Sub-Regional Assessment of HPV Vaccination Among Female Adolescents in the Intermountain West and Implications for Intervention Opportunities.
Objectives We investigated the similarities and differences in the factors related to human papillomavirus (HPV) vaccination of female adolescents in three sub-regions of the Intermountain West (IW). Methods We analyzed 2011-2012 National Immunization Survey-Teen data. Respondents (parents) who were living in the IW and who had daughters aged 13-17 years old with provider-verified immunization records were included in our analyses. East, Central, and West sub-regions were defined based on geographic contiguity and similarity in HPV vaccination rates and sociodemographic characteristics. Survey-weighted Chi square tests and multivariable Poisson regressions were performed. Results In all three sub-regions, older teen age and receipt of other recommended adolescent vaccinations were significantly associated with HPV vaccination. In the East sub-region, providers' facility type and source of vaccines were significantly related to HPV vaccination. In the Central sub-region, teens with married parents were significantly less likely to be vaccinated than were those with unmarried parents. In the West sub-region, non-Hispanic teens were significantly less likely to be vaccinated than were Hispanic teens. Conclusions for Practice In order to improve HPV vaccine coverage in the IW, region-wide efforts to target younger teens and to promote the HPV vaccine with other recommended adolescent vaccinations should be supplemented with sub-regional attention to the health care system (East sub-region), to married parents (Central sub-region), and to non-Hispanic teens (West sub-region).
['Bodson|Julia|J|', 'Ding|Qian|Q|', 'Warner|Echo L|EL|', 'Hawkins|Amy J|AJ|', 'Henry|Kevin A|KA|', 'Kepka|Deanna|D|']
D000293:Adolescent D000328:Adult D002648:Child D005260:Female D019538:Health Care Surveys D006630:Hispanic or Latino D006801:Humans D007114:Immunization D007115:Immunization Schedule D009679:Nuclear Family D030361:Papillomavirus Infections D053918:Papillomavirus Vaccines D010290:Parents D012959:Socioeconomic Factors D014481:United States D014611:Vaccination
Vaccine Female Adolescent Human papillomavirus Cancer Prevention