HPV Vaccine Experiences and Preferences Among Young Adult Cancer Survivors and Caregivers of Childhood Cancer Survivors

Waters, Austin R.; Mann, Karely; Lopez, Perla L. Vaca; Kepka, Deanna; Wu, Yelena P.; Kirchhoff, Anne C.

doi:10.1007/s13187-021-01992-6

Cited by 16 publications

(15 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As most adolescents receive the flu shot at either a doctor's office, clinic, hospital, or some other medical facility, flu shot encounters provide a viable avenue for providers to take advantage of their limited contact with adolescent survivors and improve HPV vaccine uptake 11,30 . Also, as prior work from our group has identified that an oncologist or PCP recommendation is critical to vaccine decision‐making for survivors and caregivers, this could be a potential explanation for the higher rate of concomitant missed opportunities among survivors 31 . PCPs report a lack familiarity with follow‐up care guidelines, including post‐treatment vaccination guidance 19,20 …”

Section: Discussionmentioning

confidence: 99%

Missed opportunities for concomitant HPV vaccination among childhood cancer survivors

Ramsay

Kaddas

et al. 2022

Cancer Medicine

Self Cite

View full text Add to dashboard Cite

Purpose Childhood cancer survivors are at higher risk of human papillomavirus (HPV)‐related second cancers than adolescents without cancer, yet their HPV vaccination uptake is lower. Using a statewide sample, we evaluated whether survivors are at higher risk of missed opportunities for concomitant HPV vaccination. Methods From statewide healthcare data, we identified encounters where vaccines were received. Concomitant HPV vaccine missed opportunities were defined as a vaccine encounter where the HPV vaccine was not administered, although eligibility criteria were met. From these encounters, our sample included 327 survivors identified from the Utah Cancer Registry, diagnosed 2000–2016 at ages 0–9, and a birth year and sex‐matched sample without cancer from the general population (n = 1,911). Mixed‐effects Poisson regression estimated the rate of concomitant missed opportunities per vaccine encounter and 95% confidence intervals by vaccine encounter type (all vaccines, flu shot only, or adolescent/catch‐up) from 2013 to 2016. Results Survivors had more concomitant HPV vaccine missed opportunities than the population sample (70.0% vs. 59.0%). On average, survivors were 12% more likely to have missed opportunities at vaccine encounters and 4% more likely at flu shot only encounters. The predicted excess risk of concomitant missed opportunities for survivors ranged from 0.5 per10 vaccine encounters to 1.1 per10 vaccine encounters. Higher parental education, rurality, younger first vaccine age, and chemotherapy were associated with missed opportunities. Conclusions Childhood cancer survivors have more missed opportunities for concomitant HPV vaccination than a population sample. As flu shots should be administered annually, providers have a regular opportunity to recommend and deliver the HPV vaccine to survivors.

show abstract

Section: Discussionmentioning

confidence: 99%

Missed opportunities for concomitant HPV vaccination among childhood cancer survivors

Ramsay

Kaddas

et al. 2022

Cancer Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…As with vaccine confidence in general, AYA survivors of cancer and their families have safety concerns that might undermine the uptake of HPV vaccine. 7 Families might also see the threat of cancer as more pressing than prevention of other diseases later in life. A surprising finding is that efforts to change what people think and feel outside of clinical settings, such as through risk communication and confidence-boosting campaigns, are not reliably effective in increasing uptake.…”

mentioning

confidence: 99%

“…AYA survivors of cancer face challenges such as absence of recommendations from primary care providers 4 and ineffective communication when providers recommend the vaccine. 7 Many caregivers also have not themselves received HPV vaccination, making the norm less salient. Efforts to leverage social processes are promising, especially through increasing the frequency and quality of provider recommendations.…”

mentioning

confidence: 99%

“…Qualitative research suggests that AYA survivors of cancer would welcome reminders to complete the series of HPV vaccines, especially when accompanied by visual media. 7 Second, ensuring easy access to vaccination is another reliably effective intervention. AYA survivors of cancer whose parents believe that they have inadequate health-care insurance coverage are less likely to receive HPV vaccine compared with parents who believe that they have adequate insurance coverage.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Human papillomavirus vaccination for young survivors of cancer

Brewer

Huang

Kahn

2022

The Lancet Child & Adolescent Health

View full text Add to dashboard Cite

“…However, despite the onus on health care providers for strong recommendations, pediatric health care providers may lack familiarity with Children's Oncology Group guidelines and need guidance regarding how and when to vaccinate childhood cancer survivors against HPV 11 . We also need to better understand the critical influence of the treating oncologist's recommendation for HPV vaccination to childhood cancer survivors and/or their parents or caregivers 17 . Trusting relationships provide the cornerstone for recommendations after active therapy for children who have cancer.…”

mentioning

confidence: 99%

Human papillomavirus (HPV) vaccination is cancer prevention for childhood cancer survivors

Brandt

Kepka

Kirchhoff

et al. 2021

Cancer

Self Cite

View full text Add to dashboard Cite

Childhood cancer survivors are at high risk for developing subsequent human papillomavirus (HPV)‐associated cancers. In this issue, Henderson and colleagues examine risk factors for subsequent malignant neoplasms associated with HPV among enrollees in the Childhood Cancer Survivor Study and report that improved, targeted efforts to increase HPV vaccination and HPV‐related surveillance among childhood cancer survivors are needed.

show abstract

HPV Vaccine Experiences and Preferences Among Young Adult Cancer Survivors and Caregivers of Childhood Cancer Survivors

Cited by 16 publications

References 17 publications

Missed opportunities for concomitant HPV vaccination among childhood cancer survivors

Missed opportunities for concomitant HPV vaccination among childhood cancer survivors

Human papillomavirus vaccination for young survivors of cancer

Human papillomavirus (HPV) vaccination is cancer prevention for childhood cancer survivors

Contact Info

Product

Resources

About