Patient and clinic factors associated with adolescent human papillomavirus vaccine utilization within a university-based health system

被引:82
作者
Dempsey, Amanda [1 ]
Cohn, Lisa [1 ]
Dalton, Vanessa [2 ]
Ruffin, Mack [3 ]
机构
[1] Univ Michigan, Dept Pediat, Child Hlth Evaluat & Res Unit, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Obstet & Gynecol, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Family Med, Ann Arbor, MI 48109 USA
关键词
Human papillomavirus; Adolescent; Vaccine; UNITED-STATES; IMMUNIZATION PRACTICES; PREVENTIVE SERVICES; HPV VACCINATION; RECOMMENDATIONS; WOMEN; ATTITUDES; DELIVERY; COVERAGE; TRENDS;
D O I
10.1016/j.vaccine.2009.10.133
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We reviewed clinical and billing data from a university-based health system to assess HPV vaccine utilization among 9-18-year-old girls by individual, visit and medical specialty characteristics Our sample included 10.082 adolescent patients with 27,928 visits to outpatient family medicine (FM), pediatric and gynecology clinics between January 2007 and March 2008 Vaccine series completion was low among eligible adolescents (15%), with important disparities in vaccine utilization by medical specialty, age, race and insurance status Missed opportunities for vaccination were common Our findings may help to target future interventions aimed at increasing adolescent HPV vaccine utilization (C) 2009 Elsevier Ltd All rights reserved.
引用
收藏
页码:989 / 995
页数:7
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