TY - JOUR
T1 - Human papillomavirus vaccine initiation for adolescents following Rhode Island's school-entry requirement, 2010-2016
AU - Thompson, Erika L.
AU - Livingston, Melvin D.
AU - Daley, Ellen M.
AU - Zimet, Gregory D.
N1 - Funding Information:
This study was considered exempt by the North Texas Regional institutional review board as this work did not involve human participant research.
Publisher Copyright:
© 2018 American Public Health Association Inc. All Rights Reserved.
PY - 2018/10
Y1 - 2018/10
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85053829450&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2018.304552
DO - 10.2105/AJPH.2018.304552
M3 - Article
C2 - 30024803
AN - SCOPUS:85053829450
SN - 0090-0036
VL - 108
SP - 1421
EP - 1423
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 10
ER -