title: HPV vaccination series completion and co-vaccination: Pairing vaccines may matter for adolescents.
abstract: Very little is known about the effect of concurrent co-vaccination on HPV series completion. This study utilized a retrospective review of a Clinical Data Repository to assess whether concurrent vaccination had an impact on HPV vaccination series completion, and whether there were differences based on age. 3371 patients who received the HPV vaccine at a single academic medical center between the years 2009-2013 were included in this analysis. The adjusted odds ratio (aOR) for effect of concurrent vaccination on series completion for the age group 9-18 was 1.32 (95% CI 1.09, 1.60). Although not statistically significant, the aOR for effect of concurrent vaccination on completion changed direction for the 19-25 age group and was 0.44 (95% CI 0.17, 1.12). This study provides preliminary evidence that pairing the HPV vaccine with one or more co-vaccines may yield a higher HPV vaccination completion rate among adolescents age 9-18.
authors.affiliation: University of Virginia School of Nursing, Charlottesville, VA, USA. Electronic address: jlk2t@virginia.edu.
authors.forename: Jessica
authors.initials: J
authors.lastname: Keim-Malpass
authors.affiliation: University of Virginia School of Nursing, Charlottesville, VA, USA; University of Virginia Cancer Center, Cancer Control and Population Health Core, Charlottesville, VA, USA.
authors.forename: Emma McKim
authors.initials: EM
authors.lastname: Mitchell
authors.affiliation: University of Virginia Cancer Center, Cancer Control and Population Health Core, Charlottesville, VA, USA; University of Virginia Public Health Sciences, Charlottesville, VA, USA.
authors.forename: Fabian
authors.initials: F
authors.lastname: Camacho
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D005260:Female; D006801:Humans; D007115:Immunization Schedule; D008297:Male; D055118:Medication Adherence; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescent; Co-vaccination; Compliance; HPV vaccine; Young adult