TY - JOUR
T1 - Patterns of Use of Human Papillomavirus and Other Adolescent Vaccines in the United States
AU - Vielot, Nadja A.
AU - Butler, Anne M.
AU - Brookhart, M. Alan
AU - Becker-Dreps, Sylvia
AU - Smith, Jennifer S.
N1 - Publisher Copyright:
© 2017 Society for Adolescent Health and Medicine
PY - 2017/9
Y1 - 2017/9
N2 - Purpose The purpose of the study was to describe the patterns of use of universally recommended adolescent vaccines in the United States. Methods We identified 11-year-olds using the MarketScan insurance claims database (2009–2014). Human papillomavirus (HPV), tetanus-diphtheria-acellular pertussis (Tdap), and meningococcal (MenACWY) vaccination claims were identified using diagnosis and procedure codes. Generalized linear models estimated vaccination incidence rates and correlates of adolescent vaccination and timely vaccination. Results Among 1,691,223 adolescents, receipt of Tdap (52.1%) and MenACWY (45.8%) vaccinations exceeded receipt of HPV vaccination (18.4%). While both sexes had similar Tdap and MenACWY vaccination proportions, girls received HPV vaccination more frequently than boys (21.9% vs. 15.1%). Adolescents received HPV vaccination later (mean age: 11.8 years) than Tdap or MenACWY vaccination (mean age: 11.2 years for both). Half of vaccinated adolescents received Tdap and MenACWY vaccination only; however, coadministration with HPV vaccine increased with birth cohort. Western adolescents had the highest incidence rates of HPV vaccination, and Southern adolescents had the lowest. Rural adolescents were less likely than urban adolescents to receive each vaccination except in the Northeast, where they were more likely to receive HPV vaccination (incidence rate ratio: 1.09, 95% confidence interval: 1.2005–1.13). Timely HPV vaccination was associated with female sex, urbanicity, Western residence, and later birth cohort. Conclusions HPV vaccination occurred later than Tdap or MenACWY vaccination and was less frequent in boys and rural adolescents. Girls, Western and urban residents, and younger birth cohorts were more likely to receive timely HPV vaccination. Vaccine coadministration increased over time and may encourage timely and complete vaccination coverage.
AB - Purpose The purpose of the study was to describe the patterns of use of universally recommended adolescent vaccines in the United States. Methods We identified 11-year-olds using the MarketScan insurance claims database (2009–2014). Human papillomavirus (HPV), tetanus-diphtheria-acellular pertussis (Tdap), and meningococcal (MenACWY) vaccination claims were identified using diagnosis and procedure codes. Generalized linear models estimated vaccination incidence rates and correlates of adolescent vaccination and timely vaccination. Results Among 1,691,223 adolescents, receipt of Tdap (52.1%) and MenACWY (45.8%) vaccinations exceeded receipt of HPV vaccination (18.4%). While both sexes had similar Tdap and MenACWY vaccination proportions, girls received HPV vaccination more frequently than boys (21.9% vs. 15.1%). Adolescents received HPV vaccination later (mean age: 11.8 years) than Tdap or MenACWY vaccination (mean age: 11.2 years for both). Half of vaccinated adolescents received Tdap and MenACWY vaccination only; however, coadministration with HPV vaccine increased with birth cohort. Western adolescents had the highest incidence rates of HPV vaccination, and Southern adolescents had the lowest. Rural adolescents were less likely than urban adolescents to receive each vaccination except in the Northeast, where they were more likely to receive HPV vaccination (incidence rate ratio: 1.09, 95% confidence interval: 1.2005–1.13). Timely HPV vaccination was associated with female sex, urbanicity, Western residence, and later birth cohort. Conclusions HPV vaccination occurred later than Tdap or MenACWY vaccination and was less frequent in boys and rural adolescents. Girls, Western and urban residents, and younger birth cohorts were more likely to receive timely HPV vaccination. Vaccine coadministration increased over time and may encourage timely and complete vaccination coverage.
KW - Adolescents
KW - Coadministration
KW - Health care providers
KW - Human papillomavirus
KW - Meningococcal conjugate vaccine
KW - Tetanus-diphtheria-acellular pertussis vaccine
KW - Vaccination
UR - http://www.scopus.com/inward/record.url?scp=85025096365&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2017.05.016
DO - 10.1016/j.jadohealth.2017.05.016
M3 - Article
C2 - 28739327
AN - SCOPUS:85025096365
SN - 1054-139X
VL - 61
SP - 281
EP - 287
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 3
ER -