Adolescent Immunizations: Policies to Provide a Shot in the Arm for Adolescents

Middleman, Amy B.

doi:10.1016/j.jadohealth.2007.04.004

Cited by 25 publications

(21 citation statements)

References 41 publications

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“…3,4 HPV vaccine delivery is challenging because of the dosing schedule, target population, and parental ambivalence. [5][6][7][8][9] Unlike other adolescent vaccines, guidelines recommend 3 doses over a 6-month period. 10 Although most adolescents have a regular place for health care (96% in the United States; 73% among the uninsured 11 ), recent contact with providers is less frequent (89% teens aged 12-17 compared with 96.7% children aged 0-4 visited a provider in the past year 11 ).…”

Section: What This Study Addsmentioning

confidence: 99%

Promoting HPV Vaccination in Safety-Net Clinics: A Randomized Trial

et al. 2015

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OBJECTIVES: Evaluate effects of a multicomponent intervention (human papillomavirus [HPV] vaccine-specific brochure and recalls) on HPV vaccination and secondarily examine if race/ethnicity moderates effects.METHODS: Unvaccinated girls aged 11 to 18 years attending 4 safety-net pediatric clinics and their parent/guardian (n = 814 dyads) were randomized to (1) active comparison (general adolescent vaccine brochure), or (2) intervention consisting of a HPV vaccine-specific brochure, telephone recalls to parents who declined, and recalls to patients overdue for doses 2 and 3. HPV 1-dose and 3-dose coverages were assessed via electronic health records 12 months after randomization. Multivariate logistic regressions estimated adjusted odds and marginal predicted vaccine coverage by study arm and race/ethnicity.RESULTS: Intent-to-treat analyses found no main effect of the HPV vaccine-specific brochure on 1-dose coverage (42.0% vs 40.6%); however, secondary analyses found race/ethnicity was a significant moderator such that the intervention was effective only for Hispanic individuals (adjusted odds ratio [AOR] 1.43; 95% confidence interval [CI] 1.02-2.02), and not effective for black individuals (AOR 0.64; 95% CI 0.41-1.13). Recalls to parents who declined the vaccine during the index visit were not effective, but recalls to patients overdue for doses 2 and 3 were effective at increasing 3-dose coverage regardless of race/ethnicity (AOR 1.99; 95% CI 1.16-3.45).CONCLUSIONS: Educational materials describing only the HPV vaccine were effective for Hispanic but not black individuals. Future research should test mechanisms that may mediate intervention effects for different racial/ethnic groups, such as different informational needs or vaccine schemas (experiences, beliefs, norms). WHAT'S KNOWN ON THIS SUBJECT:Previous studies have evaluated separately the effects of brief education and reminder/recall intervention strategies to increase human papillomavirus vaccine coverage. None have examined if intervention effects varied by race/ethnicity. WHAT THIS STUDY ADDS:When compared with a general adolescent vaccine brochure, human papillomavirus vaccine-specific educational materials increased 1-dose coverage among Hispanic but not black individuals. Recalls for doses 2 and 3 were effective in increasing 3-dose coverage for both racial/ethnic groups.

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Section: What This Study Addsmentioning

confidence: 99%

Promoting HPV Vaccination in Safety-Net Clinics: A Randomized Trial

et al. 2015

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“…[12][13][14][15][16][17][18][19][20][21][22][23] This work has laid the foundation for more recent research aimed at developing and evaluating interventions to increase adolescent vaccination. [24][25][26] These studies have centered primarily on HPV and influenza vaccines, given their lower coverage levels.…”

mentioning

confidence: 99%

Interventions to Improve Adolescent Vaccination

Dempsey

Zimet

2015

American Journal of Preventive Medicine

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“…In comparison, 44% of enacted bills included informational requirements and 25% of bills enacted required insurance coverage of the vaccine. Although these policies alone are unlikely to substantially increase HPV vaccination rates, policies such as these are a necessary component of vaccination policy [36,37]. In the absence of a HPV vaccine mandate, these policies may serve to complement other mandatory vaccination requirements, indeed states with tetanus vaccination requirements have higher rates of HPV vaccination [26].…”

Section: Discussionmentioning

confidence: 99%