Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey

The 2012 report of the President’s Cancer Panel highlighted the overriding contribution of missed clinical opportunities to suboptimal HPV vaccination coverage. Since then, it remains unknown whether the rates of provider recommendations for the HPV vaccine in the US population have increased. We co...

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Main Authors: Joël Fokom Domgue, Robert K. Yu, Sanjay Shete
Format: Article
Language:English
Published: Taylor & Francis Group 2021-09-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.1917235
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author Joël Fokom Domgue
Robert K. Yu
Sanjay Shete
author_facet Joël Fokom Domgue
Robert K. Yu
Sanjay Shete
author_sort Joël Fokom Domgue
collection DOAJ
description The 2012 report of the President’s Cancer Panel highlighted the overriding contribution of missed clinical opportunities to suboptimal HPV vaccination coverage. Since then, it remains unknown whether the rates of provider recommendations for the HPV vaccine in the US population have increased. We conducted an analysis of four rounds of the Health Information National Trends Survey (HINTS), a household survey of civilian US residents aged 18 y or older. A total of 1,415 (2012), 1,476 (2014), 1,208 (2017), and 1,344 (2018) respondents to the HINTS survey who were either HPV vaccine-eligible or living with HPV vaccine-eligible individuals were included. Overall, the rates of providers’ recommendations remained stagnated from 2012 to 2018 in all categories of the study population, except for non-Hispanic Blacks (NHBs), where this prevalence increased during the study period (AAPC = 16.4%, p < .001). In vaccine-eligible individuals (18–27 y), declining trends were noted overall (AAPC = −21.6%, p < .001), among NHWs (AAPC = −30.2%, p < .001) and urban dwellers (AAPC = −21.4%, p < .001). Among vaccine-ineligible respondents (˃27 y) living with vaccine-eligible individuals, trends in the prevalence of provider recommendations for HPV vaccine were stagnating overall (AAPC = 0.5%, p = .90), and increasing only among NHBs (AAPC = 13.9%, p < .001). Despite recent progress, our findings indicate variations of trends in provider recommendations for the HPV vaccine in the US adult population according to age, sex, race/ethnicity, and residence. To accelerate HPV vaccination uptake, immediate actions to enhance provider recommendation for HPV vaccine are needed.
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spelling doaj.art-66c57a6e2ae64d5b81d13dc31350770d2023-09-25T11:19:19ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-09-011793081308910.1080/21645515.2021.19172351917235Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends surveyJoël Fokom Domgue0Robert K. YuSanjay Shete1The University of Texas MD Anderson Cancer CenterThe University of Texas MD Anderson Cancer CenterThe 2012 report of the President’s Cancer Panel highlighted the overriding contribution of missed clinical opportunities to suboptimal HPV vaccination coverage. Since then, it remains unknown whether the rates of provider recommendations for the HPV vaccine in the US population have increased. We conducted an analysis of four rounds of the Health Information National Trends Survey (HINTS), a household survey of civilian US residents aged 18 y or older. A total of 1,415 (2012), 1,476 (2014), 1,208 (2017), and 1,344 (2018) respondents to the HINTS survey who were either HPV vaccine-eligible or living with HPV vaccine-eligible individuals were included. Overall, the rates of providers’ recommendations remained stagnated from 2012 to 2018 in all categories of the study population, except for non-Hispanic Blacks (NHBs), where this prevalence increased during the study period (AAPC = 16.4%, p < .001). In vaccine-eligible individuals (18–27 y), declining trends were noted overall (AAPC = −21.6%, p < .001), among NHWs (AAPC = −30.2%, p < .001) and urban dwellers (AAPC = −21.4%, p < .001). Among vaccine-ineligible respondents (˃27 y) living with vaccine-eligible individuals, trends in the prevalence of provider recommendations for HPV vaccine were stagnating overall (AAPC = 0.5%, p = .90), and increasing only among NHBs (AAPC = 13.9%, p < .001). Despite recent progress, our findings indicate variations of trends in provider recommendations for the HPV vaccine in the US adult population according to age, sex, race/ethnicity, and residence. To accelerate HPV vaccination uptake, immediate actions to enhance provider recommendation for HPV vaccine are needed.http://dx.doi.org/10.1080/21645515.2021.1917235hpv vaccinationhealth information national trends surveyhealth-care provider recommendationdisparitiestrends
spellingShingle Joël Fokom Domgue
Robert K. Yu
Sanjay Shete
Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey
Human Vaccines & Immunotherapeutics
hpv vaccination
health information national trends survey
health-care provider recommendation
disparities
trends
title Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey
title_full Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey
title_fullStr Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey
title_full_unstemmed Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey
title_short Trends in the rates of health-care providers’ recommendation for HPV vaccine from 2012 to 2018: a multi-round cross-sectional analysis of the health information national trends survey
title_sort trends in the rates of health care providers recommendation for hpv vaccine from 2012 to 2018 a multi round cross sectional analysis of the health information national trends survey
topic hpv vaccination
health information national trends survey
health-care provider recommendation
disparities
trends
url http://dx.doi.org/10.1080/21645515.2021.1917235
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