OR = 1.79; 95% CI = 1.54–2.08) and West (OR = 1.41; 95% CI = 1.17–1.70) versus South. Other factors associated with vaccine recommendation were having a college-educated mother and frequent doctor visits in the past 12 months. Conclusions This study highlights significant disparities in provider recommendation of human papillomavirus vaccination for U.S. adolescents. Findings suggest possible areas for tailored interventions to bridge the gap in vaccine recommendation and uptake in high-risk populations.

Original languageEnglish
Pages (from-to)592-598
Number of pages7
JournalJournal of Adolescent Health
Volume59
Issue number5
DOIs
StatePublished - Nov 1 2016

Keywords

  • Adolescent
  • HPV vaccine
  • Human papillomavirus
  • NIS-Teen
  • Provider
  • Recommendation

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