Hirth Jacqueline, Kuo Yong-Fang, Laz Tabassum Haque, Starkey Jonathan M, Rupp Richard E, Rahman Mahbubur, Berenson Abbey B
Center for Interdisciplinary Research in Women's Health, Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, United States.
Division of Epidemiology and Biostatistics, Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, United States.
Vaccine. 2016 Aug 17;34(37):4415-21. doi: 10.1016/j.vaccine.2016.07.014. Epub 2016 Jul 18.
To examine the accuracy of parental report of HPV vaccination through examination of concordance, with healthcare provider vaccination report as the comparison.
The 2008-2013 National Immunization Survey (NIS)-Teen was used to examine accuracy of parent reports of HPV vaccination for their female daughters aged 13-17years, as compared with provider report of initiation and number of doses. Multivariable logistic regression models were used to examine associations related to concordance of parent and provider report.
Of 51,746 adolescents, 84% concordance for HPV vaccine initiation and 70% concordance for number of doses was observed. Accuracy varied by race/ethnicity, region, time, and income. The parent report of number of doses was more likely to be accurate among parents of 13 and 14year old females than 17year olds. Accuracy of initiation and number of doses were lower among Hispanic and black adolescents compared to white parents. The odds of over-report was higher among minorities compared to whites, but the odds of underreport was also markedly higher in these groups compared to parents of white teens. Accuracy of parental vaccine report decreased across time.
These findings are important for healthcare providers who need to ascertain the vaccination status of young adults. Strengthening existing immunization registries to improve data sharing capabilities and record completeness could improve vaccination rates, while avoiding costs associated with over-vaccination.
通过与医疗服务提供者的疫苗接种报告进行比对，检查父母报告的HPV疫苗接种情况的准确性。
使用2008 - 2013年全国青少年免疫调查（NIS）来检查13 - 17岁女性女儿的父母报告的HPV疫苗接种情况的准确性，并与医疗服务提供者报告的起始接种情况和接种剂量数进行比较。使用多变量逻辑回归模型来检查与父母和医疗服务提供者报告一致性相关的关联。
在51746名青少年中，HPV疫苗起始接种情况的一致性为84%，接种剂量数的一致性为70%。准确性因种族/族裔、地区、时间和收入而异。13岁和14岁女性的父母报告的接种剂量数比17岁女性的父母报告的更有可能准确。与白人父母相比，西班牙裔和黑人青少年的起始接种情况和接种剂量数的准确性较低。与白人相比，少数族裔报告接种情况的可能性更高，但与白人青少年的父母相比，这些群体漏报的可能性也明显更高。父母疫苗接种报告的准确性随时间下降。
这些发现对于需要确定年轻人疫苗接种状况的医疗服务提供者很重要。加强现有的免疫登记系统以提高数据共享能力和记录完整性可以提高疫苗接种率，同时避免与过度接种相关的成本。
