HealthPartners Institute for Education and Research, Minneapolis, MN, United States.
Prev Med. 2013 Nov;57(5):712-4. doi: 10.1016/j.ypmed.2013.07.011. Epub 2013 Jul 13.
To describe human papillomavirus (HPV) vaccine coverage among adult privately insured women including variation in coverage by race/ethnicity.
This cross-sectional, observational study included women 18-26 years of age with continuous enrollment in a U.S. Midwestern health insurance plan and at least one visit to a plan affiliated practice. Vaccination data came from insurance claims and the electronic medical record. Primary outcomes were: receipt of at least 1 HPV vaccine (HPV1) and completion of the 3-dose HPV vaccine series (HPV3). Coverage was described for the entire cohort and stratified by race/ethnicity. For a subset of women, automated data was compared to personal recall.
As of June 2010, among 2546 privately insured women 18-26 years, 72.7% had received their first HPV vaccine and 57.9% completed the 3-dose series. Compared to white women, African American and Asian women had significantly lower coverage for HPV1 and HPV3. There was 94.5% (95% CI: 88.5-100%) agreement between personal recall and claims/EMR for receiving HPV1.
In this cohort of privately insured women, a majority received HPV1 and more than half completed the 3-dose vaccine series. Marked disparities in receipt of HPV vaccine by race/ethnicity were observed.
描述 HPV 疫苗在成年私人保险女性中的接种情况，包括按种族/民族的接种率差异。
这是一项横断面观察性研究，纳入了年龄在 18-26 岁之间、在美国中西部健康保险计划中有连续参保记录且至少有一次在计划附属医疗机构就诊的女性。接种数据来自保险索赔和电子病历。主要结局是：至少接种过 1 剂 HPV 疫苗（HPV1）和完成 3 剂 HPV 疫苗系列接种（HPV3）。按种族/民族对整个队列进行了描述。对于女性的一部分，自动数据与个人回忆进行了比较。
截至 2010 年 6 月，在 2546 名 18-26 岁的私人保险女性中，72.7%的人已接种了第一剂 HPV 疫苗，57.9%的人完成了 3 剂系列接种。与白人女性相比，非裔美国人和亚裔女性 HPV1 和 HPV3 的接种率明显较低。个人回忆与索赔/电子病历记录 HPV1 接种情况的一致性为 94.5%（95%CI：88.5-100%）。
在这一私人保险女性队列中，大多数人接种了 HPV1 疫苗，超过一半的人完成了 3 剂疫苗系列接种。观察到 HPV 疫苗接种率按种族/民族存在显著差异。
