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Long-Term Multilevel Intervention Impact on Human Papillomavirus Vaccination Rates Spanning the COVID-19 Pandemic.
Casey, Sharon M; Jansen, Emily; Drainoni, Mari-Lynn; Schuch, Thomas J; Leschly, Karin S; Perkins, Rebecca B.
  • Casey SM; Department of Obstetrics and Gynecology, Boston University School of Medicine/Boston Medical Center, Boston, MA.
  • Jansen E; Continuing Medical Education Office, Boston University School of Medicine, Boston, MA.
  • Schuch TJ; South Boston Community Health Center, Boston, MA.
  • Perkins RB; Department of Obstetrics and Gynecology, Boston University School of Medicine/Boston Medical Center, Boston, MA.
J Low Genit Tract Dis ; 26(1): 13-19, 2022 Jan 01.
Article in English | MEDLINE | ID: covidwho-1592137
ABSTRACT

OBJECTIVE:

The aim of the study was to evaluate the long-term sustainability of a multilevel intervention and the COVID-19 pandemic impact on adolescent human papillomavirus (HPV) vaccination coverage. MATERIALS AND

METHODS:

In 2016, a pediatric and family medicine practice within a federally qualified health center completed a multilevel intervention, Development of Systems and Education for Human Papillomavirus Vaccination. We examined the intervention impact on HPV vaccine initiation and completion rates among adolescents 10-18 years between March 2016 and October 2020. We determined the total number of HPV vaccine doses administered monthly. Data were plotted on statistical process control charts.

RESULTS:

Vaccine initiation increased from an average of 14% to an average of 42% for 10-year-old patients and from an average of 72% to an average of 92% for 11- to 12-year-old patients between March 2016 and January 2017 and remained stable through March 2020. Complete vaccination by age 13 years increased from 62% to 88% through October 2020.

CONCLUSIONS:

This intervention led to continued improvement for on-time HPV vaccination coverage 4 years after intervention completion.Clinical Trial Registration This trial has been registered at http//www.clinicaltrials.gov (identifier NCT02812732).
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Papillomavirus Infections / Alphapapillomavirus / Papillomavirus Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Long Covid / Vaccines Limits: Adolescent / Child / Humans Language: English Journal: J Low Genit Tract Dis Journal subject: Gynecology Year: 2022 Document Type: Article Affiliation country: Lgt.0000000000000648

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Papillomavirus Infections / Alphapapillomavirus / Papillomavirus Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Long Covid / Vaccines Limits: Adolescent / Child / Humans Language: English Journal: J Low Genit Tract Dis Journal subject: Gynecology Year: 2022 Document Type: Article Affiliation country: Lgt.0000000000000648