County-level correlates of missed opportunities for HPV vaccination in Indiana: An environmental scan
Sharon C Enujioke1, Rivienne Shedd-Steele2, Joanne Daggy3
1Indiana University School of Medicine, Department of Pediatrics-Adolescent Medicine, 410 W, 100th Street, Ste 100, Indianapolis, IN 46202, USA.
Background:
The goal of this study was to examine variability across the 92 Indiana counties in missed opportunities for HPV vaccination and to assess county-level correlates of missed opportunities.
Methods:
The Indiana immunization registry provided county level data on 2017 missed opportunity rates for adolescents ages 11-18. A missed opportunity was an encounter when a patient eligible for HPV vaccination received one or more other recommended vaccines, but not HPV. Potential county-level correlates of missed opportunities included race, income, population density, education, primary care providers per capita, smoking rates, mammography screening, diabetes monitoring, and Pap testing.
Results:
The missed opportunity rate ranged from 31% to 85% across Indiana counties. Higher population density, mammography screening, income inequality, and diabetes monitoring were associated with fewer missed opportunities.
Conclusions:
We found wide variability in missed opportunities across counties, which were associated with population density and county-level participation in other health-related behaviors.
Sources Of Support:
This study was supported by the National Cancer Institute under Award Number P30 CA082709-18S4.
Related Concept Videos
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Principles of Disease Surveillance
Bias in Epidemiological Studies
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...


