Monica L Kasting1, Anna R Giuliano2, Shannon M Christy3, Caroline E Rouse4, Sharon E Robertson4, Erika L Thompson5. 1. Department of Public Health, Purdue University, West Lafayette, Indiana; Cancer Prevention and Control Program, Indiana University Simon Comprehensive Cancer Center, Indianapolis, Indiana. Electronic address: mlkastin@purdue.edu. 2. Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida; Center for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, Florida. 3. Center for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, Florida; Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida; Morsani College of Medicine, University of South Florida, Tampa, Florida; Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana. 4. Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana. 5. Department of Health Behavior and Health Systems, University of North Texas Health Sciences Center, Fort Worth, Texas.
Abstract
INTRODUCTION: In 2018, the U.S. Food and Drug Administration extended the licensure for human papillomavirus vaccination to include everyone aged 27-45 years. In 2019, the Advisory Committee on Immunization Practices issued a recommendation that adults aged 27-45 years and their providers engage in shared clinical decision making about human papillomavirus vaccination. In addition, in 2019, the Advisory Committee on Immunization Practices reiterated that all previously unvaccinated individuals receive catch-up vaccination through age 26 years. This study estimates the pre-recommendation prevalence of human papillomavirus vaccination and factors associated with vaccination in 2 age groups (19-26 years [young adults] and 27-45 years [mid-adults]), forming a baseline to monitor future coverage among U.S. adults. METHODS: The final sample included 9,744 individuals (2,522 young adults and 7,222 mid-adults) who participated in the 2017 National Health Interview Survey. The main outcomes were receipt of 1 or more human papillomavirus vaccination and whether the participant had been vaccinated as an adult. Demographic characteristics and healthcare factors were included as covariates in statistical analyses. RESULTS: Population estimate of receiving 1 or more human papillomavirus vaccine doses among young adults was 36.3% (female: 51.5%, male: 21.2%; p<0.001) and 9.7% for mid-adults (females: 15.8%, males: 3.2%; p<0.001). In the best-fit model, age was inversely associated with vaccination for mid-adults (female: OR=0.84, 95% CI=0.81, 0.86; male: OR=0.86; 95% CI=0.82, 0.90) and male young adults (OR=0.79, 95% CI=0.71, 0.88). Of the entire vaccinated sample aged 19-45 years, 26.6% had received their first vaccination as an adult (95% CI=23.9, 29.4). CONCLUSIONS: These data emphasize the continued need for vaccinating adolescents aged 11-12 years given that few adults were vaccinated against human papillomavirus.
INTRODUCTION: In 2018, the U.S. Food and Drug Administration extended the licensure for human papillomavirus vaccination to include everyone aged 27-45 years. In 2019, the Advisory Committee on Immunization Practices issued a recommendation that adults aged 27-45 years and their providers engage in shared clinical decision making about human papillomavirus vaccination. In addition, in 2019, the Advisory Committee on Immunization Practices reiterated that all previously unvaccinated individuals receive catch-up vaccination through age 26 years. This study estimates the pre-recommendation prevalence of human papillomavirus vaccination and factors associated with vaccination in 2 age groups (19-26 years [young adults] and 27-45 years [mid-adults]), forming a baseline to monitor future coverage among U.S. adults. METHODS: The final sample included 9,744 individuals (2,522 young adults and 7,222 mid-adults) who participated in the 2017 National Health Interview Survey. The main outcomes were receipt of 1 or more human papillomavirus vaccination and whether the participant had been vaccinated as an adult. Demographic characteristics and healthcare factors were included as covariates in statistical analyses. RESULTS: Population estimate of receiving 1 or more human papillomavirus vaccine doses among young adults was 36.3% (female: 51.5%, male: 21.2%; p<0.001) and 9.7% for mid-adults (females: 15.8%, males: 3.2%; p<0.001). In the best-fit model, age was inversely associated with vaccination for mid-adults (female: OR=0.84, 95% CI=0.81, 0.86; male: OR=0.86; 95% CI=0.82, 0.90) and male young adults (OR=0.79, 95% CI=0.71, 0.88). Of the entire vaccinated sample aged 19-45 years, 26.6% had received their first vaccination as an adult (95% CI=23.9, 29.4). CONCLUSIONS: These data emphasize the continued need for vaccinating adolescents aged 11-12 years given that few adults were vaccinated against human papillomavirus.
Authors: Monica L Kasting; Shannon M Christy; Madison E Stout; Gregory D Zimet; Catherine E Mosher Journal: Clin Nurs Res Date: 2021-09-18 Impact factor: 1.724
Authors: Monica L Kasting; Katharine J Head; Andrea L DeMaria; Monica K Neuman; Allissa L Russell; Sharon E Robertson; Caroline E Rouse; Gregory D Zimet Journal: J Womens Health (Larchmt) Date: 2021-01-11 Impact factor: 3.017
Authors: Naomi C Brownstein; Harika Reddy; Junmin Whiting; Monica L Kasting; Katharine J Head; Susan T Vadaparampil; Anna R Giuliano; Clement K Gwede; Cathy D Meade; Shannon M Christy Journal: Prev Med Date: 2022-04-07 Impact factor: 4.637
Authors: Paige W Lake; Katharine J Head; Shannon M Christy; Andrea L DeMaria; Erika L Thompson; Susan T Vadaparampil; Gregory D Zimet; Monica L Kasting Journal: Prev Med Rep Date: 2022-04-20
Authors: Paul Rotert; Christopher Wheldon; Jenn Kownack; Zoe Sullivan-Blum; Brendan Cokingtin; Karishma Khetani; Kavindu Ndeti; Kevin Skyes; Megha Ramaswamy Journal: J Prim Care Community Health Date: 2022 Jan-Dec