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- W2089355315 abstract "INTRODUCTION: Significant gaps exist in utilization of the human papillomavirus (HPV) vaccine. The purpose of this study is to assess rates of and missed opportunities for HPV vaccination among young adult women. METHODS: We reviewed medical records of women ages 18–26 years seeking care at an urban, hospital-based obstetrics and gynecology clinic from February 2013 to January 2014. Demographic and clinical data were abstracted to determine rates of HPV vaccine initiation and completion and frequency of missed vaccination opportunities. χ2 tests and logistic regression were used to identify independent risk factors for poor vaccine coverage. RESULTS: Among 1,184 young adult women seeking care during the study period, 30% were ages 17–20 years, 49% ages 21–24 years, and 21% ages 25–26 years. Forty-three percent of women were non-Hispanic blacks, 9% non-Hispanic whites, 37% reported Hispanic ethnicity with other or unreported race. Most reported English as their preferred language (88%) and had Medicaid insurance (78%). Human papillomavirus vaccination rates were low (14% completed, 11% incomplete). Vaccine completion and initiation rates were higher among English-preferring (P<.001), insured (P=.008 and <.001, respectively), and black female patients (P<.001). The frequency of missed vaccination opportunities among non-initiators included: 47 women with at least one visit for a well-woman examination, 120 for contraception management, 194 for postpartum visits, and 105 for urgent gynecologic visits. A total of 112 women received medroxyprogesterone acetate, and 257 women were administered vaccinations or other medications. CONCLUSION: Young adult women receiving care at a hospital-based obstetrics and gynecology clinic have low rates of HPV vaccination. Targeted interventions addressing missed opportunities could significantly improve HPV vaccine coverage." @default.
- W2089355315 created "2016-06-24" @default.
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- W2089355315 date "2015-05-01" @default.
- W2089355315 modified "2023-09-27" @default.
- W2089355315 title "Missed Opportunities and Barriers to Human Papillomavirus Vaccination Among Young Adult Women [220]" @default.
- W2089355315 doi "https://doi.org/10.1097/01.aog.0000463123.80334.4b" @default.
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