Human Papillomavirus Vaccination Coverage Among Female Adolescents in Managed Care Plans — United States, 2013

Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection, with a reported 79 million persons aged 15–59 years in the United States currently infected with HPV, and approximately 14 million new cases diagnosed each year. Although most HPV infections are asymptomatic, transient, and do not cause disease, persistent HPV infection can lead to cervical, vulvar, vaginal, anal, penile, and oropharyngeal cancer. In the United States, approximately 27,000 HPV-attributable cancers occur each year. HPV vaccination is an effective primary prevention strategy that can reduce many of the HPV infections that lead to cancer, and is routinely recommended for adolescents aged 11–12 years. To determine whether the recommended HPV vaccination series is currently being administered to adolescents with health insurance, CDC and the National Committee for Quality Assurance (NCQA) assessed 2013 data from the Healthcare Effectiveness Data and Information Set (HEDIS). The HEDIS HPV Vaccine for Female Adolescents performance measure evaluates the proportion of female adolescent members in commercial and Medicaid health plans who receive the recommended 3-dose HPV vaccination series by age 13 years. In 2013, in the United States, the median HPV vaccination coverage levels for female adolescents among commercial and Medicaid plans were 12% and 19%, respectively (ranges = 0%–34% for commercial plans; 5%–52% for Medicaid plans). Improving HPV vaccination coverage and understanding of what health plans might do to support HPV vaccination are needed, including understanding the barriers to, and facilitators for, vaccination coverage.

Estado vacunal y motivos de no vacunación contra el virus del papiloma humano en adolescentes admitidas en el Hospital Pediátrico del Centro Hospitalario Pereira Rossell

“…Los datos de cobertura de vacunación contra VPH en la región son heterogéneos (40%-80%). Estas diferencias pueden tener múltiples explicaciones: diferentes políticas de inmunización de cada país (obligatoriedad, vacunación en centros educativos, esquema utilizado y estrategias de comunicación), programas de educación sexual y reproductiva, influencias culturales, entre otros (12,13) .…”

Estado vacunal y motivos de no vacunación contra el virus del papiloma humano en adolescentes admitidas en el Hospital Pediátrico del Centro Hospitalario Pereira Rossell

“…Estas diferencias pueden tener múltiples explicaciones: diferentes políticas de inmunización de cada país (obligatoriedad, vacunación en centros educativos, esquema utilizado y estrategias de comunicación), programas de educación sexual y reproductiva, influencias culturales, entre otros (12,13) . Un elemento importante en las coberturas vacunales es la aceptabilidad que determinada vacuna tenga en la población.…”

“…Resultados: participaram 112 adolescentes com idade média 13,5 anos (12)(13)(14)6). 45 informaram ter recebido pelo menos uma dose da vacina contra VPH (45/112 -40,1%).…”

The Need to Optimize Adolescent Immunization

“…61 Regardless, if a decision is made to give 9vHPV to a person who previously received a 2vHPV or 4vHPV series, the 2-or 3-dose regimen currently recommended for 9vHPV should be followed. 40,48 Most 62 According to the 2015 NISTeen, just over half (63%) of girls ages 13 through 17 years received ≥1 dose of HPV vaccine, and only 41.9% completed the series. The coverage is even more limited among boys of the same age range, with 49.8% having received ≥1 dose, and 28.1% having completed the series.…”