Sharon C Enujioke1, Rivienne Shedd-Steele2, Joanne Daggy3, Heather Burney4, Lisa Robertson5, Katharine Head6, Gregory Zimet7. 1. Indiana University School of Medicine, Department of Pediatrics-Adolescent Medicine, 410 W, 100th Street, Ste 100, Indianapolis, IN 46202, USA. Electronic address: senujiok@iu.edu. 2. Indiana University Simon Cancer Center, 535 Barnhill Dr., Indianapolis, IN 46202, USA. Electronic address: rsheddst@iupui.edu. 3. Indiana University School of Medicine, Department of Biostatistics, 410 W, 10th St., Indianapolis, IN 46202, USA. Electronic address: jdaggy2@iu.edu. 4. Indiana University School of Medicine, Department of Biostatistics, 410 W, 10th St., Indianapolis, IN 46202, USA. Electronic address: hnburney@iu.edu. 5. Indiana Immunization Coalition, 6239 S East St., Indianapolis, IN 46227, USA. Electronic address: director@vaccinateindiana.org. 6. Indiana University-Purdue University Indianapolis, Department of Communication Studies, 425 University Boulevard, Indianapolis, IN 46202, USA. Electronic address: headkj@iupui.edu. 7. Indiana University School of Medicine, Department of Pediatrics-Adolescent Medicine, 410 W, 100th Street, Ste 100, Indianapolis, IN 46202, USA. Electronic address: gzimet@iu.edu.
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.
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.
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