Abstract
Background: The goal of this study was to examine variability across the 92 Indiana counties in missed opportunities for HPV vaccination and to assess county-level correlates of missed opportunities. Methods: The Indiana immunization registry provided county level data on 2017 missed opportunity rates for adolescents ages 11–18. A missed opportunity was an encounter when a patient eligible for HPV vaccination received one or more other recommended vaccines, but not HPV. Potential county-level correlates of missed opportunities included race, income, population density, education, primary care providers per capita, smoking rates, mammography screening, diabetes monitoring, and Pap testing. Results: The missed opportunity rate ranged from 31% to 85% across Indiana counties. Higher population density, mammography screening, income inequality, and diabetes monitoring were associated with fewer missed opportunities. Conclusions: We found wide variability in missed opportunities across counties, which were associated with population density and county-level participation in other health-related behaviors. Sources of support: This study was supported by the National Cancer Institute under Award Number P30 CA082709-18S4.
| Original language | English |
|---|---|
| Pages (from-to) | 6730-6734 |
| Number of pages | 5 |
| Journal | Vaccine |
| Volume | 38 |
| Issue number | 43 |
| DOIs | |
| State | Published - 7 Oct 2020 |
Keywords
- Adolescence
- Health status
- HPV vaccination
- Immunization surveillance
- Vaccination
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