Assessing the need for and acceptability of a free-of-charge postpartum HPV vaccination program

Copyright © 2014 Mosby, Inc. All rights reserved..

OBJECTIVE: Human papillomavirus (HPV) vaccine uptake rate among young adult US women was only 23% in 2010. One way to improve this low rate is to administer the vaccine postpartum. We examined whether this population requires vaccination and whether they would be agreeable to receiving it free of charge after delivery.

STUDY DESIGN: Women 26 years of age or younger seeking prenatal care in publicly funded clinics in southeast Texas were interviewed in 2012 regarding their HPV vaccination status, barriers to vaccination, and whether they would be willing to receive this vaccine postpartum if offered free of charge. Medical charts were reviewed to extract additional information.

RESULTS: Overall, 13.0% (65 of 500) stated they had initiated and 7.6% (38 of 500) completed the 3-dose vaccine series. Ethnic differences were noted with 21.0% of non-Hispanic whites, 14.6% of blacks, and 9.3% of Hispanics (P = .002) initiating the vaccine and 13.5%, 7.8%, and 5.2% (P = .006) competing all 3 doses, respectively. Lowest initiation (4.2%) and completion (1.4%) rates were observed among recently immigrated Hispanic women. Those who had not graduated from high school and older women were less likely to have been vaccinated. Almost 83% of those who had not received any HPV doses or completed the series were willing to receive the injection free of charge in the hospital after their delivery.

CONCLUSION: HPV vaccine uptake rates are very low among women receiving prenatal care in southeast Texas. Offering this vaccine free of charge to postpartum women could be an effective strategy in this population because 5 of 6 women favored receiving it in this setting.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:210

Enthalten in:

American journal of obstetrics and gynecology - 210(2014), 3 vom: 15. März, Seite 213.e1-7

Sprache:

Englisch

Beteiligte Personen:

Berenson, Abbey B [VerfasserIn]
Male, Eneida [VerfasserIn]
Lee, Toy G [VerfasserIn]
Barrett, Alan [VerfasserIn]
Sarpong, Kwabena O [VerfasserIn]
Rupp, Richard E [VerfasserIn]
Rahman, Mahbubur [VerfasserIn]

Links:

Volltext

Themen:

Correlates
HPV
Human papillomavirus
Journal Article
Papillomavirus Vaccines
Postpartum
Race/ethnicity
Research Support, N.I.H., Extramural
Vaccine

Anmerkungen:

Date Completed 05.05.2014

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ajog.2013.11.036

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM233107576