Evidence map›Paper›PMID 25033154›Full record

ArticleAmerican journal of public health2014

Insurance continuity and human papillomavirus vaccine uptake in Oregon and California federally qualified health centers.

Stuart Cowburn, Matthew Carlson, Jodi Lapidus, John Heintzman, Steffani Bailey, Jennifer DeVoe

Abstract read
In one paragraph

Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Using the electronic health record for assessment of health insurance in community health centers.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Stuart CowburnStuart Cowburn is with OCHIN, Inc., Portland, OR. Matthew Carlson is with the Department of Sociology, Portland State University, Portland. Jodi Lapidus is with the Department of Public Health and Preventive Medicine, Oregon Health & Science University, Portland. John Heintzman, Steffani Bailey, and Jennifer DeVoe are with the Department of Family Medicine, Oregon Health & Science University, Portland.
Matthew Carlson
Jodi Lapidus
John Heintzman
Steffani Bailey
Jennifer DeVoe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe examined the association between insurance continuity and human papillomavirus (HPV) vaccine uptake in a network of federally qualified health clinics (FQHCs).

methodsWe analyzed retrospective electronic health record data for females, aged 9-26 years in 2008 through 2010. Based on electronic health record insurance coverage information, patients were categorized by percent of time insured during the study period (0%, 1%-32%, 33%-65%, 66%-99%, or 100%). We used bilevel multivariable Poisson regression to compare vaccine-initiation prevalence between insurance groups, stratified by race/ethnicity and age. We also examined vaccine series completion among initiators who had at least 12 months to complete all 3 doses.

resultsSignificant interactions were observed between insurance category, age, and race/ethnicity. Juxtaposed with their continuously insured peers, patients were less likely to initiate the HPV vaccine if they were insured for less than 66% of the study period, aged 13 years or older, and identified as a racial/ethnic minority. Insurance coverage was not associated with vaccine series completion.

conclusionsDisparities in vaccine uptake by insurance status were present in the FQHCs studied here, despite the fact that HPV vaccines are available to many patients regardless of ability to pay.

Indexed as

AdolescentAdultAge FactorsCaliforniaChildElectronic Health RecordsFemaleHumansInsurance CoverageInsurance, HealthOregonPapillomavirus VaccinesPatient Acceptance of Health CareRetrospective StudiesSafety-net ProvidersSocioeconomic FactorsPapillomavirus Vaccines

Identifiers

PMID25033154
PMCPMC4151916

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.