A Qualitative Comparative Analysis of Combined State Health Policies Related to Human Papillomavirus Vaccine Uptake in the United States

To examine how combinations of state policies, rather than single policies, are related to uptake of human papillomavirus (HPV) vaccine. Using publicly available records and the literature, we characterized policies for each US state and Washington, DC, in 2015 (n = 51), including (1) Medicaid expan...

Full description

Saved in:
Bibliographic Details
Published in:American journal of public health (1971) 2018-04, Vol.108 (4), p.493-499
Main Authors: Roberts, Megan C, Murphy, Taylor, Moss, Jennifer L, Wheldon, Christopher W, Psek, Wayne
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Health
Adolescents
AJPH Policy
Boys
Combined vaccines
Comparative analysis
Consistency
Drug stores
Education
Female
Girls
Government programs
Health care
Health care policy
Health Policy
Human papillomavirus
Humans
Immunization
Immunization/Vaccines
Male
Medicaid
Medicaid - legislation & jurisprudence
Papillomavirus Vaccines - therapeutic use
Parents & parenting
Patient Acceptance of Health Care - statistics & numerical data
Patient Protection and Affordable Care Act
Policies
Prevention
Public health
Public Health Practice
Qualitative analysis
Qualitative research
School Health Services
Sex education
State Government
State policies
States
Teenagers
United States
Vaccination
Vaccines
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To examine how combinations of state policies, rather than single policies, are related to uptake of human papillomavirus (HPV) vaccine. Using publicly available records and the literature, we characterized policies for each US state and Washington, DC, in 2015 (n = 51), including (1) Medicaid expansion, (2) policies permitting HPV vaccination in pharmacies, (3) school-entry requirements, (4) classroom sex education mandates, and (5) parental education mandates. Using qualitative comparative analysis, we identified which existing combinations of these policies were necessary and sufficient for high HPV vaccine initiation among adolescents, with National Immunization Survey-Teen data. No single policy was necessary or sufficient for high HPV vaccine uptake; however, 1 set of policies had consistently high HPV vaccine uptake: adoption of all policies except parental education mandates (girls: consistency = 1.00, coverage = 0.07; boys: consistency = 0.99, coverage = 0.08). We identified a set of polices related to high HPV vaccine uptake. Future studies should examine how these policies and others, individually and in combination, are associated with HPV vaccine uptake. Public Health Implications. This study provides insight into what sets of policies are consistently related to high HPV vaccine uptake.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2017.304263