NDLI: Impact of Louisiana's HPV Vaccine Awareness Policy on HPV Vaccination Among 13- to 17-Year-Old Females.

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Impact of Louisiana's HPV Vaccine Awareness Policy on HPV Vaccination Among 13- to 17-Year-Old Females.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pierre-Victor, Dudith Trepka, Mary Jo Page, Timothy F. Li, Tan Stephens, Dionne P. Madhivanan, Purnima
Description	Country affiliation: United States Author Affiliation: Pierre-Victor D ( 1 Florida International University, Miami, FL, USA.); Trepka MJ ( 1 Florida International University, Miami, FL, USA.); Page TF ( 1 Florida International University, Miami, FL, USA.); Li T ( 1 Florida International University, Miami, FL, USA.); Stephens DP ( 1 Florida International University, Miami, FL, USA.); Madhivanan P ( 1 Florida International University, Miami, FL, USA.)
Abstract	The Advisory Committee on Immunization Practices recommends routine human papillomavirus (HPV) immunization for 11- to 12-year-old adolescents. In 2008, Louisiana required the school boards to distribute HPV vaccine information to parents or guardian of students in Grades 6 to 12. This article investigates the impact of this policy on HPV vaccination among 13- to 17-year-old female adolescents using National Immunization Survey-Teen (NIS-Teen) data. Drawing on the data from the 2008 to 2012 NIS-Teen, we compared the difference in proportions of females who have been vaccinated before and after the policy. Using difference-indifference estimation, we explored the change in vaccination rates before and after the policy implementation in Louisiana compared with Alabama and Mississippi, two states that did not have such a policy in place. The difference-in-differences estimates for HPV vaccination were not significant. Physician recommendation for HPV vaccination was significantly associated with vaccination among females in Louisiana and Alabama (adjusted odds ratio [aOR] = 7.74; 95% confidence interval [CI; 5.22, 11.5]), and for those in Louisiana and Mississippi (aOR = 7.05; 95% CI [4.6, 10.5]). Compared to the proportion of female adolescents who had received physician recommendation in Alabama or Mississippi, the proportion in Louisiana did not increase significantly in the postpolicy period. HPV vaccination rates did not increase significantly in Louisiana compared to Alabama or Mississippi following the implementation of the policy. Despite Louisiana's policy, physician recommendation remains the key determinant of HPV vaccination. HPV vaccine awareness does not necessarily result in HPV vaccination.
File Format	HTM / HTML
ISSN	10901981
Journal	Health Education & Behavior
e-ISSN	15526127
Language	English
Publisher	Sage Publication
Publisher Date	2017-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Behavioral Sciences Discipline Public Health
Content Type	Text
Resource Type	Article
Subject	Arts and Humanities Public Health, Environmental and Occupational Health

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