Journal article
HPV vaccination in community health organizations: what is going right and how can it be replicated?
Cancer causes & control, Vol.36(11), pp.1525-1537
11/2025
DOI: 10.1007/s10552-025-02040-0
PMCID: PMC12578775
PMID: 40721971
Appears in UI Libraries Support Open Access
Abstract
Purpose
Human papillomavirus (HPV) vaccination is recommended for individuals between 9 and 12 years of age to prevent six different cancers. Lower rates of vaccination exist among underserved populations. We evaluate rates of up-to-date (UTD) HPV vaccination within a nationwide network representing many medically underserved communities.
Methods
This study was conducted using OCHIN, a diverse national database of over 6 million publicly or underinsured patients seen at an OCHIN clinic from January 2015 to December 2023. HPV vaccination initiation and completion rates were the primary outcomes.
Results
1,848,813 patients were included. HPV vaccination rates for all races and ethnic groups were below the Healthy People 2030 goal of 80.0%. Vaccination varied by race/ethnicity, with Hispanic individuals having the highest rates of UTD vaccination. There was no statistically significant difference between male and female genders for HPV vaccination. Odds of successful completion of the vaccine series were highest when series initiation occurred at ages 9–10 and among those with at least two clinical visits per year.
Conclusions
HPV vaccination completion rates remain below the national goal among all ages and racial/ethnic groups in this large, nationwide cohort though all rates increased throughout the study period for most groups. Hispanic race, younger age at initiation, and higher number of clinical visits had increased odds of HPV vaccination. Notably, the gap between males and females closed. Exploration in how these clinics is appealing to the Hispanic population; caregivers of younger children and the male population should be investigated.
Details
- Title: Subtitle
- HPV vaccination in community health organizations: what is going right and how can it be replicated?
- Creators
- Keely Ulmer - Univ Iowa Hosp & Clin, Dept Obstet & Gynecol, Div Gynecol Oncol, Holden Comprehens Canc Ctr, Iowa City, IA 52240 USAKristin Lyon-Scott - OchinNgoc Wasson - Oregon Health & Science UniversityTaona P. Haderlein - OchinAmanda Bruegl - Oregon Health & Science University
- Resource Type
- Journal article
- Publication Details
- Cancer causes & control, Vol.36(11), pp.1525-1537
- DOI
- 10.1007/s10552-025-02040-0
- PMID
- 40721971
- PMCID
- PMC12578775
- NLM abbreviation
- Cancer Causes Control
- ISSN
- 0957-5243
- eISSN
- 1573-7225
- Publisher
- Springer Nature
- Number of pages
- 13
- Grant note
- Fenway Health, University of Washington RI-OCHIN-01-MC / Oregon Health and Science University (R) (PCORI(R)) / Patient-Centered Outcomes Research Institute; Patient-Centered Outcomes Research Institute (PCORI) National Community Health Center Network (ADVANCE) Clinical Research Network (CRN)
- Language
- English
- Electronic publication date
- 07/28/2025
- Date published
- 11/2025
- Academic Unit
- Obstetrics and Gynecology; Holden Comprehensive Cancer Center
- Record Identifier
- 9984963940002771
Metrics
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