Abstract
Purpose
Human papillomavirus (HPV) vaccination in the United States has been recommended for
girls since 2006 and for boys since 2011. However, settings of receiving HPV vaccination
have not been assessed. The purpose of this study is to assess settings of receiving
HPV vaccination among adolescents in order to understand what strategies are needed
to improve vaccination uptake.
Methods
Data from the 2018 National Immunization Survey–Teen (NIS–Teen) were analyzed to assess
place of HPV vaccination overall, and by gender, quarter, and other selected variables
among adolescents in the United States. The 2016–2018 NIS–Teen data were combined
to assess state-specific place of HPV vaccination.
Results
Among vaccinated adolescents aged 13–17 years, a doctor's office was the most common
place where HPV vaccination was received (79.2%), followed by clinics, health centers,
or other medical facilities (13.5%), health department (4.1%), hospital or emergency
room (2.3%), schools (.5%), and pharmacies or stores (.4%). Overall, 99.1% of adolescents
aged 13–17 years received HPV vaccination at medical settings and only .9% at nonmedical
settings. Reported vaccination in nonmedical settings by state ranged from less than
.1% in Delaware, Florida, and New Hampshire to 4.1% in North Dakota, with a median
of 1.0%.
Conclusions
Doctor's offices were the most common medical setting for adolescents to receive HPV
vaccination. Less than 1% of adolescents received vaccination at nonmedical settings.
Continuing work with medical and nonmedical settings to identify and implement appropriate
strategies are needed to improve HPV vaccination coverage among adolescents.
Keywords
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Article info
Publication history
Published online: April 15, 2021
Accepted:
March 12,
2021
Received:
December 30,
2020
Footnotes
Disclaimer: The findings and conclusions in this paper are those of the authors and do not necessarily represent the views of CDC.
Conflicts of interest: All authors have no conflicts of interest to be stated.
Identification
Copyright
Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.
