Evidence map›Paper›PMID 35864862›Full record

ArticleVaccine: X2022

Factors contributing to missed opportunities for human papillomavirus vaccination among adolescents, ages 11 to 13, in Iowa.

Grace W Ryan, Sarah S Perry, Aaron Scherer, Mary E Charlton, Sato Ashida, Paul A Gilbert, Natoshia Askelson

Open access · goldAbstract read
In one paragraph

Article in Vaccine: X, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 50% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
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

7 authors at 1 institution in 1 country.

Grace W RyanDepartment of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City IA, 52242, United States.
Sarah S PerryDepartment of Biostatistics, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City IA, 52242, United States.
Aaron SchererCarver College of Medicine, University of Iowa, 375 Newton Road, Iowa City IA, 52242, United States.
Mary E CharltonDepartment of Epidemiology, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City IA, 52242, United States.
Sato AshidaDepartment of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City IA, 52242, United States.
Paul A GilbertDepartment of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City IA, 52242, United States.
Natoshia AskelsonDepartment of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City IA, 52242, United States.
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
University of Iowa Prevention Research Center for Rural HealthU48DP005021 · DP · UNIVERSITY OF IOWA · PI BAQUERO, BARBARA I, PARKER, EDITH A · 2014 to 2018
$5.6M
NCCDPHP CDC HHS U48 DP005021
6 · The paper itself

Abstract

Introduction: Rates of human papillomavirus (HPV) vaccination remain low and missed opportunities for HPV vaccination are widespread. Researchers have identified factors related to HPV vaccination, but less is known about missed opportunities. Methods: We used medical claims data from a large Midwestern insurance provider to explore relationships between adolescent and provider characteristics and missed opportunities for HPV vaccination. We stratified models by initiation status with adolescents who had received one or more HPV vaccinations in one group (n = 6,123) and adolescents with no record of an HPV vaccination in the other (n = 8,107). Results: There were significant differences in comparisons of all variables between initiators and non-initiators. Notably, non-initiators had lower rates of vaccination for HPV and other adolescent vaccinations, and fewer well-child visits. For all adolescents, birth year, having other recommended vaccines, and number of well-child visits were significantly associated with missed opportunities. Additionally, among initiators, pediatrician as a primary care provider and being in a rural area were significantly associated. Discussion: Overall, adolescents with greater healthcare utilization had more missed opportunities, indicating that, despite increased numbers of visits, providers are not taking advantage of these opportunities to vaccinate. Future research should prioritize developing a deeper understanding of why these missed opportunities are occurring and implementing new and existing strategies to prevent them. Reducing missed opportunities will help to prevent future HPV-related cancers and the significant morbidity and mortality that they can cause.

Indexed as

ACIP, Advisory Committee on Immunization PraticesAdolescent healthEHR, Electronic Health RecordHPV, Human PapillomavirusHPV vaccinationMedical claims dataMO, Missed OpportunityMSA, Metropolitan Statistical AreaPCP, Primary Care Provider

Identifiers

PMID35864862
PMCPMC9294328
OpenAlexW4284991200

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.