2010-2016 年罗得岛州入学要求出台后，青少年人乳头瘤病毒疫苗接种情况。
Human Papillomavirus Vaccine Initiation for Adolescents Following Rhode Island's School-Entry Requirement, 2010-2016.
机构信息
Erika L. Thompson is with the Department of Health Behavior & Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth. Melvin D. Livingston III, is with the Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center. Ellen M. Daley is with the Department of Community and Family Health, College of Public Health, University of South Florida, Tampa. Gregory D. Zimet is with the Department of Pediatrics, Indiana University School of Medicine, Indianapolis.
出版信息
Am J Public Health. 2018 Oct;108(10):1421-1423. doi: 10.2105/AJPH.2018.304552. Epub 2018 Jul 19.
OBJECTIVES
To assess changes in human papillomavirus (HPV) vaccine initiation for adolescent girls and boys in Rhode Island compared with all other states.
METHODS
We estimated the gender-specific effects of Rhode Island's school-entry HPV vaccination policy on self-reported HPV vaccination initiation by using a difference-in-differences design with the National Immunization Survey-Teen from 2010 through 2016.
RESULTS
Compared with boys in other states, boys in Rhode Island increased their HPV vaccine initiation rate by 11% (b = 0.11; 95% confidence interval [CI] = 0.05, 0.18) after enactment of the requirement. No difference was seen in the probability of HPV vaccine initiation among girls in Rhode Island compared with girls in the multistate control (b = -0.01; 95% CI = -0.08, 0.05).
CONCLUSIONS
Our analysis identified an 11% increase in HPV vaccine initiation rate among boys in Rhode Island after the school-entry requirement was enacted, whereas no significant change was observed for girls. Public Health Implications. Given suboptimal vaccine uptake rates in the United States, continued pursuit of state-level public policy to improve HPV vaccination is needed. School-entry requirements for HPV vaccination may be a strategy for closing the gap in HPV vaccine uptake for boys and girls.
目的
评估罗得岛州与其他所有州相比，青少年男、女孩人乳头瘤病毒（HPV）疫苗接种率的变化。
方法
我们使用 2010 年至 2016 年国家免疫调查-青少年的数据，采用双重差分设计，估计了罗得岛州入学 HPV 疫苗接种政策对自我报告 HPV 疫苗接种启动情况的性别特异性影响。
结果
与其他州的男孩相比，在该要求颁布后，罗得岛州男孩 HPV 疫苗接种率增加了 11%（b=0.11；95%置信区间 [CI]：0.05，0.18）。与多州对照组的女孩相比，罗得岛州女孩 HPV 疫苗接种的概率没有差异（b=-0.01；95%CI：-0.08，0.05）。
结论
我们的分析发现，在入学要求颁布后，罗得岛州男孩 HPV 疫苗接种率增加了 11%，而女孩没有明显变化。公共卫生意义。鉴于美国疫苗接种率不理想，需要继续寻求州一级的公共政策来改善 HPV 疫苗接种。HPV 疫苗接种的入学要求可能是缩小男孩和女孩 HPV 疫苗接种差距的一种策略。
Zotero 插件