Skip to main content
Top
Published in: Maternal and Child Health Journal 5/2013

01-07-2013

A National Study of HPV Vaccination of Adolescent Girls: Rates, Predictors, and Reasons for Non-Vaccination

Authors: Laura M. Kester, Gregory D. Zimet, J. Dennis Fortenberry, Jessica A. Kahn, Marcia L. Shew

Published in: Maternal and Child Health Journal | Issue 5/2013

Login to get access

Abstract

Despite recommendations in the U.S. for routine HPV vaccination of adolescent girls since 2006, rates of vaccination continue to be low. This study reports vaccination uptake, factors associated with vaccine uptake and reasons for non-vaccination within a national sample of adolescent females during 2010. Using a computer administered survey of a national sample of 501 mothers of daughters 14–17 years old we assessed maternal reports of HPV vaccination as well as socio-demographical factors, maternal HPV exposures and reasons chosen for non-vaccination. Reported HPV vaccination rates were slightly over 50 % (51.1 %), with 38.3 % reporting completion of all 3 doses. Socioeconomic and demographic factors were not associated with vaccination initiation; however, Blacks and Hispanics were less likely to complete vaccination. The most common reasons for non-vaccination were concerns about vaccine safety, danger to daughter, and provider non-recommendation. Relatively poor HPV vaccine initiation and only modest 3-dose completion continues to be a major public health concern that requires continued efforts to address identified predictors and reasons for non-vaccination.
Literature
2.
go back to reference Morbidity and Mortality Weekly Report (MMWR). (2010). FDA licensure of bivalent human papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP). CDC, 59(20), 626–629. www.cdc.gov/mmwr/preview/mmwrhtml/mm5920a4.htm. Morbidity and Mortality Weekly Report (MMWR). (2010). FDA licensure of bivalent human papillomavirus vaccine (HPV2, Cervarix) for use in females and updated HPV vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP). CDC, 59(20), 626–629. www.​cdc.​gov/​mmwr/​preview/​mmwrhtml/​mm5920a4.​htm.
4.
go back to reference Weaver, B., Shew, M., Qadadri, B., et al. (2011). Natural history of multiple human papillomavirus infections in female adolescents with prolonged follow-up. Journal of Adolescent Health, 48(5), 473–480.PubMedCrossRef Weaver, B., Shew, M., Qadadri, B., et al. (2011). Natural history of multiple human papillomavirus infections in female adolescents with prolonged follow-up. Journal of Adolescent Health, 48(5), 473–480.PubMedCrossRef
7.
go back to reference Brewer, N. T., & Fazekas, K. I. (2007). Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine, 45(2–3), 107–114.PubMedCrossRef Brewer, N. T., & Fazekas, K. I. (2007). Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine, 45(2–3), 107–114.PubMedCrossRef
8.
go back to reference Guerry, S. L., De Rosa, C. J., Markowitz, L. E., et al. (2011). Human papillomavirus vaccine initiation among adolescent girls in high-risk communities. Vaccine, 29(12), 2235–2241.PubMedCrossRef Guerry, S. L., De Rosa, C. J., Markowitz, L. E., et al. (2011). Human papillomavirus vaccine initiation among adolescent girls in high-risk communities. Vaccine, 29(12), 2235–2241.PubMedCrossRef
9.
go back to reference Smith, L., Brassard, P., Kwong, J., Deeks, S., Ellis, A., & Levesque, L. (2011). Factors associated with initiation and completion of the quadrivalent human papillomavirus vaccine series in an Ontario cohort of Grade 8 girls. BMC Public Health, 11(1), 645.PubMedCrossRef Smith, L., Brassard, P., Kwong, J., Deeks, S., Ellis, A., & Levesque, L. (2011). Factors associated with initiation and completion of the quadrivalent human papillomavirus vaccine series in an Ontario cohort of Grade 8 girls. BMC Public Health, 11(1), 645.PubMedCrossRef
10.
go back to reference Fernández, M. E., Allen, J. D., Mistry, R., & Kahn, J. A. (2010). Integrating clinical, community, and policy perspectives on HPV vaccination. Annual Review of Public Health, 31, 235–252.PubMedCrossRef Fernández, M. E., Allen, J. D., Mistry, R., & Kahn, J. A. (2010). Integrating clinical, community, and policy perspectives on HPV vaccination. Annual Review of Public Health, 31, 235–252.PubMedCrossRef
11.
go back to reference Dorell, C. G., Yankey, D., Santibanez, T. A., & Markowitz, L. E. (2011). Human papillomavirus vaccination series initiation and completion, 2008–2009. Pediatrics, 128(5), 830–839.PubMedCrossRef Dorell, C. G., Yankey, D., Santibanez, T. A., & Markowitz, L. E. (2011). Human papillomavirus vaccination series initiation and completion, 2008–2009. Pediatrics, 128(5), 830–839.PubMedCrossRef
12.
go back to reference Barnack, J. L., Reddy, D. M., & Swain, C. (2010). Predictors of parents’ willingness to vaccinate for human papillomavirus and physicians’ intentions to recommend the vaccine. Women’s Health Issues, 20(1), 28–34.PubMedCrossRef Barnack, J. L., Reddy, D. M., & Swain, C. (2010). Predictors of parents’ willingness to vaccinate for human papillomavirus and physicians’ intentions to recommend the vaccine. Women’s Health Issues, 20(1), 28–34.PubMedCrossRef
13.
go back to reference Allen, J. D., Othus, M. K. D., Shelton, R. C., et al. (2010). Parental decision making about the HPV vaccine. Cancer Epidemiology, Biomarkers and Prevention, 19(9), 2187–2198.PubMedCrossRef Allen, J. D., Othus, M. K. D., Shelton, R. C., et al. (2010). Parental decision making about the HPV vaccine. Cancer Epidemiology, Biomarkers and Prevention, 19(9), 2187–2198.PubMedCrossRef
14.
go back to reference Brewer, N. T., Gottlieb, S. L., Reiter, P. L., et al. (2011). Longitudinal predictors of human papillomavirus vaccine initiation among adolescent girls in a high-risk geographic area. Sexually Transmitted Diseases, 38(3), 197–204.PubMedCrossRef Brewer, N. T., Gottlieb, S. L., Reiter, P. L., et al. (2011). Longitudinal predictors of human papillomavirus vaccine initiation among adolescent girls in a high-risk geographic area. Sexually Transmitted Diseases, 38(3), 197–204.PubMedCrossRef
15.
go back to reference Pruitt, S. L., & Schootman, M. (2010). Geographic disparity, area poverty, and human papillomavirus vaccination. American Journal of Preventive Medicine, 38(5), 525–533.PubMedCrossRef Pruitt, S. L., & Schootman, M. (2010). Geographic disparity, area poverty, and human papillomavirus vaccination. American Journal of Preventive Medicine, 38(5), 525–533.PubMedCrossRef
16.
go back to reference Widdice, L. E., Bernstein, D. I., Leonard, A. C., Marsolo, K. A., & Kahn, J. A. (2011). Adherence to the HPV vaccine dosing intervals and factors associated with completion of 3 doses. Pediatrics, 127(1), 77–84.PubMedCrossRef Widdice, L. E., Bernstein, D. I., Leonard, A. C., Marsolo, K. A., & Kahn, J. A. (2011). Adherence to the HPV vaccine dosing intervals and factors associated with completion of 3 doses. Pediatrics, 127(1), 77–84.PubMedCrossRef
17.
go back to reference Schluterman, N., Terplan, M. S., Lydecker, A. D., & Tracy, J. K. (2011). Human papillomavirus (HPV) vaccine uptake and completion at an urban hospital. Vaccine, 29(21), 3767–3772.PubMedCrossRef Schluterman, N., Terplan, M. S., Lydecker, A. D., & Tracy, J. K. (2011). Human papillomavirus (HPV) vaccine uptake and completion at an urban hospital. Vaccine, 29(21), 3767–3772.PubMedCrossRef
18.
go back to reference Gold, R., Naleway, A. L., Jenkins, L. L., et al. (2011). Completion and timing of the three-dose human papillomavirus vaccine series among adolescents attending school-based health centers in oregon. Preventive Medicine, 52(6), 456–458.PubMedCrossRef Gold, R., Naleway, A. L., Jenkins, L. L., et al. (2011). Completion and timing of the three-dose human papillomavirus vaccine series among adolescents attending school-based health centers in oregon. Preventive Medicine, 52(6), 456–458.PubMedCrossRef
19.
go back to reference Chou, B., Krill, L. S., Horton, B. B., Barat, C. E., & Trimble, C. L. (2011). Disparities in human papillomavirus vaccine completion among vaccine initiators. Obstetrics & Gynecology, 118(1), 14–20.CrossRef Chou, B., Krill, L. S., Horton, B. B., Barat, C. E., & Trimble, C. L. (2011). Disparities in human papillomavirus vaccine completion among vaccine initiators. Obstetrics & Gynecology, 118(1), 14–20.CrossRef
20.
go back to reference Niccolai, L. M., Mehta, N. R., & Hadler, J. L. (2011). Racial/ethnic and poverty disparities in human papillomavirus vaccination completion. American Journal of Preventive Medicine, 41(4), 428–433.PubMedCrossRef Niccolai, L. M., Mehta, N. R., & Hadler, J. L. (2011). Racial/ethnic and poverty disparities in human papillomavirus vaccination completion. American Journal of Preventive Medicine, 41(4), 428–433.PubMedCrossRef
21.
go back to reference Society, A. C. (2010). Cancer facts and figures 2010. Alanta: American Cancer Society. Society, A. C. (2010). Cancer facts and figures 2010. Alanta: American Cancer Society.
22.
go back to reference Bingham, A., Drake, J. K., & LaMontagne, D. S. (2009). Sociocultural issues in the introduction of human papillomavirus vaccine in low-resource settings. Archives of Pediatrics & Adolescent Medicine, 163(5), 455–461. Bingham, A., Drake, J. K., & LaMontagne, D. S. (2009). Sociocultural issues in the introduction of human papillomavirus vaccine in low-resource settings. Archives of Pediatrics & Adolescent Medicine, 163(5), 455–461.
23.
go back to reference Kahn, J. A., Lan, D., & Kahn, R. S. (2007). Sociodemographic factors associated with high-risk human papillomavirus infection. Obstetrics & Gynecology, 110(1), 87–95.CrossRef Kahn, J. A., Lan, D., & Kahn, R. S. (2007). Sociodemographic factors associated with high-risk human papillomavirus infection. Obstetrics & Gynecology, 110(1), 87–95.CrossRef
24.
go back to reference Caskey, R., Lindau, S. T., & Alexander, G. C. (2009). Knowledge and early adoption of the HPV vaccine among girls and young women: Results of a national survey. Journal of Adolescent Health, 45(5), 453–462.PubMedCrossRef Caskey, R., Lindau, S. T., & Alexander, G. C. (2009). Knowledge and early adoption of the HPV vaccine among girls and young women: Results of a national survey. Journal of Adolescent Health, 45(5), 453–462.PubMedCrossRef
25.
go back to reference Chao, C., Slezak, J. M., Coleman, K. J., & Jacobsen, S. J. (2009). Papanicolaou screening behavior in mothers and human papillomavirus vaccine uptake in adolescent girls. American Journal of Public Health, 99(6), 1137–1142.PubMedCrossRef Chao, C., Slezak, J. M., Coleman, K. J., & Jacobsen, S. J. (2009). Papanicolaou screening behavior in mothers and human papillomavirus vaccine uptake in adolescent girls. American Journal of Public Health, 99(6), 1137–1142.PubMedCrossRef
26.
go back to reference Gerend, M. A., Weibley, E., & Bland, H. (2009). Parental response to human papillomavirus vaccine availability: Uptake and intentions. Journal of Adolescent Health, 45(5), 528–531.PubMedCrossRef Gerend, M. A., Weibley, E., & Bland, H. (2009). Parental response to human papillomavirus vaccine availability: Uptake and intentions. Journal of Adolescent Health, 45(5), 528–531.PubMedCrossRef
27.
go back to reference Dorell, C., Yankey, D., & Strasser, S. (2011). Parent-reported reasons for nonreceipt of recommended adolescent vaccinations, National Immunization Survey—Teen, 2009. Clinical Pediatrics, 50(12), 1116–1124.PubMedCrossRef Dorell, C., Yankey, D., & Strasser, S. (2011). Parent-reported reasons for nonreceipt of recommended adolescent vaccinations, National Immunization Survey—Teen, 2009. Clinical Pediatrics, 50(12), 1116–1124.PubMedCrossRef
28.
go back to reference Daley, M. F., Crane, L. A., Markowitz, L. E., et al. (2010). Human papillomavirus vaccination practices: A survey of US physicians 18 months after licensure. Pediatrics, 126(3), 425–433.PubMedCrossRef Daley, M. F., Crane, L. A., Markowitz, L. E., et al. (2010). Human papillomavirus vaccination practices: A survey of US physicians 18 months after licensure. Pediatrics, 126(3), 425–433.PubMedCrossRef
Metadata
Title
A National Study of HPV Vaccination of Adolescent Girls: Rates, Predictors, and Reasons for Non-Vaccination
Authors
Laura M. Kester
Gregory D. Zimet
J. Dennis Fortenberry
Jessica A. Kahn
Marcia L. Shew
Publication date
01-07-2013
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 5/2013
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-012-1066-z

Other articles of this Issue 5/2013

Maternal and Child Health Journal 5/2013 Go to the issue