title: Human papillomavirus vaccination rates and state mandates for tetanus-containing vaccines.
abstract: OBJECTIVE
  We sought to examine nationally the association between school mandates for adolescent tetanus-containing vaccines (Td and/or Tdap) and adolescent female human papillomavirus (HPV) vaccination.
  
  
  METHODS
  Each state was categorized by whether a school mandate for adolescent Td and/or Tdap vaccines was enacted. Mean HPV vaccine series initiation levels among adolescent females were compared between each mandate category.
  
  
  RESULTS
  Mean HPV vaccine series initiation levels were significantly lower in states without Td/Tdap vaccine mandates than in those with mandates (42.9% vs. 47.3%; p=0.004).
  
  
  CONCLUSIONS
  School mandates for adolescent Td/Tdap vaccination may have a carry-over effect on HPV vaccination.
authors.affiliation: Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan, 300 North Ingalls, Rm 6E08, Ann Arbor, MI 48109-5456, USA. adempsey@umich.edu
authors.forename: Amanda F
authors.initials: AF
authors.lastname: Dempsey
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Schaffer
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D017589:Immunization Programs / Q000592:standards* / Q000706:statistics & numerical data; D037141:Mandatory Programs / Q000592:standards; D053918:Papillomavirus Vaccines / Q000592:standards / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012574:Schools / Q000592:standards; D013219:State Government; D013745:Tetanus Toxoid / Q000592:standards* / Q000627:therapeutic use; D014481:United States
chemical_list: D053918:Papillomavirus Vaccines; D013745:Tetanus Toxoid