TY - JOUR
T1 - Disparities in Provider Recommendation of Human Papillomavirus Vaccination for U.S. Adolescents
AU - Mohammed, Kahee A.
AU - Geneus, Christian J.
AU - Osazuwa-Peters, Nosayaba
AU - Adjei Boakye, Eric
AU - Tobo, Betelihem B.
AU - Burroughs, Thomas E.
N1 - Publisher Copyright:
© 2016 Society for Adolescent Health and Medicine
PY - 2016/11/1
Y1 - 2016/11/1
N2 - 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.
AB - 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.
KW - Adolescent
KW - HPV vaccine
KW - Human papillomavirus
KW - NIS-Teen
KW - Provider
KW - Recommendation
UR - http://www.scopus.com/inward/record.url?scp=84994850680&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2016.06.005
DO - 10.1016/j.jadohealth.2016.06.005
M3 - Article
C2 - 27506278
AN - SCOPUS:84994850680
SN - 1054-139X
VL - 59
SP - 592
EP - 598
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 5
ER -