142nd APHA Annual Meeting and Exposition

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Physician influence and gender differences in adolescent HPV vaccine acceptance using the National Immunization Survey, 2010-2012

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Raquel Y. Qualls-Hampton, PhD, MS , Department of Obstetrics & Gynecology, Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX
Darius Taylor, MPH , School of Public Health, Department of Epidemiology, University of North Texas Health Science Center, Fort Worth, TX
Tylere Nunnery , Department of Molecular Biology, University of Southern Mississippi, Hattiesburg, MS
Monique Shuler, MS , School of Public Health, Department of Epidemiology, University of North Texas Health Science Center, Fort Worth, TX
Sherrie Lee Flynt Wallington, PhD , Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC
HPV vaccine initiation and completion among adolescent females rose from 2008 (37.2%; 17.9%) to 2010 (48.7%; 32%). The 2009 ACIP HPV vaccine recommendation update, was met with low initiation among adolescent males in years following (1.4% in 2010; 20.8% in 2012). Previous studies have found physician recommendation to be a factor in HPV vaccine acceptance among adolescent females. 

Objective: Compare male and female, ages 13 – 17, patient care provider (PCP) recommendations for the HPV vaccine; identify gender differences in parental intentions and HPV vaccine acceptance given provider recommendations.

The 2010 - 2012 National Immunization Survey - Teen was used to estimate parental intentions and HPV vaccine acceptance among adolescents given PCP recommendations. Multivariable logistic modeling will explore the influence of physician recommendations on parental intentions and HPV vaccine acceptance by gender.

Nearly 60% of parents were recommended by their provider to vaccinate their adolescent daughters compared to 16.2% of parents with sons.  Among parents receiving recommendations, 50% of adolescent males initiated the HPV series and 63.2% have intentions of vaccinating in the next 12 months. However, nearly 70% of adolescent females initiated the vaccine and 46.9% have intentions of vaccination. Of parents who were not recommended by their PCP to vaccinate their child, about 3% of males initiated the HPV vaccine compared to 20.3% of females. (p < .05)

Patient care provider recommendations influence HPV vaccine initiation, intentions and completion.  Public health efforts to increase vaccine acceptance among adolescent males should focus on intervention centered on physicians providing care.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public

Learning Objectives:
Identify gender differences in HPV vaccine initiation, intentions and completion among adolescents. Describe parents who have been recommended by physicians to have their child receive the HPV vaccine by child’s gender and other demographics.

Keyword(s): Immunizations, STDs/STI

Presenting author's disclosure statement:

Not Answered

Back to: 3276.0: Health Communication Strategies to Promote Health and Prevent Disease (organized by HCWG)