Correlates of HPV vaccine initiation and provider recommendation among male adolescents, 2014 NIS-Teen

• Type of Material: Article
• Authors: Kathryn Landis, Emory University; Robert A. Bednarczyk, Emory University; Laura Gaydos, Emory University
• Language: English
• Date: 2018-06-07
• Publisher: Elsevier: 12 months
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2018 Elsevier Ltd
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.vaccine.2018.04.075
• Title of Journal or Parent Work: Vaccine
• ISSN: 0264-410X
• Volume: 36
• Issue: 24
• Start Page: 3498
• End Page: 3504
• Grant/Funding Information: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
• Keywords: Ethnicity; Provider recommendation; DECADE; Immunology; HUMAN-PAPILLOMAVIRUS VACCINE; UNITED-STATES; Adolescent; INCREASE; COVERAGE; Race; MEN; Human papillomavirus; NATIONAL IMMUNIZATION SURVEY; Life Sciences & Biomedicine; CANCER; ACCEPTABILITY; Research & Experimental Medicine; AGED 13-17 YEARS; Medicine, Research & Experimental; HPV vaccines; Science & Technology
• Research Categories: Health Sciences, Public Health; Health Sciences, Immunology

Abstract

Vaccination is a safe and effective way to prevent Human Papillomavirus (HPV) infection and related cancers; however, HPV vaccine uptake remains low in the US. After the 2011 Advisory Committee on Immunization Practices (ACIP) recommendation for routine HPV vaccination of adolescent males, several studies have examined predictors for initiating the vaccine series in this population of interest, particularly with regard to provider recommendations. This study examined racial and ethnic differences for HPV vaccine initiation and provider recommendation in male adolescents. Based on prior HPV vaccine uptake estimates and healthcare utilization data, we hypothesized that minority adolescents would be more likely to initiate HPV vaccines, but less likely to receive a provider recommendation compared to white counterparts. We analyzed the 2014 National Immunization Survey-Teen (NIS-Teen), which included 10,753 male adolescents with provider-verified vaccination data in 50 US states, using multivariate logistic regression models to evaluate racial/ethnic differences in HPV vaccine initiation and provider recommendation. The odds of HPV vaccine initiation were 76 percent higher for Hispanic adolescents and 43 percent higher for non-Hispanic Other or Multiple race adolescents compared to white adolescents. Approximately half of parents reported receiving a provider recommendation for vaccination, with no significant difference in the odds of receiving a provider recommendation across racial/ethnic groups. Despite similar frequency of recommendations across racial and ethnic groups, male adolescents who are racial/ethnic minorities are more likely to initiate vaccination. Future research should focus on developing tailored interventions to increase HPV vaccine receipt among males of all racial/ethnic groups.