State Laws Permitting Adolescent Consent to Human Papillomavirus Vaccination and Rates of Immunization

Torres, Ashlynn; Johnson, Nicholaus P.; Ellingson, Mallory K.; Hansen, Caitlin E.; Oliveira, Carlos Rocha; Niccolai, Linda M.; Sheth, Sangini S.

doi:10.1001/jamapediatrics.2021.4591

Cited by 9 publications

(5 citation statements)

References 2 publications

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“…Policy representatives discussed different policy options for HPV specific to their region (greater LA region or state of NJ), beyond school entry mandates, which have not been passed in either NJ or California. Most frequently, policy representatives in California referenced minor consent laws in which adolescents do not need parental consent for HPV vaccination (already in place in California and 8 other states/jurisdictions but not NJ) ( 23 ). LA policy representatives stressed the importance of directly empowering adolescents to get vaccinated, and in NJ, minor consent laws were suggested as a policy option due to infeasibility of mandates.…”

Section: Resultsmentioning

confidence: 99%

“…While mandates historically were successfully employed to reduce disease burden across the US for Tetanus, Diphtheria, Acellular Pertussis (Tdap) vaccine (required for school entry in all states) ( 18 ), and Meningococcal Conjugate Vaccine (MCV4) (required for school entry in some but not all states) ( 19 ), these policy strategies have not been as successful for HPV; thus, HPV vaccination policy strategies remain less explored beyond school entry mandates ( 20 – 22 ). Additional “big P” policies related to HPV vaccination include minor consent laws at the state level in which adolescents can consent to HPV vaccination without parental consent ( 23 ), state legislation regarding religious exemptions to immunizations required for school entry ( 24 ), and state-funded family planning programs like Family PACT in California, which cover reproductive health care services for residents with low incomes, such as cervical cancer screening ( 25 ).…”

Section: Introductionmentioning

confidence: 99%

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Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings

Sloan

Shin

Palinkas

et al. 2023

Front. Public Health

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IntroductionWe explored priorities and perspectives on health policy and payer strategies for improving HPV vaccination rates in safety-net settings in the United States.MethodsWe conducted qualitative interviews with policy and payer representatives in the greater Los Angeles region and state of New Jersey between December 2020 and January 2022. Practice Change Model domains guided data collection, thematic analysis, and interpretation.ResultsFive themes emerged from interviews with 11 policy and 8 payer participants, including: (1) payer representatives not prioritizing HPV vaccination specifically in incentive-driven clinic metrics; (2) policy representatives noting region-specific HPV vaccine policy options; (3) inconsistent motivation across policy/payer groups to improve HPV vaccination; (4) targeting of HPV vaccination in quality improvement initiatives suggested across policy/payer groups; and (5) COVID-19 pandemic viewed as both barrier and opportunity for HPV vaccination improvement across policy/payer groups.DiscussionOur findings indicate opportunities for incorporating policy and payer perspectives into HPV vaccine improvement processes. We identified a need to translate effective policy and payer strategies, such as pay-for-performance programs, to improve HPV vaccination within safety-net settings. COVID-19 vaccination strategies and community efforts create potential policy windows for expanding HPV vaccine awareness and access.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings

Sloan

Shin

Palinkas

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Currently, four states in the US allow for adolescent selfconsent for human papillomavirus (HPV) vaccination 15 and have seen increases in vaccine initiation rates. 16 The Role of Health Care Workers in Adolescent COVID- 19 Vaccination Health care workers play a key role in parental attitudes and acceptance of adolescent vaccines, 17 which may have implications for adolescent COVID-19 vaccination. Parents are more likely to obtain other adolescent vaccines for their children (e.g., tetanus, diphtheria, pertussis [Tdap], meningococcal, and HPV) when they receive a recommendation from their child's health care provider.…”

Section: Covid-19 Vaccine Decision-making Among Adolescentsmentioning

confidence: 99%

“…Currently, four states in the US allow for adolescent self-consent for human papillomavirus (HPV) vaccination 15 and have seen increases in vaccine initiation rates. 16…”

Section: Covid-19 Vaccine Decision-making Among Adolescentsmentioning

confidence: 99%

Decision-Making about COVID-19 Vaccines among Health Care Workers and Their Adolescent Children

et al. 2023

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Health care workers promote COVID-19 vaccination for adolescent patients, and as parents, may influence their own children to get vaccinated. We conducted virtual, semi-structured qualitative interviews with vaccinated health care workers and their adolescent children to explore their decision-making process for COVID-19 vaccination. In total, 21 health care workers (physicians, nurses, and medical staff) and their adolescent children ( N = 17) participated in interviews. The following three themes described parent-adolescent decision-making for COVID-19 vaccination: (1) family anticipation and hesitation about COVID-19 vaccine approval; (2) parents’ or adolescents’ choice: the decision maker for adolescent COVID-19 vaccination; and (3) leveraging one’s vaccination status to encourage others to get vaccinated. Nurses encouraged adolescent autonomy in decisions for COVID-19 vaccination while physicians viewed vaccination as the parent’s decision. Health care workers and their adolescent children used role-modeling to motivate unvaccinated peers and may model their decision-making process for adolescent COVID-19 vaccination with their own children to support their patients’ and parents’ vaccine decisions.

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“…Within these services, vaccination against the human papillomavirus (HPV) is allowed via self-consent in four states in the United States [ 16 ]. Torres et al [ 17 ] recently found an association between states that had self-consent laws for adolescents and higher rates of HPV vaccine initiation, suggesting a positive correlation between self-consent laws and vaccination rates.…”

mentioning

confidence: 99%

Adolescent Self-Consent for COVID-19 Vaccination: Views of Healthcare Workers and Their Adolescent Children on Vaccination Autonomy

Delgado

Mansfield

Bruxvoort

et al. 2023

Journal of Adolescent Health

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State Laws Permitting Adolescent Consent to Human Papillomavirus Vaccination and Rates of Immunization

Cited by 9 publications

References 2 publications

Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings

Exploring HPV vaccination policy and payer strategies for opportunities to improve uptake in safety-net settings

Decision-Making about COVID-19 Vaccines among Health Care Workers and Their Adolescent Children

Adolescent Self-Consent for COVID-19 Vaccination: Views of Healthcare Workers and Their Adolescent Children on Vaccination Autonomy

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