University of Michigan, Department of Pediatrics, Child Health Evaluation and Research Unit, Ann Arbor, MI 48109-5456, USA.
Vaccine. 2010 Jan 22;28(4):989-95. doi: 10.1016/j.vaccine.2009.10.133. Epub 2009 Nov 17.
We reviewed clinical and billing data from a university-based health system to assess HPV vaccine utilization among 9-18-year-old girls by individual, visit and medical specialty characteristics. Our sample included 10,082 adolescent patients with 27,928 visits to outpatient family medicine (FM), pediatric and gynecology clinics between January 2007 and March 2008. Vaccine series completion was low among eligible adolescents (15%), with important disparities in vaccine utilization by medical specialty, age, race and insurance status. Missed opportunities for vaccination were common. Our findings may help to target future interventions aimed at increasing adolescent HPV vaccine utilization.
我们回顾了一个大学健康系统的临床和计费数据，评估了 9-18 岁女孩在个人、就诊和医疗专业特征方面的 HPV 疫苗接种情况。我们的样本包括 10082 名青少年患者，他们在 2007 年 1 月至 2008 年 3 月期间到家庭医学（FM）、儿科和妇科诊所进行了 27928 次就诊。符合条件的青少年中疫苗系列接种完成率较低（15%），疫苗接种的利用情况在医疗专业、年龄、种族和保险状况方面存在显著差异。错过接种疫苗的机会很常见。我们的研究结果可能有助于确定未来旨在提高青少年 HPV 疫苗接种率的干预目标。
