Abstract

BackgroundVaccine receipt among mid-adults remains low, with only one quarter of adults being up to date for all recommended vaccines. It is important to understand the myriad factors that influence vaccine receipt among mid-adult women to address these low rates.MethodsWe conducted a cross-sectional analysis of data from women ages 24–45 years collected as part of an ongoing case-control study of the effectiveness of HPV vaccine. We examined associations between demographic characteristics and healthcare utilization and receipt of individual vaccines and combinations of multiple vaccines using logistic regression analyses for three routinely recommended vaccines: tetanus, influenza and HPV.ResultsAmong the 309 women enrolled in the study, only 19 (6.2%) were up to date for all three recommended vaccines and 41 (13.3%) had not received any of the recommended vaccines. A greater number of health care visits in the past year was associated with receipt of influenza (aOR = 6.37, 95% CI = 2.53, 16.1) and tetanus (aOR = 2.17, 95% CI = 1.14, 4.12) vaccines. White women were more likely to have received HPV vaccine (aOR = 2.39, 95% CI = 1.07, 5.36).ConclusionsUptake of recommended vaccines is low among young and mid-adult women. There is a need for greater understanding of the underlying factors influencing vaccine receipt in this population.

Highlights

  • Routine vaccinations are an important part of preventive health throughout the life course

  • Vaccine receipt of the individual vaccines was slightly lower in our sample than the national average of 36% coverage for influenza and 42% coverage for HPV vaccines, with only about 30% of women having received either the influenza vaccine or the HPV vaccine, but similar for tetanus vaccines [2]

  • Women ages 36–45 years were more likely to be vaccinated with the influenza vaccine, whereas they were less likely to be vaccinated with the HPV vaccine when controlling for other factors

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Summary

Introduction

Routine vaccinations are an important part of preventive health throughout the life course. In 2017, only 25% of adults over the age of 19 were up to date on all ageappropriate routinely recommended vaccines in the United States, not including the human papillomavirus. Individual attitudes about vaccines can contribute substantially and can vary by each vaccine. Another is the wide variation among recommendations for different adult vaccines. Vaccine receipt among mid-adults remains low, with only one quarter of adults being up to date for all recommended vaccines. It is important to understand the myriad factors that influence vaccine receipt among mid-adult women to address these low rates. We examined associations between demographic characteristics and healthcare utilization and receipt of individual vaccines and combinations of multiple vaccines using logistic regression analyses for three routinely recommended vaccines: tetanus, influenza and HPV

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