Andreas A Teferra, Brittney Keller-Hamilton, Megan E Roberts, Paul L Reiter
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We used multivariable Poisson regression to identify predictors of HPV vaccine initiation that occurred between baseline and follow-up.</p><p><strong>Results: </strong>At baseline, 42.4% of parents reported their sons had initiated the HPV vaccine series. Among parents whose sons were unvaccinated at baseline, 36.3% indicated initiation at follow-up. Initiation at follow-up was more common among sons who had received influenza vaccine (RR = 1.54, 95% CI = 1.08-2.18) or whose parents indicated lack of a recent visit to a doctor as the main reason for not yet vaccinating at baseline (RR = 1.41, 95% CI = 1.02-1.95). Initiation was less common among sons whose parents had an associate's degree or some college education (RR = 0.28, 95% CI = 0.46-0.99). Main reasons for not vaccinating changed from baseline to follow-up among parents of unvaccinated sons.</p><p><strong>Conclusions: </strong>Although HPV vaccine initiation increased over time, many adolescent males in Ohio remain unvaccinated. Findings can help guide future strategies for increasing HPV vaccine coverage among this population.</p>","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491334/pdf/nihms-1761994.pdf","citationCount":"0","resultStr":"{\"title\":\"HPV Vaccine Coverage among Adolescent Males in Ohio: Results of a Longitudinal Study.\",\"authors\":\"Andreas A Teferra, Brittney Keller-Hamilton, Megan E Roberts, Paul L Reiter\",\"doi\":\"10.18061/ojph.v2i2.9030\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Human papillomavirus (HPV) vaccine has been recommended for males in the United States since 2011, yet little is known about vaccine coverage among adolescent males in Ohio. Our longitudinal study examined HPV vaccine coverage among adolescent males in Ohio and identified predictors of vaccination.</p><p><strong>Methods: </strong>The Buckeye Teen Health Study recruited adolescent males ages 11-16 and their parents from one urban county and nine rural counties in Ohio. We report longitudinal vaccination data on 1126 adolescent males, with baseline data from 2015-2016 and follow-up data from 2017-2018. We used multivariable Poisson regression to identify predictors of HPV vaccine initiation that occurred between baseline and follow-up.</p><p><strong>Results: </strong>At baseline, 42.4% of parents reported their sons had initiated the HPV vaccine series. Among parents whose sons were unvaccinated at baseline, 36.3% indicated initiation at follow-up. Initiation at follow-up was more common among sons who had received influenza vaccine (RR = 1.54, 95% CI = 1.08-2.18) or whose parents indicated lack of a recent visit to a doctor as the main reason for not yet vaccinating at baseline (RR = 1.41, 95% CI = 1.02-1.95). Initiation was less common among sons whose parents had an associate's degree or some college education (RR = 0.28, 95% CI = 0.46-0.99). Main reasons for not vaccinating changed from baseline to follow-up among parents of unvaccinated sons.</p><p><strong>Conclusions: </strong>Although HPV vaccine initiation increased over time, many adolescent males in Ohio remain unvaccinated. 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引用次数: 0
摘要
背景:自2011年以来,美国已推荐男性接种人乳头瘤病毒(HPV)疫苗,但对俄亥俄州青少年男性的疫苗覆盖率知之甚少。我们的纵向研究检查了俄亥俄州青少年男性的HPV疫苗覆盖率,并确定了疫苗接种的预测因素。方法:七叶树青少年健康研究招募了来自俄亥俄州一个城市县和九个农村县的11-16岁青少年男性及其父母。我们报告了1126名青少年男性的纵向疫苗接种数据,包括2015-2016年的基线数据和2017-2018年的随访数据。我们使用多变量泊松回归来确定基线和随访期间HPV疫苗启动的预测因素。结果:在基线时,42.4%的父母报告他们的儿子已经开始接种HPV疫苗系列。在基线时儿子未接种疫苗的父母中,36.3%的人表示在随访时开始接种疫苗。在接受过流感疫苗的儿子(RR = 1.54, 95% CI = 1.08-2.18)或其父母表示最近没有去看医生是未在基线时接种疫苗的主要原因(RR = 1.41, 95% CI = 1.02-1.95)中,在随访时开始接种更为常见。父母有大专或大专学历的儿子入会较少(RR = 0.28, 95% CI = 0.46-0.99)。未接种疫苗的儿子的父母未接种疫苗的主要原因从基线到随访发生变化。结论:尽管HPV疫苗接种率随着时间的推移而增加,但俄亥俄州的许多青少年男性仍未接种疫苗。研究结果可以帮助指导未来在这一人群中提高HPV疫苗覆盖率的策略。
HPV Vaccine Coverage among Adolescent Males in Ohio: Results of a Longitudinal Study.
Background: Human papillomavirus (HPV) vaccine has been recommended for males in the United States since 2011, yet little is known about vaccine coverage among adolescent males in Ohio. Our longitudinal study examined HPV vaccine coverage among adolescent males in Ohio and identified predictors of vaccination.
Methods: The Buckeye Teen Health Study recruited adolescent males ages 11-16 and their parents from one urban county and nine rural counties in Ohio. We report longitudinal vaccination data on 1126 adolescent males, with baseline data from 2015-2016 and follow-up data from 2017-2018. We used multivariable Poisson regression to identify predictors of HPV vaccine initiation that occurred between baseline and follow-up.
Results: At baseline, 42.4% of parents reported their sons had initiated the HPV vaccine series. Among parents whose sons were unvaccinated at baseline, 36.3% indicated initiation at follow-up. Initiation at follow-up was more common among sons who had received influenza vaccine (RR = 1.54, 95% CI = 1.08-2.18) or whose parents indicated lack of a recent visit to a doctor as the main reason for not yet vaccinating at baseline (RR = 1.41, 95% CI = 1.02-1.95). Initiation was less common among sons whose parents had an associate's degree or some college education (RR = 0.28, 95% CI = 0.46-0.99). Main reasons for not vaccinating changed from baseline to follow-up among parents of unvaccinated sons.
Conclusions: Although HPV vaccine initiation increased over time, many adolescent males in Ohio remain unvaccinated. Findings can help guide future strategies for increasing HPV vaccine coverage among this population.