Factors Associated with Increased HPV Vaccine Use in Rural-Frontier U.S. States

Public Health Nursing
Djin LaiDeanna Kepka

Abstract

This study sought to examine sociodemographic factors surrounding human papillomavirus (HPV) vaccine initiation and three-dose completion rates in the Intermountain West (IW). Analysis of the Centers for Disease Control and Prevention's 2012 National Immunization Survey-Teen dataset was conducted with a survey-weighted Pearson chi-square test and multivariable Poisson regression to produce bivariate and multivariate analyses. Participants with daughters aged 13-17 with provider-verified immunization records were included. Dual-frame adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were produced with provider-phase sampling weights. Factors included parents' and adolescents' sociodemographic and healthcare usage variables. Outcome measures included adolescents' receipt and completion of the HPV vaccine. Older parental ages (45 years and above) showed lower prevalence of adolescent HPV vaccine initiation (PR = 0.73, 95% CI = 0.59-0.87, p = .003) and completion (PR = 0.65, 95% CI = 0.44-0.96, p = .031) compared with parents younger than 35. Seventeen-year-old adolescents demonstrated highest prevalence of initiating (PR = 1.88, 95% CI = 1.47-2.39, p < .001) and completing (PR = 2.92, 95% CI = 1.97-4.33, p < .001) ...Continue Reading

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Citations

Feb 1, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Allison L Swiecki-SikoraDeanna Kepka
Jun 17, 2020·Cancer Causes & Control : CCC·Caryn E PetersonJon Andrew Dykens
Jan 4, 2021·Preventive Medicine·Heather M BrandtLindsay R Stradtman
Apr 17, 2021·Research in Nursing & Health·Lisa N MansfieldRosa M Gonzalez-Guarda

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