HPV Vaccination Coverage of Male Adolescents in the United States

Details

• Alternative Title:
  Pediatrics
• Personal Author:
  Lu, Peng-jun ; Yankey, David ; Jeyarajah, Jenny ; O’Halloran, Alissa ; Elam-Evans, Laurie D. ; Smith, Philip J. ; Stokley, Shannon ; Singleton, James A. ; Dunne, Eileen F.
• Description:
  Background
  
  In 2011, the Advisory Committee for Immunization Practices (ACIP) recommended routine use HPV vaccine for male adolescents.
  
  Methods
  
  We used the 2013 National Immunization Survey-Teen (NIS-Teen) data to assess HPV vaccine uptake (≥1 dose) and series completion (≥3 doses). Multivariable logistic regression analysis and a predictive marginal model were conducted to identify independent predictors of vaccination among adolescent males aged 13–17 years.
  
  Results
  
  HPV vaccination coverage with ≥1 dose was 34.6% while series completion (≥3 doses) was 13.9%. Coverage was significantly higher among non-Hispanic blacks and Hispanics compared with non-Hispanic white males. Multivariable logistic regression showed that characteristics independently associated with a higher likelihood of HPV vaccination (≥1 dose) included: being non-Hispanic black race or Hispanic ethnicity, having mothers who were widowed, divorced, or separated, having 1–3 physician contacts in the past 12 months, a well-child visit at age 11–12 years, having one or two vaccination providers, living in urban or suburban areas, and receiving vaccinations from more than one type of facility (p<0.05). Having mothers with some college or college education, having a higher family income to poverty ratio, living in South or Midwest, and receiving vaccinations from all STD/school/teen clinics or other facilities were independently associated with a lower likelihood of HPV vaccination (p<0.05).
  
  Conclusions
  
  Following recommendations for routine HPV vaccination among male adolescents, uptake in 2013 was low in males. Increased efforts are needed to improve vaccination coverage, especially for those who are least likely to be vaccinated.
  
  
• Subjects:
  Adolescent Humans Male Papillomavirus Vaccines Vaccination
• Source:
  Pediatrics. 136(5):839-849
• Pubmed ID:
  26504124
• Pubmed Central ID:
  PMC5819004
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  136
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dc00595eca4abb156e7b2c3af9e566a7e26b051d983183d282d4d04727227c1b
• Download URL:
  https://stacks.cdc.gov/view/cdc/52029/cdc_52029_DS1.pdf
• File Type:
  [PDF - 617.42 KB ]