Human papillomavirus (HPV) vaccine availability, recommendations, cost, and policies among health departments in seven Appalachian states

Mira L. Katz, Paul L. Reiter, Brenda C. Kluhsman, Stephenie Kennedy, Sharon Dwyer, Nancy Schoenberg, Andy Johnson, Gretchen Ely, Karen A. Roberto, Eugene J. Lengerich, Pamela Brown, Electra D. Paskett, Mark Dignan

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Telephone interviews of health department personnel in six states and review of an immunization database from one state were conducted to assess human papillomavirus (HPV) vaccine availability, recommendations, cost, policies, and educational materials in health departments in seven Appalachian states. Most (99.1%) health departments (n = 234) reported receiving patient requests for the HPV vaccine, and only two (1%) health departments reported that they did not provide the vaccine for patients. HPV vaccine supply was reported to not meet the demand in 10.5% (24/228) of health departments due to high costs. Level (state, region, county) at which policy about the HPV vaccine was determined, vaccine recommendations, costs, and available educational materials varied among states. This study documented variation in vaccine availability, recommendations, cost, policies, and educational materials in Appalachian health departments that could significantly affect vaccine distribution. Findings highlight the need for more comprehensive and consistent policies that maximize accessibility of the HPV vaccine to women, especially those in underserved areas.

Original languageEnglish
Pages (from-to)3195-3200
Number of pages6
JournalVaccine
Volume27
Issue number24
DOIs
StatePublished - May 21 2009

Bibliographical note

Funding Information:
This study was supported by National Cancer Institute Grants #CA113932 (Appalachia Community Cancer Network), CA107079 (MLK), and the Behavioral Measurement Shared Resource at The Ohio State University Comprehensive Cancer Center, P30 CA016058.

Keywords

  • Appalachian region
  • HPV vaccines
  • Health care disparities
  • Health policy

ASJC Scopus subject areas

  • Molecular Medicine
  • General Immunology and Microbiology
  • General Veterinary
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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