title: The most effective and promising population health strategies to advance human papillomavirus vaccination.
abstract: The US is failing to make substantive progress toward improving rates of human papillomavirus vaccine uptake. While the Healthy People 2020 goal for human papillomavirus (HPV) vaccination is 80%, the three-dose completion rate in the US in 2014 for 13- to 17-year-old females is less than 40%, and the rate for males is just above 20%. Experts point to a number of reasons for the poor HPV vaccination rates including parental concerns about safety, necessity, and timing. However, the evidence refuting these concerns is substantial. Efforts focusing on education and communication have not shown promise, but several population health strategies have reminder/recall systems; practice-focused strategies targeting staff, clinicians, and parents; assessment and feedback activities; and school-based HPV vaccination programs.
authors.affiliation: a Department of Pediatric and Adolescent Medicine, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery , Mayo Clinic , Rochester , MN , USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Jacobson
authors.affiliation: b Department of Health Sciences Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery , Mayo Clinic , Rochester , MN , USA.
authors.forename: Amenah A
authors.initials: AA
authors.lastname: Agunwamba
authors.affiliation: b Department of Health Sciences Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery , Mayo Clinic , Rochester , MN , USA.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: St Sauver
authors.affiliation: b Department of Health Sciences Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery , Mayo Clinic , Rochester , MN , USA.
authors.forename: Lila J
authors.initials: LJ
authors.lastname: Finney Rutten
mesh_terms: D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007115:Immunization Schedule; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000276:immunology*; D010342:Patient Acceptance of Health Care; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines
keywords: Papillomavirus vaccines; United States; adolescent; child; health knowledge, attitudes, practice; immunization; immunization programs; vaccination