Use of patient navigators to increase HPV vaccination rates in a pediatric clinical population

Berenson, Abbey B.; Hirth, Jacqueline M.; Kuo, Yong Fang; Starkey, Jonathan M.; Rupp, Richard

doi:10.1016/j.pmedr.2020.101194

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…However, this association has been bi-directional in the broader literature. 28,29 Although multilevel strategies have attempted to reduce barriers to accessing preventative health services, 30,31 EHR-based clinician prompts are minimally labor-intensive interventions that have shown promise in improving reliable vaccine delivery. 32 Particularly in the setting of the HPV vaccine, EHR reminder systems have been utilized to improve both vaccine initiation and completion rates in females across the age spectrum of vaccine eligibility, 14 as well as bolster initiation rates in young males.…”

Section: Discussionmentioning

confidence: 99%

Integrated Health Maintenance Reminders for Improved HPV Vaccine Administration: Toward Improvements in Completion Disparities

Rames

Frisco

Jiang

et al. 2023

Otolaryngol.--head neck surg.

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Objective To evaluate the effect of a health maintenance reminder (HMR) on human papillomavirus (HPV) vaccine administration and completion across different age, insurance, and race cohorts. Study Design Retrospective pre‐post analysis. Setting Academic primary care. Methods Patients aged 9 to 26 who had initiated the HPV vaccine series from 2016 to 2021 were analyzed, based on current age‐based standards. The cohort was divided based on vaccine uptake before and after the implementation of the HMR program in February 2020. The multivariate analysis estimated the odds of vaccine completion based on sociodemographic factors, and variable interactions were investigated to determine independent associations between sociodemographic factors and HMR implementation. Results There were 7654 individual patients (mean age was 15.8 years; 46.7 were males; and 50.7% were white). HPV vaccine completion rates increased post‐HMR implementation by 59.2% (37% pre‐, and 58.9% post‐HMR; p < .001) in the entire cohort. Overall, black patients (adjusted odds ratio [aOR] = 0.68; 95% confidence interval [CI]: 0.60, 0.70) and patients ≥18 years (aOR = 0.13; 95% CI: 0.11, 0.15) were significantly less likely to complete their vaccine series; however, this improved significantly following HMR in these groups (p < .001). Post‐HMR, race, and insurance status were not independently associated with disparate vaccine completion rates, however, age was, and patients ≤14 or younger had higher odds of vaccine completion (aOR = 3.54; 95% CI: 2.91, 4.32). Conclusion The implementation of an HMR was associated with increased HPV vaccine uptake across age and race groups in this single‐institution study. Future research should explore barriers to implementing HMRs in different health care settings.

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Section: Discussionmentioning

confidence: 99%

Integrated Health Maintenance Reminders for Improved HPV Vaccine Administration: Toward Improvements in Completion Disparities

Rames

Frisco

Jiang

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Specifically noting a mother's sexual values were secondary compared to overall vaccination attitude. In addition, social aversion to vaccination was not seen across various religions groups [23].…”

Section: Vaccine Hesitancymentioning

confidence: 91%

Preventing Human Papilloma Virus through Community Education and Vaccination

Baldwin¹,

Rinke²

2021

Cervical Cancer - A Global Public Health Treatise

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Human Papilloma Virus (HPV) affects many members of the community. To better educate the community in a participatory manner, engaging those outside of the health care arena is necessary. To prevent the spread of the disease in the United States, reaching the parents of children at the vulnerable age of 9–11 years of age is critical. The barriers to education of parents and children around the spread of a sexually transmitted disease are vast and difficult to overcome. However, the use of proven vaccinations give healthcare providers and community advocates the main tool for prevention of the spread of the disease. It is often taboo to discuss anything related to sexual promiscuity or sexual activity in the United States in the public schools. The biggest myth includes the fear parents and grandparents have is that if HPV is talked about, then the child may become sexually active sooner. This myth needs to be challenged with science and reality including taking on the those vehemently opposed to vaccines, known as “Anti-Vaxers” that obstruct vaccine education. The strategies utilized in public health outreach to the community should be reviewed and uniquely developed for each diverse community to overcome the challenges in the prevention of HPV.

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Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States

Goel

Vasudevan

2021

Human Vaccines & Immunotherapeutics

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Use of patient navigators to increase HPV vaccination rates in a pediatric clinical population

Cited by 4 publications

References 39 publications

Integrated Health Maintenance Reminders for Improved HPV Vaccine Administration: Toward Improvements in Completion Disparities

Integrated Health Maintenance Reminders for Improved HPV Vaccine Administration: Toward Improvements in Completion Disparities

Preventing Human Papilloma Virus through Community Education and Vaccination

Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States

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