Human papillomavirus vaccination among adolescents in Georgia

Natasha L. Underwood, Paul Weiss, Lisa M. Gargano, Katherine Seib, Kimberly J. Rask, Christopher Morfaw, Dennis L Murray, Ralph J. DiClemente, James M. Hughes, Jessica M. Sales

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Human papillomavirus (HPV) vaccination coverage for adolescent females and males remains low in the United States. We conducted a 3-arm randomized controlled trial (RCT) conducted in middle and high schools in eastern Georgia from 2011–2013 to determine the effect of 2 educational interventions used to increase adolescent vaccination coverage for the 4 recommended adolescent vaccines: Tdap, MCV4, HPV and influenza. As part of this RCT, this article focuses on: 1) describing initiation and completion of HPV vaccine series among a diverse population of male and female adolescents; 2) assessing parental attitudes toward HPV vaccine; and 3) examining correlates of HPV vaccine series initiation and completion. Parental attitude score was the strongest predictor of HPV vaccine initiation among adolescents (adjusted odds ratio (aOR): 2.08; 95% confidence interval (CI): 1.80, 2.39). Other correlates that significantly predicted HPV series initiation were gender, study year, and intervention arm. Parental attitudes remained a significant predictor of receipt of 3 doses of HPV vaccine along with gender, race, school type and insurance type. This study demonstrates that positive parental attitudes are important predictors of HPV vaccination and critical to increasing coverage rates. Our findings suggest that more research is needed to understand how parental attitudes are developed and evolve over time.

Original languageEnglish (US)
Pages (from-to)1703-1708
Number of pages6
JournalHuman Vaccines and Immunotherapeutics
Volume11
Issue number7
DOIs
StatePublished - Jan 1 2015

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Papillomavirus Vaccines
Vaccination
Randomized Controlled Trials
Insurance
Human Influenza
Vaccines
Odds Ratio
Confidence Intervals
Research
Population

Keywords

  • Adolescent
  • Attitudes
  • HPV vaccine
  • Health Belief Model
  • Theory of Reasoned Action

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pharmacology

Cite this

Underwood, N. L., Weiss, P., Gargano, L. M., Seib, K., Rask, K. J., Morfaw, C., ... Sales, J. M. (2015). Human papillomavirus vaccination among adolescents in Georgia. Human Vaccines and Immunotherapeutics, 11(7), 1703-1708. https://doi.org/10.1080/21645515.2015.1035848

Human papillomavirus vaccination among adolescents in Georgia. / Underwood, Natasha L.; Weiss, Paul; Gargano, Lisa M.; Seib, Katherine; Rask, Kimberly J.; Morfaw, Christopher; Murray, Dennis L; DiClemente, Ralph J.; Hughes, James M.; Sales, Jessica M.

In: Human Vaccines and Immunotherapeutics, Vol. 11, No. 7, 01.01.2015, p. 1703-1708.

Research output: Contribution to journalArticle

Underwood, NL, Weiss, P, Gargano, LM, Seib, K, Rask, KJ, Morfaw, C, Murray, DL, DiClemente, RJ, Hughes, JM & Sales, JM 2015, 'Human papillomavirus vaccination among adolescents in Georgia', Human Vaccines and Immunotherapeutics, vol. 11, no. 7, pp. 1703-1708. https://doi.org/10.1080/21645515.2015.1035848
Underwood NL, Weiss P, Gargano LM, Seib K, Rask KJ, Morfaw C et al. Human papillomavirus vaccination among adolescents in Georgia. Human Vaccines and Immunotherapeutics. 2015 Jan 1;11(7):1703-1708. https://doi.org/10.1080/21645515.2015.1035848
Underwood, Natasha L. ; Weiss, Paul ; Gargano, Lisa M. ; Seib, Katherine ; Rask, Kimberly J. ; Morfaw, Christopher ; Murray, Dennis L ; DiClemente, Ralph J. ; Hughes, James M. ; Sales, Jessica M. / Human papillomavirus vaccination among adolescents in Georgia. In: Human Vaccines and Immunotherapeutics. 2015 ; Vol. 11, No. 7. pp. 1703-1708.
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