Creighton University School of Medicine, Omaha, NE, USA.
Department of Pediatrics, Creighton University, Omaha, NE, USA.
J Community Health. 2018 Jun;43(3):455-458. doi: 10.1007/s10900-018-0467-3.
Human Papilloma Virus (HPV) is the most common sexually transmitted disease with over 14 million infections in 2008. Certain HPV types have been identified in up to 70% of cases of cervical and anal cancers. Despite being safe and effective, HPV vaccination rates remain low. Vaccination and demographic data was collected pre-and post-intervention. Among 13 thru 17-year-old cohort females were significantly more likely to be fully vaccinated. Assessment also found that patients insured by Medicaid were significantly more likely to be fully vaccinated than patients insured privately. Post-intervention vaccination rate is similar to baseline rates. There was non-significant improvement in HPV vaccination coverage after intervention. Male and privately insured patients of Creighton's Pediatric Clinic have lower HPV vaccination coverage than their counterparts. More direct efforts are needed in vaccination process and policy in the clinic to improve immunization against HPV among children and adolescents.
人乳头瘤病毒（HPV）是最常见的性传播疾病，2008 年有超过 1400 万人感染。某些 HPV 类型在高达 70%的宫颈癌和肛门癌病例中被发现。尽管 HPV 疫苗既安全又有效，但疫苗接种率仍然很低。在干预前后收集了疫苗接种和人口统计数据。在 13 至 17 岁的女性队列中，完全接种疫苗的比例明显更高。评估还发现，由医疗补助计划（Medicaid）承保的患者比私人保险承保的患者更有可能完全接种疫苗。干预后的疫苗接种率与基线率相似。干预后 HPV 疫苗接种覆盖率没有显著改善。克赖顿儿科诊所的男性和私人保险患者的 HPV 疫苗接种率低于同龄人。需要在诊所的疫苗接种过程和政策中做出更多直接的努力，以提高儿童和青少年对 HPV 的免疫接种率。
