Disparities in collaborative patient-provider communication about human papillomavirus (HPV) vaccination

Human Vaccines & Immunotherapeutics
Jennifer L MossNoel T Brewer

Abstract

Healthcare providers may vary their communications with different patients, which could give rise to differences in vaccination coverage. We examined demographic disparities in parental report of collaborative provider communication and implications for human papillomavirus (HPV) vaccination. Participants were 4,124 parents who completed the National Immunization Survey-Teen about daughters ages 13-17. We analyzed disparities in collaborative communication (mutual information exchange, deliberation, and decision) and whether they mediated the relationship between demographic characteristics and HPV vaccine initiation. Half of parents (53%) in the survey reported collaborative communication. Poor, less educated, Spanish-speaking, Southern, and rural parents, and parents of non-privately insured and Hispanic adolescents, were least likely to report collaborative communication (all p<.05). These disparities in communication accounted for geographic variation in HPV vaccination, specifically, the higher rates of uptake in the Northeast versus the South (mediation z=2.31, p<.01) and in urban/suburban vs. rural areas (mediation z=2.87, p<.01). These disparities were also associated with vaccination among subgroups with relatively hig...Continue Reading

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Citations

Dec 29, 2016·The American Journal of Nursing·Diane Santa MariaAntonia Villarruel
Jan 5, 2019·Human Vaccines & Immunotherapeutics·Robin C VanderpoolHeather M Brandt
Oct 22, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Essie TorresQiang Wu
Dec 17, 2020·Human Vaccines & Immunotherapeutics·Paul L ReiterMira L Katz
Jan 4, 2021·Preventive Medicine·Heather M BrandtLindsay R Stradtman
May 14, 2020·Human Vaccines & Immunotherapeutics·Rebecca B PerkinsMari-Lynn Drainoni
Dec 29, 2020·Preventing Chronic Disease·Radhika RanganathanJan M Eberth
Jul 29, 2020·The Journal of the American Dental Association·Cynthia StullElise Sarvas
May 5, 2021·Archives of Sexual Behavior·Marybec GriffinChristopher B Stults
May 19, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Kelsey C StoltzfusJennifer L Moss

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