HPV Vaccination in Female Children with Special Health Care Needs

Cody, Paula; Lerand, Sarah J.

doi:10.1016/j.jpag.2013.03.003

Cited by 9 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Combined with the high levels of preventive services use among youth in the sample, our findings further suggest missed opportunities for vaccination are occurring among all youth regardless of whether they have a special health care need. Interestingly, in contrast to previous research suggesting that parents and health care providers may perceive YSHCN to be at low risk of HPV and thus not need vaccination, 13 YSHCN in our study had higher coverage with HPV vaccine than other youth, in both primary and secondary (subgroup) analyses. This could be due, at least in part, to greater health services use among this population.…”

Section: Discussioncontrasting

confidence: 99%

“…10,11 It is also possible that parents and/or health care providers have concerns about adverse side effects of vaccines for YSHCN with certain conditions 12 or, in the case of HPV vaccine, may not perceive the need for vaccination due to perceptions about low sexual activity among YSHCN. 13 Although a small body of research has examined vaccination among children with special health care needs, most studies have focused on vaccines recommended for early childhood (eg, polio vaccine, etc). [14][15][16][17] Indeed, a national study of children 19 to 35 months old found no differences between those with and without special health care needs in childhood vaccine coverage.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs

McRee

Maslow

Reiter

2016

Clin Pediatr (Phila)

View full text Add to dashboard Cite

We examined vaccination coverage among youth with special health care needs (YSHCN) using data from parents of adolescents (11-17 years) who responded to a statewide survey in 2010-2012 (n = 2156). Using a validated screening tool, we identified 29% of adolescents as YSHCN. Weighted multivariable logistic regression assessed associations between special health care needs and receipt of tetanus booster, meningococcal, and human papillomavirus (HPV) vaccines. Only 12% of youth had received all 3 vaccines, with greater coverage for individual vaccines (tetanus booster, 91%; meningococcal, 32%; HPV, 26%). YSHCN had greater odds of HPV vaccination than other youth (33% vs 23%, OR = 1.70, 95% CI = 1.16-2.50) but vaccination coverage was similar ( P ≥ .05) for other outcomes. In subgroup analyses, HPV vaccination also differed depending on the number and type of special health care needs identified. Findings highlight low levels of vaccination overall and missed opportunities to administer recommended vaccines among all youth, including YSHCN.

show abstract

Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs

McRee

Maslow

Reiter

2016

Clin Pediatr (Phila)

View full text Add to dashboard Cite

show abstract

“…Provider attitudes were not assessed in our study; however, a prior study found that providers caring for females with special needs placed a high priority on recommended vaccinations. 8 It has been well documented that a provider recommendation is the most influential factor in a patient's decision to receive an immunization, and that more parents of vaccinated teens reported receiving a recommendation compared with parents of unvaccinated teens. 13 It is important to recognize populations at risk for missed vaccination opportunities.…”

Section: Discussionmentioning

confidence: 99%

“…One small study demonstrated that parents of children with special health care needs have difficulty accepting the HPV vaccine primarily due to the perception that their child was unlikely to be sexually active. 8 However, another study including a sample of >20,000 7-12 th grade females concluded that those with mobility impairments and those with learning disabilities are just as likely as their peers to be sexually active. 9 It is also known that adolescents with disabilities are at increased risk of being sexually abused compared to the general population.…”

Section: Introductionmentioning

confidence: 99%

HPV Vaccination Among Females with Mental and Physical Limitation

Rowe¹,

Pritt²,

Stratton³

et al. 2017

MJM

View full text Add to dashboard Cite

A Mixed-Methods Study on Topical Fluoride Beliefs and Refusal Behaviors for Caregivers of Children with Special Health Care Needs

Koh,

Kerr,

Hill

et al. 2023

Matern Child Health J

View full text Add to dashboard Cite

Objective To understand topical fluoride-related beliefs and refusal behaviors for caregivers of children with special health care needs (CSHCN). Methods This was an explanatory sequential mixed methods study. For the quantitative analyses, we surveyed 520 caregivers to (a) compare fluoride-related beliefs between caregivers of CSHCN and caregivers of healthy children and (b) evaluate the association between special health care need (SHCN) status and topical fluoride refusal. We used logistic regression models to generate unadjusted odds ratios, confounder-adjusted odds ratios (AOR), and 95% confidence intervals (CI). For the qualitative analyses, we interviewed 56 caregivers who refused or were hesitant about topical fluoride. Data were coded deductively and compared by SHCN status to an existing conceptual model of topical fluoride refusal. Results In the quantitative analysis, 41.3% of caregivers refused or thought about refusing topical fluoride. There were no significant differences in fluoride beliefs by SHCN status (p-values > 0.05) nor was there a significant association between SHCN status and topical fluoride refusal (AOR: 0.65, 95% CI 0.37–1.14; p = 0.13). In the qualitative analysis, the relative importance of each domain of the conceptual model was similar between the caregiver groups. Two differences were that all caregivers of CSHCN thought fluoride was unnecessary and wanted to keep chemicals out of their child’s body. Conclusions for Practice While caregivers of CSHCN were not more likely to refuse topical fluoride than caregivers of healthy children, there may be important differences in the underlying reasons for refusing topical fluoride.

show abstract

HPV Vaccination in Female Children with Special Health Care Needs

Cited by 9 publications

References 12 publications

Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs

Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs

HPV Vaccination Among Females with Mental and Physical Limitation

A Mixed-Methods Study on Topical Fluoride Beliefs and Refusal Behaviors for Caregivers of Children with Special Health Care Needs

Contact Info

Product

Resources

About