Evidence map›Paper›PMID 34256974›Full record

ArticleAmerican journal of preventive medicine2021

Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents.

Lisa N Mansfield, Susan G Silva, Elizabeth I Merwin, Richard J Chung, Rosa M Gonzalez-Guarda

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
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  3. Effect of Initiating HPV Vaccination Before Age 11 on HPV Vaccination Completion.Journal of the American Board of Family Medicine : JABFM · 2026
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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

5 authors.

Lisa N MansfieldDuke University School of Nursing, Duke University, Durham, North Carolina. Electronic address: lmansfield@mednet.ucla.edu.
Susan G SilvaDuke University School of Nursing, Duke University, Durham, North Carolina.
Elizabeth I MerwinCollege of Nursing and Health Innovation, The University of Texas at Arlington, Arlington, Texas.
Richard J ChungDuke University School of Medicine, Duke Department of Pediatrics, Duke University, Durham, North Carolina.
Rosa M Gonzalez-GuardaDuke University School of Nursing, Duke University, Durham, North Carolina.

Funding

Social Determinants of HPV Vaccine Completion among AdolescentsF31NR018347 · NINR · DUKE UNIVERSITY · PI MANSFIELD, LISA NICOLE · 2018 to 2019
$73k
NINR NIH HHS F31 NR018347
6 · The paper itself

Abstract

introductionMost cancers associated with the human papillomavirus are preventable through vaccination. However, adolescent series completion rates are at 75.8%. Two vaccine doses are recommended for adolescents, but factors influencing 2-dose series completion are not well explored. The purpose of this study is to examine individual-level and community-level factors associated with timely human papillomavirus vaccine series completion among adolescents in the Southeastern U.S.

methodsSeries completion was assessed from January 2018 to February 2019 among a cohort of adolescents initiating vaccination in 2017. Factors influencing overall series completion and timely series completion were assessed using multivariable logistic regression.

resultsAmong the sample, 64.4% completed the vaccine series and 53.8% completed it timely (e.g., 14 months). Higher odds of series completion were among adolescents who were younger at vaccine initiation (AOR=1.94, 95% CI=1.50, 2.50), who traveled moderate distances to the clinic (AOR=1.62, 95% CI=1.03, 2.56), and who lived in low-deprivation neighborhoods (AOR=1.85, 95% CI=1.31, 2.60), and lower among Hispanic (AOR=0.62, 95% CI=0.45, 0.87) and non-Hispanic Black (AOR=0.66, 95% CI=0.54, 0.81) adolescents and among those without private insurance (AOR=0.68, 95% CI=0.56, 0.83). Timely series completion resulted in similar findings; however, lower odds were among Hispanic (AOR=0.63, 95% CI=0.43, 0.95) and non-Hispanic Black (AOR=0.68, 95% CI=0.50, 0.92) adolescents than among non-Hispanic other adolescents.

conclusionsIndividual-level and community-level factors continue to influence adolescent series completion, despite a reduction in doses. Future research is needed to understand racial/ethnic and regional disparities in human papillomavirus vaccine series completion and to develop interventions to promote series completion.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesAdolescentEthnicityHispanic or LatinoHumansPapillomaviridaeVaccinationPapillomavirus Vaccines

Identifiers

PMID34256974
PMCPMC9948546

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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.