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Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents.

Publication ,  Journal Article
Mansfield, LN; Silva, SG; Merwin, EI; Chung, RJ; Gonzalez-Guarda, RM
Published in: Am J Prev Med
November 2021

INTRODUCTION: Most cancers associated with the human papillomavirus are preventable through vaccination. However, adolescent series completion rates are at 75.8%. Two vaccine doses are recommended for adolescents, but factors influencing 2-dose series completion are not well explored. The purpose of this study is to examine individual-level and community-level factors associated with timely human papillomavirus vaccine series completion among adolescents in the Southeastern U.S. METHODS: Series completion was assessed from January 2018 to February 2019 among a cohort of adolescents initiating vaccination in 2017. Factors influencing overall series completion and timely series completion were assessed using multivariable logistic regression. RESULTS: Among the sample, 64.4% completed the vaccine series and 53.8% completed it timely (e.g., 14 months). Higher odds of series completion were among adolescents who were younger at vaccine initiation (AOR=1.94, 95% CI=1.50, 2.50), who traveled moderate distances to the clinic (AOR=1.62, 95% CI=1.03, 2.56), and who lived in low-deprivation neighborhoods (AOR=1.85, 95% CI=1.31, 2.60), and lower among Hispanic (AOR=0.62, 95% CI=0.45, 0.87) and non-Hispanic Black (AOR=0.66, 95% CI=0.54, 0.81) adolescents and among those without private insurance (AOR=0.68, 95% CI=0.56, 0.83). Timely series completion resulted in similar findings; however, lower odds were among Hispanic (AOR=0.63, 95% CI=0.43, 0.95) and non-Hispanic Black (AOR=0.68, 95% CI=0.50, 0.92) adolescents than among non-Hispanic other adolescents. CONCLUSIONS: Individual-level and community-level factors continue to influence adolescent series completion, despite a reduction in doses. Future research is needed to understand racial/ethnic and regional disparities in human papillomavirus vaccine series completion and to develop interventions to promote series completion.

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Published In

Am J Prev Med

DOI

EISSN

1873-2607

Publication Date

November 2021

Volume

61

Issue

5

Start / End Page

701 / 708

Location

Netherlands

Related Subject Headings

  • Vaccination
  • Public Health
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Papillomaviridae
  • Humans
  • Hispanic or Latino
  • Ethnicity
  • Adolescent
  • 42 Health sciences
 

Citation

APA
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ICMJE
MLA
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Mansfield, L. N., Silva, S. G., Merwin, E. I., Chung, R. J., & Gonzalez-Guarda, R. M. (2021). Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents. Am J Prev Med, 61(5), 701–708. https://doi.org/10.1016/j.amepre.2021.04.031
Mansfield, Lisa N., Susan G. Silva, Elizabeth I. Merwin, Richard J. Chung, and Rosa M. Gonzalez-Guarda. “Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents.Am J Prev Med 61, no. 5 (November 2021): 701–8. https://doi.org/10.1016/j.amepre.2021.04.031.
Mansfield LN, Silva SG, Merwin EI, Chung RJ, Gonzalez-Guarda RM. Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents. Am J Prev Med. 2021 Nov;61(5):701–8.
Mansfield, Lisa N., et al. “Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents.Am J Prev Med, vol. 61, no. 5, Nov. 2021, pp. 701–08. Pubmed, doi:10.1016/j.amepre.2021.04.031.
Mansfield LN, Silva SG, Merwin EI, Chung RJ, Gonzalez-Guarda RM. Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents. Am J Prev Med. 2021 Nov;61(5):701–708.
Journal cover image

Published In

Am J Prev Med

DOI

EISSN

1873-2607

Publication Date

November 2021

Volume

61

Issue

5

Start / End Page

701 / 708

Location

Netherlands

Related Subject Headings

  • Vaccination
  • Public Health
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Papillomaviridae
  • Humans
  • Hispanic or Latino
  • Ethnicity
  • Adolescent
  • 42 Health sciences