Health care provider recommendation, human papillomavirus vaccination, and race/ethnicity in the US National Immunization Survey

Am J Public Health. 2013 Jan;103(1):164-9. doi: 10.2105/AJPH.2011.300600. Epub 2012 Jun 14.

Abstract

Objectives: Human papillomavirus (HPV) is a common sexually transmitted infection in the United States, yet HPV vaccination rates remain relatively low. We examined racial/ethnic differences in the prevalence of health care provider recommendations for HPV vaccination and the association between recommendation and vaccination.

Methods: We used the 2009 National Immunization Survey-Teen, a nationally representative cross-section of female adolescents aged 13 to 17 years, to assess provider-verified HPV vaccination (≥ 1 dose) and participant-reported health care provider recommendation for the HPV vaccine.

Results: More than half (56.9%) of female adolescents received a recommendation for the HPV vaccine, and adolescents with a recommendation were almost 5 times as likely to receive a vaccine (odds ratio = 4.81; 95% confidence interval = 4.01, 5.77) as those without a recommendation. Racial/ethnic minorities were less likely to receive a recommendation, but the association between recommendation and vaccination appeared strong for all racial/ethnic groups.

Conclusions: Provider recommendations were strongly associated with HPV vaccination. Racial/ethnic minorities and non-Hispanic Whites were equally likely to obtain an HPV vaccine after receiving a recommendation. Vaccine education efforts should target health care providers to increase recommendations, particularly among racial/ethnic minority populations.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • African Continental Ancestry Group
  • Continental Population Groups
  • Cross-Sectional Studies
  • Ethnic Groups
  • European Continental Ancestry Group
  • Female
  • Health Personnel*
  • Health Surveys
  • Hispanic Americans
  • Humans
  • Insurance Coverage
  • Papillomavirus Infections / ethnology*
  • Papillomavirus Infections / immunology
  • Papillomavirus Infections / prevention & control*
  • Papillomavirus Vaccines / administration & dosage*
  • Practice Guidelines as Topic*
  • Prevalence
  • Social Class
  • United States
  • Vaccination / statistics & numerical data*

Substances

  • Papillomavirus Vaccines