title: Adolescent Male Human Papillomavirus Vaccination.
abstract: Objective. To determine male vaccination rates with quadrivalent human papillomavirus vaccine (HPV4) before and after the October 2011 national recommendation to routinely immunize adolescent males. Methods. We reviewed HPV4 dose 1 (HPV4-1) uptake in 292 adolescent males in our urban clinic prior to national recommendations and followed-up for HPV4 series completion rates. After national recommendation, 248 urban clinic and 247 suburban clinic males were reviewed for HPV4-1 uptake. Factors associated with HPV4-1 refusal were determined with multiple logistic regression. Results. Of the initial 292 males, 78% received HPV4-1 and 38% received the 3-dose series. After recommendation, HPV4-1 uptake was 59% and 7% in urban and suburban clinics, respectively. Variables associated with HPV4-1 uptake/refusal included time period, race, type of insurance, and receipt of concurrent vaccines. Conclusions. HPV4-1 vaccination rates in our urban clinic were high before and after routine HPV vaccine recommendations for adolescent males. Our vaccination rates were much higher than in a suburban practice.
authors.affiliation: Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Vivian C
authors.initials: VC
authors.lastname: Nanagas
authors.affiliation: Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Stolfi
authors.affiliation: Wright State University Boonshoft School of Medicine, Dayton, OH, USA; Dayton Children's Hospital, Dayton, OH, USA.
authors.forename: Maria T
authors.initials: MT
authors.lastname: Nanagas
authors.affiliation: Cornerstone Pediatrics, Springboro, OH, USA.
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Eberhart
authors.affiliation: Wright State University Boonshoft School of Medicine, Dayton, OH, USA; Dayton Children's Hospital, Dayton, OH, USA.
authors.forename: Sherman J
authors.initials: SJ
authors.lastname: Alter
keywords: HPV; adolescent; human papillomavirus; human papillomavirus vaccine; immunizations; male