Human papillomavirus vaccine initiation in an area with elevated rates of cervical cancer.

نویسندگان

  • Sami L Gottlieb
  • Noel T Brewer
  • Maya R Sternberg
  • Jennifer S Smith
  • Karen Ziarnowski
  • Nicole Liddon
  • Lauri E Markowitz
چکیده

PURPOSE We assessed human papillomavirus (HPV) vaccination of adolescent girls living in communities with elevated cervical cancer rates. METHODS During July to October 2007, we conducted interviews with a probability sample of parents (or guardians) of 10- to 18-year-old girls in five North Carolina counties with cervical cancer rates substantially higher than the national average. Estimates are weighted. RESULTS We interviewed 889 (73%) of 1220 eligible parents; 38% were black. Overall, 10.3% (95% confidence interval [CI] 7.7%-13.5%) of daughters had received at least 1 dose of HPV vaccine. Only 6.4% of 10- to 12-year-olds had initiated vaccination, versus 17.5% of 16- to 18-year-olds (odds ratio [OR] 3.1, 95% CI 1.4-6.9). Older age of daughters and doctor's recommendation were the only factors independently associated with vaccine initiation. Main reasons reported for not initiating HPV vaccine were: needing more information (22%) or never having heard of the vaccine (14%), believing daughter is too young (16%) or not yet sexually active (13%), and not having gone to the doctor yet (13%). Only 0.5% of parents cited concern about HPV vaccine making a teenage girl more likely to have sex as a main reason for not vaccinating. Of 780 parents with unvaccinated daughters, 62% reported their daughters "probably" or "definitely" will, and 10% reported their daughters "definitely won't" get HPV vaccine in the next year. CONCLUSIONS Approximately 1 year after its introduction, HPV vaccine had been initiated by only 10% of adolescent girls in an area with elevated cervical cancer rates; however, most parents intended for their daughters to be vaccinated. Additional efforts are needed to ensure that parents' intentions to vaccinate are realized.

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عنوان ژورنال:
  • The Journal of adolescent health : official publication of the Society for Adolescent Medicine

دوره 45 5  شماره 

صفحات  -

تاریخ انتشار 2009