TY - JOUR
T1 - County-level correlates of missed opportunities for HPV vaccination in Indiana
T2 - An environmental scan
AU - Enujioke, Sharon C.
AU - Shedd-Steele, Rivienne
AU - Daggy, Joanne
AU - Burney, Heather
AU - Robertson, Lisa
AU - Head, Katharine
AU - Zimet, Gregory
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/10/7
Y1 - 2020/10/7
N2 - 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.
AB - 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.
KW - Adolescence
KW - Health status
KW - HPV vaccination
KW - Immunization surveillance
KW - Vaccination
UR - http://www.scopus.com/inward/record.url?scp=85090110567&partnerID=8YFLogxK
U2 - 10.1016/j.vaccine.2020.08.048
DO - 10.1016/j.vaccine.2020.08.048
M3 - Article
C2 - 32891476
AN - SCOPUS:85090110567
SN - 0264-410X
VL - 38
SP - 6730
EP - 6734
JO - Vaccine
JF - Vaccine
IS - 43
ER -