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      Association of Provider Recommendation and Human Papillomavirus Vaccination Initiation among Male Adolescents Aged 13-17 Years—United States

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          Abstract

          Objective

          To assess human papillomavirus (HPV) vaccination coverage among adolescents by provider recommendation status.

          Study design

          The 2011-2016 National Immunization Survey-Teen data were used to assess HPV vaccination coverage among male adolescents by provider recommendation status. Multivariable logistic analyses were conducted to evaluate associations between HPV vaccination and provider recommendation status.

          Results

          HPV vaccination coverage among male adolescents increased from 8.3% in 2011 to 57.3% in 2016. Likewise, the prevalence of provider recommendation increased from 14.2% in 2011 to 65.5% in 2016. In 2016, HPV coverage was higher in male adolescents with a provider recommendation than in those without a provider recommendation (68.8% vs 35.4%). In multivariable logistic regression, characteristics independently associated with a higher likelihood of HPV vaccination included receipt of a provider recommendation, age 16-17 years, black or Hispanic race/ethnicity, any Medicaid insurance, ≥2 physician contacts in the previous 12 months, and urban or suburban residence. Participants with a mother with some college or a college degree, those with a mother aged 35-44 years, and those who did not have a well-child visit at age 11-12 years had a lower likelihood of HPV vaccination.

          Conclusions

          Receiving a provider recommendation for vaccination was significantly associated with receipt of HPV vaccine among male adolescents, indicating that a provider recommendation for vaccination is an important approach to increase vaccination coverage. Evidence-based strategies, such as standing orders and provider reminders, alone or in combination with health system interventions, are useful for increasing provider recommendations and HPV vaccination coverage among male adolescents.

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          Author and article information

          Journal
          0375410
          5127
          J Pediatr
          J. Pediatr.
          The Journal of pediatrics
          0022-3476
          1097-6833
          23 April 2019
          15 November 2018
          March 2019
          01 May 2019
          : 206
          : 33-41.e1
          Affiliations
          [1 ]Immunization Services Division; National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
          [2 ]Influenza Division; National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
          [3 ]Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
          Author notes
          Reprint requests: Peng-Jun Lu, MD, PhD, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mail Stop A-19, Atlanta, GA 30333. lhp8@ 123456cdc.gov
          Article
          PMC6487492 PMC6487492 6487492 hhspa1024731
          10.1016/j.jpeds.2018.10.034
          6487492
          30448270
          0fd42e1b-1a5f-43e0-bfbc-50a53bacde9d
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