학술논문

Trends in HPV vaccine administration and HPV vaccine coverage in children by race/ethnicity and socioeconomic status during the COVID-19 pandemic in an integrated health care system in California
Document Type
article
Source
Vaccine. 40(46)
Subject
Paediatrics
Biomedical and Clinical Sciences
HPV and/or Cervical Cancer Vaccines
Infectious Diseases
Vaccine Related
Immunization
Prevention
Cancer
Sexually Transmitted Infections
Prevention of disease and conditions
and promotion of well-being
3.4 Vaccines
Infection
Good Health and Well Being
Child
Humans
Papillomavirus Vaccines
Pandemics
Papillomavirus Infections
Ethnicity
COVID-19
Vaccination
Social Class
California
Delivery of Health Care
Integrated
Adolescent health
Covid-19
Health behavior
Human papillomavirus
Vaccine
Biological Sciences
Agricultural and Veterinary Sciences
Medical and Health Sciences
Virology
Biomedical and clinical sciences
Health sciences
Language
Abstract
BackgroundWe sought to evaluate the trends of HPV vaccination between 03/2019-09/2021 and whether the impact of the COVID pandemic on HPV vaccination varied by race/ethnicity and neighborhood deprivation index (NDI).MethodsElectronic medical records at Kaiser Permanente Southern California were used to assess monthly volume of HPV vaccine doses administered among children aged 9-12.9yrs, and up-to-date coverage (% vaccinated) by age 13 between 03/2019-09/2021. Modified Poisson models were used to evaluate the interactions between race/ethnicity, NDI and the pandemic periods on HPV vaccine coverage.ResultsHPV vaccine doses administered in 2020/2021 have returned to the 2019 level after the initial drop. The average up-to-date coverage in 05/2021-09/2021 (54.8%) remained lower than the pre-pandemic level (58.5%). The associations between race/ethnicity, NDI and HPV vaccine coverage did not vary due to the pandemic.ConclusionHPV vaccine promotion efforts are needed to address COVID-19 pandemic's lasting impact on HPV vaccination coverage.