Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021

Provider recommendation of human papillomavirus (HPV) vaccination among adolescents has steadily improved over the years, however, limited research has been conducted to examine if the COVID-19 pandemic disrupted this positive trend in parent-reported provider recommendation among minority adolescen...

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Main Authors: Chinenye Lynette Ejezie, Paula Cuccaro, Casey Durand, Lara S. Savas, Ross Shegog
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335523001778
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author Chinenye Lynette Ejezie
Paula Cuccaro
Casey Durand
Lara S. Savas
Ross Shegog
author_facet Chinenye Lynette Ejezie
Paula Cuccaro
Casey Durand
Lara S. Savas
Ross Shegog
author_sort Chinenye Lynette Ejezie
collection DOAJ
description Provider recommendation of human papillomavirus (HPV) vaccination among adolescents has steadily improved over the years, however, limited research has been conducted to examine if the COVID-19 pandemic disrupted this positive trend in parent-reported provider recommendation among minority adolescents. Therefore, we conducted the present study to determine if there is an association between the pandemic and parent-reported provider recommendation of HPV vaccine among non-Hispanic black and Hispanic adolescents. We also examined whether any changes in parent-reported provider recommendation in the years 2019, 2020, and 2021 differed by race or ethnicity. Using a cross-sectional design to examine data from the National Immunization Survey-Teen (2019–2021), a moderation analysis and logistic regression analysis were performed to model race-specific variation in parent-reported provider recommendation (n = 50,739). We found that Hispanic parents had lower odds (aOR = 0.80 [0.71, 0.91]) of reporting receiving a recommendation compared to non-Hispanic white parents. We also found that the odds of parent-reported provider recommendation were higher in 2020 (aOR = 1.15 [1.03–1.29]) than in 2019. Other variables–age, region, sex, health insurance status, and poverty status–were all associated with parent-reported provider recommendation. These findings demonstrated that the pandemic may not have triggered any race-related gap in the recommendation of HPV vaccines, however, more pandemic-resilient public health efforts are needed to improve parent and provider communication regarding HPV vaccination of adolescents.
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spelling doaj.art-24f8cdb622fc48b4a7d3f00c6193974c2023-09-20T04:20:54ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102286Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021Chinenye Lynette Ejezie0Paula Cuccaro1Casey Durand2Lara S. Savas3Ross Shegog4Department of Health Promotion and Behavioral Sciences, UThealth School of Public Health, Houston, TX 77030, USA; Department of Radiation Oncology, The University of MD Anderson Cancer Center, Houston, TX 77030, USA; Corresponding author at: 1200 Pressler St, Houston, TX 77030, USA.Department of Health Promotion and Behavioral Sciences, UThealth School of Public Health, Houston, TX 77030, USADepartment of Health Promotion and Behavioral Sciences, UThealth School of Public Health, Houston, TX 77030, USADepartment of Health Promotion and Behavioral Sciences, UThealth School of Public Health, Houston, TX 77030, USADepartment of Health Promotion and Behavioral Sciences, UThealth School of Public Health, Houston, TX 77030, USAProvider recommendation of human papillomavirus (HPV) vaccination among adolescents has steadily improved over the years, however, limited research has been conducted to examine if the COVID-19 pandemic disrupted this positive trend in parent-reported provider recommendation among minority adolescents. Therefore, we conducted the present study to determine if there is an association between the pandemic and parent-reported provider recommendation of HPV vaccine among non-Hispanic black and Hispanic adolescents. We also examined whether any changes in parent-reported provider recommendation in the years 2019, 2020, and 2021 differed by race or ethnicity. Using a cross-sectional design to examine data from the National Immunization Survey-Teen (2019–2021), a moderation analysis and logistic regression analysis were performed to model race-specific variation in parent-reported provider recommendation (n = 50,739). We found that Hispanic parents had lower odds (aOR = 0.80 [0.71, 0.91]) of reporting receiving a recommendation compared to non-Hispanic white parents. We also found that the odds of parent-reported provider recommendation were higher in 2020 (aOR = 1.15 [1.03–1.29]) than in 2019. Other variables–age, region, sex, health insurance status, and poverty status–were all associated with parent-reported provider recommendation. These findings demonstrated that the pandemic may not have triggered any race-related gap in the recommendation of HPV vaccines, however, more pandemic-resilient public health efforts are needed to improve parent and provider communication regarding HPV vaccination of adolescents.http://www.sciencedirect.com/science/article/pii/S2211335523001778HPV vaccinationProvider recommendationCOVID-19 pandemicTelemedicineMinoritiesAdolescents
spellingShingle Chinenye Lynette Ejezie
Paula Cuccaro
Casey Durand
Lara S. Savas
Ross Shegog
Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021
Preventive Medicine Reports
HPV vaccination
Provider recommendation
COVID-19 pandemic
Telemedicine
Minorities
Adolescents
title Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021
title_full Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021
title_fullStr Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021
title_full_unstemmed Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021
title_short Parent-reported provider recommendation of HPV vaccination among minority adolescents before and during the COVID-19 pandemic: Findings from the National Immunization Survey-Teen, 2019–2021
title_sort parent reported provider recommendation of hpv vaccination among minority adolescents before and during the covid 19 pandemic findings from the national immunization survey teen 2019 2021
topic HPV vaccination
Provider recommendation
COVID-19 pandemic
Telemedicine
Minorities
Adolescents
url http://www.sciencedirect.com/science/article/pii/S2211335523001778
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