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Health services and policy poster session 6: services
P5-S6.30 HPV catch-up vaccination among a community sample of young adult women
  1. L Manhart,
  2. A Burgess-Hull,
  3. C Fleming,
  4. J Bailey,
  5. K Haggerty,
  6. R Catalano
  1. University of Washington (Seattle, USA)


Background Despite the high efficacy of the human papillomavirus (HPV) vaccine, uptake has been slow and little data on psychosocial barriers to catch-up vaccination exist.

Methods A community sample of 428 women enrolled in a longitudinal study of social development were interviewed about HPV vaccine status, attitudes, and barriers to HPV vaccination in spring 2008 or 2009 at ∼age 22.

Results 19% of women had initiated vaccination, 10% had completed the series, and ∼40% of unvaccinated women intended to get vaccinated. Peer approval was associated with vaccine initiation (Adjusted Prevalence Ratio (APR) 2.5; 95% CI 1.7 to 3.8) and intention to vaccinate (APR 1.5; 1.2–1.9). Belief the vaccine is <75% effective was associated with less initiation (APR 0.6; 0.4–0.9) or intention to vaccinate (APR 0.5; 0.4–0.7). Vaccine initiation was also less likely among cigarette smokers and illegal drug users, whereas intention to vaccinate was more common among women currently attending school or with >5 lifetime sex partners, but less common among women perceiving low susceptibility to HPV (APR 0.6; 0.4–0.8) see Abstract P5-S6.30 table 4.

Abstract P5-S6.30 Table 4

Multivariable analyses of characteristics independently associated with vaccine initiation and intention to vaccinate among 428 young women who participated in the Raising Healthy Children (RHC) young adult survey during 2008 and 2009

Conclusions HPV catch-up vaccination uptake was low in this community sample. Increasing awareness of susceptibility to HPV and the high vaccine efficacy, along with peer interventions to increase acceptability, may be most effective.

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