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Author Notes:

K. Landis: Room MB 116, Main Building, The University of Hong Kong, Pokfulam, Hong Kong. landis.katie@gmail.com

Ms. Landis and Drs. Bednarczyk and Gaydos report no conflicts of interest.

Dr. Bednarczyk receives funding from National Institutes of Health grant 5K01AI106961-04.


Research Funding:

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.


  • Science & Technology
  • Life Sciences & Biomedicine
  • Immunology
  • Medicine, Research & Experimental
  • Research & Experimental Medicine
  • HPV vaccines
  • Human papillomavirus
  • Adolescent
  • Provider recommendation
  • Race
  • Ethnicity
  • AGED 13-17 YEARS
  • MEN

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


Journal Title:



Volume 36, Number 24


, Pages 3498-3504

Type of Work:

Article | Post-print: After Peer Review


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.

Copyright information:

© 2018 Elsevier Ltd

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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