County-level correlates of missed opportunities for HPV vaccination in Indiana: An environmental scan. Issue 43 (7th October 2020)

• Record Type: Journal Article
• Authors: Enujioke, Sharon C.; Shedd-Steele, Rivienne; Daggy, Joanne; Burney, Heather; Robertson, Lisa; Head, Katharine; Zimet, Gregory
• Is Part Of: Vaccine. Volume 38:Issue 43(2020)
• Page Start: 6730
• Page End: 6734
• Publication Date: 2020-10-07
• Subjects: Vaccination -- HPV vaccination -- Health status -- Adolescence -- Immunization surveillance; Vaccines -- Periodicals; 615.372
• DOI: 10.1016/j.vaccine.2020.08.048
• Languages: English
• ISSNs: 0264-410X

Abstract

Abstract: 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.