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Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review

Objective: The primary aim of this study is to assess and characterize correlates of human papillomavirus (HPV) vaccine series completion among young adult women evaluated by gynecological (GYN) providers at a single institution and to measure changes over 4-y period. Methods: At a major academic ce...

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Autores principales: Elsamadicy, Emad A., Schneiter, Mali K., Hull, Pamela C., Khabele, Dineo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746496/
https://www.ncbi.nlm.nih.gov/pubmed/31091165
http://dx.doi.org/10.1080/21645515.2019.1619405
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author Elsamadicy, Emad A.
Schneiter, Mali K.
Hull, Pamela C.
Khabele, Dineo
author_facet Elsamadicy, Emad A.
Schneiter, Mali K.
Hull, Pamela C.
Khabele, Dineo
author_sort Elsamadicy, Emad A.
collection PubMed
description Objective: The primary aim of this study is to assess and characterize correlates of human papillomavirus (HPV) vaccine series completion among young adult women evaluated by gynecological (GYN) providers at a single institution and to measure changes over 4-y period. Methods: At a major academic center, the medical records of 845 women administered the HPV vaccine series by a GYN provider were retrospectively reviewed from 2006 to 2010 and 2014 to 2015. Patients were grouped based on the date of vaccine initiation into “earlier” (2006–2010) and “later” (2014–2015) cohorts. Patient demographics, dates of vaccine administration, and practice locations where vaccines were administered were collected. Patients who received all 3 vaccines within 6 months were deemed “complete”. Patients seen by a provider but did not receive the vaccination were deemed “missed opportunities”. The primary outcome was completion of HPV vaccination according to the ACIP guidelines. Results: The 845 patients were divided into earlier (n = 399) and later (n = 446) cohorts. There was no statistically significant difference in completion rates between the earlier-cohort compared to the later-cohort (35.2% vs. 30.9%, p = .20). Age at initiation were similar (p = .61), with the complete cohort having a significantly lower body mass index (BMI) than the incomplete cohort (p = .0015). There was a significant difference between the completion rates among race/ethnic groups (p = .036). African-American and Hispanic (18.9% and 20.0%, respectively, p = .04) patient-populations had the lowest completion rates and higher missed opportunities. Conclusion: Our study found an overall low completion rate in both earlier and later cohorts. Additionally, higher BMI and African-American and Hispanic race/ethnicity were associated with low vaccine completion.
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spelling pubmed-67464962019-09-24 Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review Elsamadicy, Emad A. Schneiter, Mali K. Hull, Pamela C. Khabele, Dineo Hum Vaccin Immunother Research Paper Objective: The primary aim of this study is to assess and characterize correlates of human papillomavirus (HPV) vaccine series completion among young adult women evaluated by gynecological (GYN) providers at a single institution and to measure changes over 4-y period. Methods: At a major academic center, the medical records of 845 women administered the HPV vaccine series by a GYN provider were retrospectively reviewed from 2006 to 2010 and 2014 to 2015. Patients were grouped based on the date of vaccine initiation into “earlier” (2006–2010) and “later” (2014–2015) cohorts. Patient demographics, dates of vaccine administration, and practice locations where vaccines were administered were collected. Patients who received all 3 vaccines within 6 months were deemed “complete”. Patients seen by a provider but did not receive the vaccination were deemed “missed opportunities”. The primary outcome was completion of HPV vaccination according to the ACIP guidelines. Results: The 845 patients were divided into earlier (n = 399) and later (n = 446) cohorts. There was no statistically significant difference in completion rates between the earlier-cohort compared to the later-cohort (35.2% vs. 30.9%, p = .20). Age at initiation were similar (p = .61), with the complete cohort having a significantly lower body mass index (BMI) than the incomplete cohort (p = .0015). There was a significant difference between the completion rates among race/ethnic groups (p = .036). African-American and Hispanic (18.9% and 20.0%, respectively, p = .04) patient-populations had the lowest completion rates and higher missed opportunities. Conclusion: Our study found an overall low completion rate in both earlier and later cohorts. Additionally, higher BMI and African-American and Hispanic race/ethnicity were associated with low vaccine completion. Taylor & Francis 2019-06-11 /pmc/articles/PMC6746496/ /pubmed/31091165 http://dx.doi.org/10.1080/21645515.2019.1619405 Text en © 2019 The Author(s). Published with license by Taylor & Francis Group, LLC. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
spellingShingle Research Paper
Elsamadicy, Emad A.
Schneiter, Mali K.
Hull, Pamela C.
Khabele, Dineo
Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
title Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
title_full Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
title_fullStr Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
title_full_unstemmed Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
title_short Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
title_sort human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746496/
https://www.ncbi.nlm.nih.gov/pubmed/31091165
http://dx.doi.org/10.1080/21645515.2019.1619405
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