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A Quality Improvement Project Targeting Vaccine-Preventable Sexually Transmitted Infections in College Students Using

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Summary

College students show lower vaccination rates for human papillomavirus (HPV) compared to Hepatitis B (HepB). A quality improvement project identified gaps in HPV vaccination, especially for those starting the series after age 14.

Keywords:
college student sexual healthcollege student vaccinationshepatitis B vaccinationhuman papillomavirus vaccination

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Area of Science:

  • Public Health
  • Immunization
  • Healthcare Quality Improvement

Background:

  • Hepatitis B (HepB) and human papillomavirus (HPV) are vaccine-preventable sexually transmitted infections.
  • Adolescents aged 13-17 exhibit higher HepB vaccination coverage than HPV vaccination coverage.

Purpose of the Study:

  • Identify college-age students lacking HepB and HPV vaccination.
  • Address vaccination education needs in this demographic.
  • Improve vaccination rates through a quality improvement project.

Main Methods:

  • Implemented a quality improvement project utilizing an electronic health record (EHR) system in 2023.
  • Leveraged EHR system and patient portal for vaccine screening and upload.
  • Focused on a university health clinic setting.

Main Results:

  • In Fall 2023, 72% of students had documented HepB protection versus 55% for HPV.
  • Students initiating HPV vaccination after age 14 were more likely to have incomplete series (17%).

Conclusions:

  • A college health EHR system aids in identifying students with incomplete vaccine protection.
  • Early initiation of HPV vaccination (≤14 years) is associated with higher completion rates.
  • Targeted interventions are needed to improve HPV vaccination coverage in college students.