title: Student HPV vaccine attitudes and vaccine completion by education level.
abstract: We describe HPV vaccine attitudes among students of different education levels.
  
  
  
  High school, college, and graduate-level health care professional students were surveyed regarding HPV vaccine knowledge, attitudes, and receipt. Relationships between categorical variables were analyzed using chi-square tests of independence and z-tests for proportions. Means for quantitative variables were compared using t-tests and one-way analysis of variance.
  
  
  
  57% and 42% of the 889 students reported starting and completing HPV vaccine series, respectively, with no statistical difference by education level. 61% of students who reported receiving a provider recommendation had completed the series, compared to 6% of those who did not receive recommendation (p<0.001). The belief that HPV vaccine prevents cancer was strongly associated with vaccine completion (p=0.003).
  
  
  
  HPV vaccine coverage rates remain suboptimal. Future interventions should focus on improving provider recommendation and patient belief that HPV vaccine prevents cancer.
authors.affiliation: a Department of Pediatrics , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Manika
authors.initials: M
authors.lastname: Suryadevara
authors.affiliation: a Department of Pediatrics , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Joshua R
authors.initials: JR
authors.lastname: Bonville
authors.affiliation: b SUNY Binghamton University , Binghamton , NY , USA.
authors.forename: Rachael M
authors.initials: RM
authors.lastname: Kline
authors.affiliation: c Charles W. Baker High School , Baldwinsville , NY , USA.
authors.forename: Colleen
authors.initials: C
authors.lastname: Magowan
authors.affiliation: d SUNY Fredonia , Fredonia , NY , USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Domachowske
authors.affiliation: e Department of Public Health and Preventive Medicine , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Donald A
authors.initials: DA
authors.lastname: Cibula
authors.affiliation: a Department of Pediatrics , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Domachowske
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000150:complications* / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D013334:Students; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV; adolescent immunizations; human papillomavirus; vaccine attitudes; vaccine completion
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