A Qualitative Comparative Analysis of Combined State Health Policies Related to Human Papillomavirus Vaccine Uptake in the United States

American Journal of Public Health
Megan C RobertsWayne Psek

Abstract

To examine how combinations of state policies, rather than single policies, are related to uptake of human papillomavirus (HPV) vaccine. Using publicly available records and the literature, we characterized policies for each US state and Washington, DC, in 2015 (n = 51), including (1) Medicaid expansion, (2) policies permitting HPV vaccination in pharmacies, (3) school-entry requirements, (4) classroom sex education mandates, and (5) parental education mandates. Using qualitative comparative analysis, we identified which existing combinations of these policies were necessary and sufficient for high HPV vaccine initiation among adolescents, with National Immunization Survey-Teen data. No single policy was necessary or sufficient for high HPV vaccine uptake; however, 1 set of policies had consistently high HPV vaccine uptake: adoption of all policies except parental education mandates (girls: consistency = 1.00, coverage = 0.07; boys: consistency = 0.99, coverage = 0.08). We identified a set of polices related to high HPV vaccine uptake. Future studies should examine how these policies and others, individually and in combination, are associated with HPV vaccine uptake. Public Health Implications. This study provides insight into ...Continue Reading

References

Jul 14, 2004·American Journal of Public Health·Francisco AverhoffDaniel Fishbein
May 15, 2007·The New England Journal of Medicine·R Alta Charo
Jul 31, 2007·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Symphorosa Shing Chee ChanTony Kwok Hung Chung
Feb 20, 2010·American Journal of Public Health·Thomas R Frieden
Jan 10, 2012·Vaccine·Charitha Gowda, Amanda F Dempsey
Apr 7, 2012·Vaccine·Sharon J M KesselsRebecca L Tooher
Jan 8, 2013·Human Vaccines & Immunotherapeutics·Annie-Laurie McReeNoel T Brewer
Dec 24, 2013·Gynecologic Oncology·Noel T BrewerJennifer S Smith
Sep 12, 2014·American Journal of Public Health·Eileen WangAlison Buttenheim
Oct 25, 2014·Journal of the American Pharmacists Association : JAPhA·Jacquelyn P NavarreteJosé O Rivera
Feb 18, 2015·International Journal of Clinical Pharmacy·Nicholas EdwardsShelly McNeil
Jul 22, 2016·Pediatrics·Jessica FishmanIan Frank
Aug 26, 2016·MMWR. Morbidity and Mortality Weekly Report·Sarah Reagan-SteinerJames A Singleton
Oct 5, 2016·Journal of Women's Health·Dudith Pierre-VictorPurnima Madhivanan

❮ Previous
Next ❯

Citations

Jul 20, 2018·American Journal of Public Health·Erika L ThompsonGregory D Zimet
Apr 12, 2020·Journal of the National Cancer Institute·Haley A MossS Yousuf Zafar
Jun 27, 2019·Human Vaccines & Immunotherapeutics·Aila HossGregory D Zimet
Dec 18, 2020·Human Vaccines & Immunotherapeutics·Erika L ThompsonGregory D Zimet
Apr 30, 2020·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Wonsuk YooDeborah Helitzer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.