title: Factors related to HPV vaccine uptake and 3-dose completion among women in a low vaccination region of the USA: an observational study.
abstract: To assess the demographic and attitudinal factors associated with HPV vaccine initiation and completion among 18-26 year old women in Utah.
  
  
  
  Between January 2013 and December 2013, we surveyed 325 women from the University of Utah Community Clinics about their HPV vaccine related beliefs and behaviors. Odds ratios (ORs) were estimated from logistic regression models to identify variables related to HPV vaccine initiation and series completion.
  
  
  
  Of the 325 participants, 204 (62.8 %) had initiated the vaccine and 159 (48.9 %) had completed the 3-dose series. The variables associated with HPV vaccine initiation were lower age (OR = 1.18 per year); being unmarried (OR = 3.62); not practicing organized religion (OR = 2.40); knowing how HPV spreads (OR = 6.29); knowing the connection between HPV and cervical cancer (OR = 3.90); a belief in the importance of preventive vaccination (OR = 2.45 per scale unit); strength of doctor recommendation (OR = 1.86 per scale unit); and whether a doctor's recommendation was influential (OR = 1.70 per scale unit). These variables were also significantly associated with HPV vaccine completion.
  
  
  
  The implications of these findings may help inform policies and interventions focused on increasing HPV vaccination rates among young women. For example, without this information, programs might focus on HPV awareness; however, the results of this study illustrate that awareness is already high (near saturation) in target populations and other factors, such as strong and consistent physician recommendations, are more pivotal in increasing likelihood of vaccination. Additionally, our findings indicate the need for discussions of risk assessment be tailored to the young adult population.
authors.affiliation: University of Utah, College of Nursing, 10 South 2000 East, Room 2200, Salt Lake City, Utah, 84112, USA. arw2@utah.edu.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Wilson
authors.affiliation: Huntsman Cancer Institute, Cancer Control and Population Sciences, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.|University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, A Salt Lake City, Utah, 84108, USA.
authors.forename: Mia
authors.initials: M
authors.lastname: Hashibe
authors.affiliation: Huntsman Cancer Institute, Cancer Control and Population Sciences, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Bodson
authors.affiliation: University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, A Salt Lake City, Utah, 84108, USA.
authors.forename: Lisa H
authors.initials: LH
authors.lastname: Gren
authors.affiliation: University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, A Salt Lake City, Utah, 84108, USA.
authors.forename: Brooke A
authors.initials: BA
authors.lastname: Taylor
authors.affiliation: University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, A Salt Lake City, Utah, 84108, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Greenwood
authors.affiliation: ARUP Laboratories, 500 Chipeta Way, Salt Lake City, Utah, 84108, USA.|Department of Pathology, University of Utah, 15 North Medical Drive East, Salt Lake City, Utah, 84112, USA.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Jackson
authors.affiliation: University of Southern California, Keck School of Medicine, 1975 Zonal Ave, Los Angeles, California, 90033, USA.
authors.forename: Rosemary
authors.initials: R
authors.lastname: She
authors.affiliation: University of Utah, Department of Family and Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way Ste, A Salt Lake City, Utah, 84108, USA.
authors.forename: Marlene J
authors.initials: MJ
authors.lastname: Egger
authors.affiliation: University of Utah, College of Nursing, 10 South 2000 East, Room 2200, Salt Lake City, Utah, 84112, USA.|Huntsman Cancer Institute, Cancer Control and Population Sciences, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
authors.forename: Deanna
authors.initials: D
authors.lastname: Kepka
mesh_terms: D000293:Adolescent; D000328:Adult; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000494:pharmacology / Q000627:therapeutic use*; D018570:Risk Assessment / Q000379:methods; D011795:Surveys and Questionnaires; D014589:Utah; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014930:Women / Q000523:psychology*
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV; Human Papillomavirus; Immunization; Vaccination