Human Papillomavirus Vaccine Initiation for Adolescents Following Rhode Island's School-Entry Requirement, 2010-2016

To assess changes in human papillomavirus (HPV) vaccine initiation for adolescent girls and boys in Rhode Island compared with all other states. We estimated the gender-specific effects of Rhode Island's school-entry HPV vaccination policy on self-reported HPV vaccination initiation by using a...

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Bibliographic Details
Published in:	American journal of public health (1971) 2018-10, Vol.108 (10), p.1421-1423
Main Authors:	Thompson, Erika L, Livingston, 3rd, Melvin D, Daley, Ellen M, Zimet, Gregory D
Format:	Article
Language:	eng
Subjects:	Adolescent Adolescent Health Adolescents AJPH Open-Themed Research Boys Children & youth College graduates Confidence intervals Ethnicity Female Gender Girls Health care policy Health Policy Hispanic people Human papillomavirus Humans Immunization Immunization/Vaccines Male Papillomavirus Infections - prevention & control Papillomavirus Vaccines - administration & dosage Patient Acceptance of Health Care - statistics & numerical data Prevention Public health Public Policy Rhode Island School Health Schools Self report Statistical analysis Teenagers Trends Trust United States Vaccination Vaccines
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Summary:	To assess changes in human papillomavirus (HPV) vaccine initiation for adolescent girls and boys in Rhode Island compared with all other states. We estimated the gender-specific effects of Rhode Island's school-entry HPV vaccination policy on self-reported HPV vaccination initiation by using a difference-in-differences design with the National Immunization Survey-Teen from 2010 through 2016. Compared with boys in other states, boys in Rhode Island increased their HPV vaccine initiation rate by 11% (b = 0.11; 95% confidence interval [CI] = 0.05, 0.18) after enactment of the requirement. No difference was seen in the probability of HPV vaccine initiation among girls in Rhode Island compared with girls in the multistate control (b = -0.01; 95% CI = -0.08, 0.05). Our analysis identified an 11% increase in HPV vaccine initiation rate among boys in Rhode Island after the school-entry requirement was enacted, whereas no significant change was observed for girls. Public Health Implications. Given suboptimal vaccine uptake rates in the United States, continued pursuit of state-level public policy to improve HPV vaccination is needed. School-entry requirements for HPV vaccination may be a strategy for closing the gap in HPV vaccine uptake for boys and girls.
ISSN:	0090-0036 1541-0048