TY - JOUR
T1 - Predictors of Human Papillomavirus Vaccine Completion Among Low-Income Latina/o Adolescents
AU - Gerend, Mary A.
AU - Stephens, Yesenia P.
AU - Kazmer, Michelle M.
AU - Slate, Elizabeth H.
AU - Reyes, Elena
N1 - Funding Information:
This research was supported by the National Cancer Institute of the National Institutes of Health (NIH; award number R21CA178592 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Publisher Copyright:
© 2018 Society for Adolescent Health and Medicine
PY - 2019/6
Y1 - 2019/6
N2 - Purpose: The purpose of this longitudinal study was to identify individual and interpersonal factors associated with human papillomavirus (HPV) vaccine series completion in a sample of low-income Latina/o adolescent girls and boys. Methods: Caregiver–adolescent dyads (N = 161) were recruited from a rural Federally Qualified Health Center in southwest Florida when the adolescent (aged 11–17 years) received the first dose of HPV vaccine. Dyads completed a baseline assessment that measured demographic and cultural characteristics, past medical history, provider–patient communication, HPV knowledge, health beliefs about completing the series, and the adolescent's experience receiving the first dose. Using multivariable logistic regression, we identified caregiver- and adolescent-related factors associated with series completion (receipt of three doses of HPV vaccine within 1 year of initiation) as indicated in the adolescent's medical record and state immunization registry. Results: Within 1 year of initiation, 57% (n = 92) completed the three-dose series. Missed opportunities for completion were observed for 20% of the sample who returned to the clinic. Caregiver-related predictors of completion included education, self-efficacy to complete the series, and knowledge of the required number of doses. Adolescent-related predictors included age, influenza vaccination within the past 2 years, having a chronic medical condition, reason for the baseline visit, and receipt of written information about HPV vaccination from a health care provider. Conclusions: Findings highlight important opportunities for improving completion of the HPV vaccine series among Latina/o adolescents. Intervention efforts should involve health care providers and parent–adolescent dyads and prioritize evidence-based strategies for reducing missed opportunities for series completion.
AB - Purpose: The purpose of this longitudinal study was to identify individual and interpersonal factors associated with human papillomavirus (HPV) vaccine series completion in a sample of low-income Latina/o adolescent girls and boys. Methods: Caregiver–adolescent dyads (N = 161) were recruited from a rural Federally Qualified Health Center in southwest Florida when the adolescent (aged 11–17 years) received the first dose of HPV vaccine. Dyads completed a baseline assessment that measured demographic and cultural characteristics, past medical history, provider–patient communication, HPV knowledge, health beliefs about completing the series, and the adolescent's experience receiving the first dose. Using multivariable logistic regression, we identified caregiver- and adolescent-related factors associated with series completion (receipt of three doses of HPV vaccine within 1 year of initiation) as indicated in the adolescent's medical record and state immunization registry. Results: Within 1 year of initiation, 57% (n = 92) completed the three-dose series. Missed opportunities for completion were observed for 20% of the sample who returned to the clinic. Caregiver-related predictors of completion included education, self-efficacy to complete the series, and knowledge of the required number of doses. Adolescent-related predictors included age, influenza vaccination within the past 2 years, having a chronic medical condition, reason for the baseline visit, and receipt of written information about HPV vaccination from a health care provider. Conclusions: Findings highlight important opportunities for improving completion of the HPV vaccine series among Latina/o adolescents. Intervention efforts should involve health care providers and parent–adolescent dyads and prioritize evidence-based strategies for reducing missed opportunities for series completion.
KW - Adolescents
KW - Hispanic Americans
KW - Papillomavirus vaccines
KW - Psychosocial factors
KW - Vulnerable populations
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U2 - 10.1016/j.jadohealth.2018.12.001
DO - 10.1016/j.jadohealth.2018.12.001
M3 - Article
C2 - 30777636
AN - SCOPUS:85061534494
SN - 1054-139X
VL - 64
SP - 753
EP - 762
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 6
ER -