Reasons for non-vaccination against HPV and future vaccination intentions among 19-26 year-old women

Gregory Zimet, Thomas W. Weiss, Susan L. Rosenthal, Margaret B. Good, Michelle D. Vichnin

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Background: Despite CDC recommendations regarding universal catch-up vaccination against human papillomavirus (HPV), only about ten percent of young adult women in the United States have been vaccinated. The purpose of this study was to better understand reasons for non-vaccination among insured 19-26 year-old women and to evaluate future vaccination intentions. Methods: We used an administrative claims database from a large US managed care plan to identify women aged 19-26 for receipt of a mailed survey. From a sample of 1,375 women with no evidence of HPV vaccination from June 1, 2006 through April 30, 2007, 222 completed surveys were received, of which 185 were eligible for this analysis. The main outcome measures were unvaccinated women's attitudes and vaccine awareness, likelihood of future action regarding the vaccine, and reasons for inaction. Results: Among the 185 non-vaccinees, 25.4% were married, 83.2% were white, and 89.2% had a college or higher level education. The vaccine was described as very important by 32.4% of subjects, and 30.1% had discussed the vaccine with a doctor and received a doctor's recommendation. Half or fewer of respondents were "very" or "extremely" likely to discuss the vaccine with their doctor (50.0%), do additional research on the vaccine (42.6%), ask a doctor to get the vaccine (37.5%), or make an appointment to get the vaccine (27.8%), while 48.0% were "somewhat", "very", or "extremely" likely to do nothing to get the vaccine. Among the latter, reasons for taking no action included being married or in a monogamous relationship (54.9%), belief that the vaccine is too new (35.4%), not having enough information about the vaccine (31.7%), concerns about side effects (24.4%), and uncertainty about insurance coverage (24.4%). Conclusions: Educational interventions may be needed to enhance HPV vaccination rates among 19-26 year-old women, particularly regarding information about vaccine safety, vaccine efficacy, insurance coverage, and the value of vaccination to women in monogamous relationships.

Original languageEnglish
Pages (from-to)27
Number of pages1
JournalBMC Women's Health
DOIs
StateAccepted/In press - Sep 1 2010

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Vaccination
Vaccines
Insurance Coverage
Managed Care Programs
Centers for Disease Control and Prevention (U.S.)
Uncertainty
Young Adult
Appointments and Schedules
Outcome Assessment (Health Care)
Databases
Safety
Education

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Medicine(all)
  • Reproductive Medicine

Cite this

Reasons for non-vaccination against HPV and future vaccination intentions among 19-26 year-old women. / Zimet, Gregory; Weiss, Thomas W.; Rosenthal, Susan L.; Good, Margaret B.; Vichnin, Michelle D.

In: BMC Women's Health, 01.09.2010, p. 27.

Research output: Contribution to journalArticle

Zimet, Gregory ; Weiss, Thomas W. ; Rosenthal, Susan L. ; Good, Margaret B. ; Vichnin, Michelle D. / Reasons for non-vaccination against HPV and future vaccination intentions among 19-26 year-old women. In: BMC Women's Health. 2010 ; pp. 27.
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