Worsening disparities in HPV vaccine utilization among 19-26 year old women

Vaccine. 2011 Jan 10;29(3):528-34. doi: 10.1016/j.vaccine.2010.10.051. Epub 2010 Nov 2.


We evaluated the characteristics associated with uptake of HPV vaccine by 19-26 year old women seen in primary care university-based clinics. Of the 11,545 women analyzed only 18% had initiated the 3-dose vaccine series. Series completion among the sample overall was only 10% in the 30 month study period. Decreased series initiation was associated with older age, public insurance, white race and non-family medicine specialty. Decreased series completion was associated with public insurance and African American race. Utilization disparities by race and insurance worsened over time suggesting that the highest risk populations of women were not getting vaccinated.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Female
  • Humans
  • Medication Adherence / statistics & numerical data
  • Papillomavirus Infections / epidemiology*
  • Papillomavirus Infections / prevention & control*
  • Papillomavirus Vaccines / administration & dosage*
  • Papillomavirus Vaccines / immunology*
  • Universities
  • Vaccination / statistics & numerical data*
  • Vaccination / trends*
  • Young Adult


  • Papillomavirus Vaccines