کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4372297 1617059 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Statewide analysis of missed opportunities for human papillomavirus vaccination using vaccine registry data
ترجمه فارسی عنوان
تجزیه و تحلیل در سراسر کشور از فرصت های از دست رفته برای واکسیناسیون پاپیلومای انسانی با استفاده از داده های ثبت واکسن
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی ویروس شناسی
چکیده انگلیسی

BackgroundHuman papillomavirus (HPV) vaccine 3-dose completion rates among adolescent females in the US are low. Missed opportunities impede HPV vaccination coverage.MethodsA population-based secondary data analysis of de-identified vaccination and demographic data from the Utah Statewide Immunization Information System (USIIS) was conducted. Records were included from 25,866 females ages 11–26 years at any time during 2008–2012 who received at least one of the following adolescent vaccinations documented in the USIIS: Tdap (Tetanus, Diphtheria, Pertussis), meningococcal, and/or influenza. A missed opportunity for HPV vaccination was defined as a clinical encounter where the patient received at least one adolescent vaccination, but not a HPV vaccine.ResultsOf 47,665 eligible visits, there were 20,911 missed opportunities (43.87%). Age group, race/ethnicity, and rurality were significantly associated with missed opportunity (p<0.0001). In a multivariable mixed-effects logistic regression model that included ethnicity, location and age, as fixed effects and subject as a random effect, Hispanics were less likely to have a missed opportunity than whites OR 0.59 (95% CI: 0.52–0.66), small rural more likely to have a missed opportunity than urban youth OR 1.8 (95% CI: 1.5–2.2), and preteens more likely than teens OR 2.4 (95% CI: 2.2–2.7).ConclusionMissed clinical opportunities are a significant barrier to HPV vaccination among female adolescents. Interventions targeted at providers who serve patient groups with the highest missed opportunities are needed to achieve adequate protection from HPV-associated illnesses.ImpactThis is one of the first studies to utilize state immunization information system data to assess missed opportunities for HPV vaccination.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Papillomavirus Research - Volume 2, December 2016, Pages 128–132
نویسندگان
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